What to do when high quality evidence is not available to guide decision medical making?
I dug this one out of the archives of the British Medical Journal after hearing a reference to 'eminence based medicine' at ID Week 2017.
Strategies include 'eminence based medicine"- where experience is worth any amount of evidence, and may actually trump evidence in many cases.It's an eminence front! Other strategies include 'eloquence based medicine' and ' providence based medicine" where decisions are best left in the hands of the Almighty.
In the absence of evidence all may not be lost. Weigh the risks, benefits, consider the opportunity costs and be pragmatic.
