How Bias Threatens the Search for Truth
Published online by Cambridge University Press: 22 April 2026
Early methods of determining the truth simply relied on the size of association. Modern approaches used Koch’s postulates for infectious disease and the Bradford-Hill criteria for chronic disease. In the latter, documentation of an association between risk factor and disease is a “gateway” criterion, but it is in identifying an association that bias can be most disruptive. The most recent additions to searching for truth are derived from paradigms of evidence-based medicine: systematic reviewing and meta-analysis, and most recently a GRADE assessment. Current levels for determining statistical significance are not fit for purpose and a stricter level is proposed.
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