How good is the orthopaedic literature?

doi:10.4103/0019-5413.40250

. 2008 Apr;42(2):144-9.

doi: 10.4103/0019-5413.40250.

How good is the orthopaedic literature?

Harman Chaudhry¹, Raman Mundi, Ishu Singh, Thomas A Einhorn, Mohit Bhandari

Affiliations

PMID: 19826519
PMCID: PMC2759610
DOI: 10.4103/0019-5413.40250

How good is the orthopaedic literature?

Harman Chaudhry et al. Indian J Orthop. 2008 Apr.

. 2008 Apr;42(2):144-9.

doi: 10.4103/0019-5413.40250.

Authors

Harman Chaudhry¹, Raman Mundi, Ishu Singh, Thomas A Einhorn, Mohit Bhandari

Affiliation

¹ Department of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton General Hospital, Hamilton, Ontario, Canada. chaudhh@mcmaster.ca

PMID: 19826519
PMCID: PMC2759610
DOI: 10.4103/0019-5413.40250

Abstract

Randomized trials constitute approximately 3% of the orthopaedic literature Concerns regarding quality of the orthopaedic literature stem from a widespread notion that the overall quality of the surgical literature is in need of improvement. Limitations in surgical research arises primarily from two pervasive issues: 1) A reliance on low levels of evidence to advance surgical knowledge, and 2) Poor reporting quality among the high level surgical evidence that is available. The scarcity of randomized trials may be largely attributable to several unique challenges which make them difficult to conduct. We present characteristics of the orthopaedic literature and address the challenges of conducting randomized trials in surgery.

Keywords: Critical appraisal; evidence-based medicine; quality; randomized trials.

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Conflict of interest statement

Conflict of Interest: None.

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References

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1. Guyatt GH, Haynes RB, Jaeschke R, Cook D, Greenhalgh T, Meade M, et al. Introduction: The philosophy of evidence-based medicine. In: Guyatt GH, Rennie D, editors. Users' guides to the medical literature: A manual for evidence-based clinical practice/The Evidence-Based Medicine Working Group. 2002. pp. 3–12.
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[1] Bhandari M, Giannoudis P. Evidence-based medicine: What it is and what it is not. Injury. 2006;37:302–6. - PubMed

[2] Bhandari M, Giannoudis P. Evidence-based medicine: What it is and what it is not. Injury. 2006;37:302–6. - PubMed

[3] Guyatt GH, Haynes RB, Jaeschke R, Cook D, Greenhalgh T, Meade M, et al. Introduction: The philosophy of evidence-based medicine. In: Guyatt GH, Rennie D, editors. Users' guides to the medical literature: A manual for evidence-based clinical practice/The Evidence-Based Medicine Working Group. 2002. pp. 3–12.

[4] Guyatt GH, Haynes RB, Jaeschke R, Cook D, Greenhalgh T, Meade M, et al. Introduction: The philosophy of evidence-based medicine. In: Guyatt GH, Rennie D, editors. Users' guides to the medical literature: A manual for evidence-based clinical practice/The Evidence-Based Medicine Working Group. 2002. pp. 3–12.

[5] Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780–5. - PubMed

[6] Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780–5. - PubMed

[7] Haentjens P, Autier P, Barette M, Boonen S for the Belgian Hip Fracture Study Group. The economic cost of hip fractures among elderly women: A one year, prospective, observational cohort study with matched-pair analysis. J Bone Joint Surg Am. 2001;83:493–500. - PubMed

[8] Haentjens P, Autier P, Barette M, Boonen S for the Belgian Hip Fracture Study Group. The economic cost of hip fractures among elderly women: A one year, prospective, observational cohort study with matched-pair analysis. J Bone Joint Surg Am. 2001;83:493–500. - PubMed

[9] Johnell O, Kanis JA. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int. 2004;15:897–902. - PubMed

[10] Johnell O, Kanis JA. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporos Int. 2004;15:897–902. - PubMed

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How good is the orthopaedic literature?

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How good is the orthopaedic literature?

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