TL'DR: strong evidence of editorial bias @BJSM_BMJ towards promotion of an anti-dietary guideline, pro low-carbohydrate high-fat diet, statin-conspiracy narrative and strategic demotion of any counter debate and arguments
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Good question Evelyn & one I've been pondering. Ioannidis recently said EBM's been 'hijacked' by vested interests (not just industry). He's referring to the 'E' in EBM. I agree. As do my colleagues bmj.com/content/357/bm… /1
For me the very word 'evidence-based' has also been hijacked to the point where I consider it meaningles in/of itself. You ask 'How do you know?'. It's simpler than you think. EBM is a SKILL. /2
And there are sub-skills within it. The overarching skill (& the hardest to master IMO) is the ability to use your clinical expertise in helping patients understand and inform their decisions by evidence (defining this is key and requires SKILL). /3