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I read with great interest the Perspective pieces and accompanying editorial on evidence pyramids in your August 2016 journal.1–3 In my prior work as a medical policy researcher for two health insurance plans, it was disheartening to find that industries and clinicians alike not uncommonly relied on synthesised summaries and guidelines as a sole source of information, and systematic reviews and meta-analysis as a source of ‘truth’.
With this in mind, I found the ‘New Evidence Pyramid’ proposed by Murad et al3 …
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.