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Erschienen in: Clinical Orthopaedics and Related Research® 6/2016

27.01.2016 | Editor's Spotlight/Take 5

Editor’s Spotlight/Take 5: Do Orthopaedic Surgeons Acknowledge Uncertainty?

verfasst von: Seth S. Leopold, MD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 6/2016

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Excerpt

An ill-supported but commonly bandied-about claim holds that fewer than 20% of common medical interventions are supported by scientific evidence. Although seemingly reputable sources continue to repeat this old chestnut [7], the data behind the original claim reside in a congressional report that is nearly 40 years old [2], and newer scholarship suggests that things have improved considerably in this regard [3]. All the same, ancient observations about gaps in our knowledge base—such as that offered by William Osler more than 100 years ago—still seem relevant: “The greater the ignorance, the greater the dogmatism” [11].
Literatur
1.
Zurück zum Zitat Bruinsma WE, Becker SJE, Guitton TG, Kadzielski J, Ring D. How prevalent are hazardous attitudes among orthopaedic surgeons. Clin Orthop Relat Res. 2015;473:1582–1589.CrossRefPubMedPubMedCentral Bruinsma WE, Becker SJE, Guitton TG, Kadzielski J, Ring D. How prevalent are hazardous attitudes among orthopaedic surgeons. Clin Orthop Relat Res. 2015;473:1582–1589.CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Congress of the United States, Office of Technology Assessment. Assessing the Efficacy and Safety of Medical Technologies. Washington, DC: US Government Printing Office; 1978. Congress of the United States, Office of Technology Assessment. Assessing the Efficacy and Safety of Medical Technologies. Washington, DC: US Government Printing Office; 1978.
3.
Zurück zum Zitat Imrie RH, Ramey DW. The evidence for evidence-based medicine. Complement Ther Med. 2000;8:123–126.CrossRefPubMed Imrie RH, Ramey DW. The evidence for evidence-based medicine. Complement Ther Med. 2000;8:123–126.CrossRefPubMed
4.
Zurück zum Zitat Ioannidis JP. Contradicted and initially stronger effects in highly cited clinical research. JAMA. 2005;294:218–228.CrossRefPubMed Ioannidis JP. Contradicted and initially stronger effects in highly cited clinical research. JAMA. 2005;294:218–228.CrossRefPubMed
5.
Zurück zum Zitat Janssen SJ, Teunis T, Guitton TG, Ring D, Science of Variation Group. Do surgeons treat patients like they would treat themselves. Clin Orthop Relat Res. 2015;473:3564–3572.CrossRefPubMed Janssen SJ, Teunis T, Guitton TG, Ring D, Science of Variation Group. Do surgeons treat patients like they would treat themselves. Clin Orthop Relat Res. 2015;473:3564–3572.CrossRefPubMed
8.
Zurück zum Zitat Leopold SS. Editor’s spotlight/take-5: Surgeons’ attitudes are associated with reoperation and readmission rates. Clin Orthop Relat Res. 2015;473:1540–1543.CrossRefPubMedPubMedCentral Leopold SS. Editor’s spotlight/take-5: Surgeons’ attitudes are associated with reoperation and readmission rates. Clin Orthop Relat Res. 2015;473:1540–1543.CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Leopold SS, Morgan HD, Kadel NJ, Gardner GC, Schaad DC, Wolf FM. Impact of educational intervention on confidence and competence in the performance of a simple surgical task. J Bone Joint Surg Am. 2005;87:1031–1037.CrossRefPubMed Leopold SS, Morgan HD, Kadel NJ, Gardner GC, Schaad DC, Wolf FM. Impact of educational intervention on confidence and competence in the performance of a simple surgical task. J Bone Joint Surg Am. 2005;87:1031–1037.CrossRefPubMed
10.
Zurück zum Zitat Lynch JR, Schmale GA, Schaad DC, Leopold SS. Important demographic variables impact the musculoskeletal knowledge and confidence of academic primary care physicians. J Bone Joint Surg Am. 2006;88:1589–1595CrossRefPubMed Lynch JR, Schmale GA, Schaad DC, Leopold SS. Important demographic variables impact the musculoskeletal knowledge and confidence of academic primary care physicians. J Bone Joint Surg Am. 2006;88:1589–1595CrossRefPubMed
11.
Zurück zum Zitat Osler W. Chauvanism in medicine. [Address given at the Canadian Medical Association, Montreal, September 17, 1902]. In: Montreal Med J. 1902;31:684–699. Osler W. Chauvanism in medicine. [Address given at the Canadian Medical Association, Montreal, September 17, 1902]. In: Montreal Med J. 1902;31:684–699.
Metadaten
Titel
Editor’s Spotlight/Take 5: Do Orthopaedic Surgeons Acknowledge Uncertainty?
verfasst von
Seth S. Leopold, MD
Publikationsdatum
27.01.2016
Verlag
Springer US
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 6/2016
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-4708-4

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