"The future compromise of Cochrane, the beacon of evidence-based medicine"

In his column, Stéphane Foucart, journalist of the "Monde", tells the serious crisis of the organization that evaluates drugs, which faces harsh criticism from some of its members, in a context of suspected conflict of interests.

The Danish doctor Peter Gotzsche was expelled from CoChrane on 13 September.

Chronicle. In 1993, 80 independent researchers and physicians gathered around Iain Chalmers, establishing an international scientific collaboration: the Cochrane Collaboration, now simply called "Cochrane". Their goal was to perform systematic reviews of the biomedical literature and then establish, with the best available evidence, the most effective pharmacological treatments and therapeutic interventions for a particular pathology. A quarter of a century later, Cochrane became a beacon of "evidence-based medicine" (or "evidence-based medicine") and significantly influenced the practice of many doctors and the recommendations of health authorities. To put it more simply: without your knowing it, without knowing its very existence, Cochrane may have saved your life already. And if not, maybe it will save it in the future.

But the future of the institution, in fact, is compromised. This fact – since we are all sick waiting for their illness – should worry us all. Because Cochrane is going through an unprecedented crisis that could be fatal, if not for the organization itself, at least for the spirit of transparency, integrity and independence, in which it has operated since its inception.

The eviction of the Danish Peter Gotzsche

The crisis had been preparing for several months. It broke out on September 13, with the exclusion of Peter Gotzsche, one of the founders and a member of the Cochrane council. Professor of medicine and Danish researcher, Peter Gotzsche, 67, is not the first to arrive. Icon of real medicine, he is the author of over half a thousand articles in the biomedical literature and has, despite the controversy, obtained considerable authority in his community.

It is known for its harsh criticism of the pharmaceutical industry, …

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