TY - JOUR T1 - Ethics and evidence based surgery JF - Journal of Medical Ethics JO - J Med Ethics SP - 160 LP - 165 DO - 10.1136/jme.2003.007054 VL - 30 IS - 2 AU - G M Stirrat Y1 - 2004/04/01 UR - http://jme.bmj.com/content/30/2/160.abstract N2 - Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents. “Evidence based medicine” (EBM) emerged in the 1980s and a new gospel of “Rules of Evidence” was introduced. There is no doubt that the net effect of EBM has been beneficial, but over reliance on randomised controlled trials and the lack of generalisability of scientific evidence to individual patients has perhaps led to less enthusiasm for its tenets among surgeons. There are valid and spurious reasons for this that are discussed. The situation is improving but inevitable tensions remain between the surgeon committed to the individual patient here and now, and the clinical researcher whose focus is the benefit of future patients in the larger community. ER -