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The recent sad passing of David Sackett, father of Evidence Based Medicine (EBM), provides the impetus to start an urgently needed conversation about how clinicians should manage patient-led ‘big’ data from the internet in clinical practice.1 Increasingly patients are citing ever more sophisticated and compelling resources to support their choice to start, stop or change treatments. CureTogether.com is perhaps the best example of this rebalancing in the doctor–patient relationship. Pooling data from members who have answered questionnaires on symptoms and treatment efficacy for over …
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