To the Editor: The EBM in Action article on laser treatment by Del Mar et al1 raises my anxiety about the reliability of evidence-based medicine (EBM) in general and, at the very least, the authors' assessment of the question they set out to answer. One is seldom, if ever, in a position to understand the breadth and depth of an issue unless it is the subject of particular study. Most of us can not challenge statements made in such articles without an intimate knowledge of the literature. As laser therapy is the topic of my PhD thesis, I am in a unique position to have much of the literature on the subject at my fingertips.
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