The potential limitations of EBD are diverse and only partly justified.20 Some such as inadequate coverage are a function of time, and some such as reductionism, a refusal to consider non-RCT evidence and cheating belong to those conducting systematic reviews. Other aspects such as evidence-based paralysis are a misunderstanding that belongs to those using the evidence. Many of the commonly cited criticisms such as "all skin reviews are negative" fall down when challenged by objective data and when the original tenets of evidence-based practice are revisited.

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