Show me the evidence: Dealing with bias in the medical literature

Taking care of patients with spine related pain and disability is challenging. Diagnosis is an imprecise art and there are a multitude of competing treatment modalities for any given pain syndrome. Interventions may be expensive and dangerous, and measuring objective outcomes is difficult and time consuming. Those of us who accept the challenge of treating this patient population need not only to be armed with the best available evidence but also need to understand the limits of the available evidence when making treatment decisions.

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