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

01-06-2016 | Editor's Spotlight/Take 5

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

Author: Seth S. Leopold, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 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]. …
Literature
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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.
Congress of the United States, Office of Technology Assessment. Assessing the Efficacy and Safety of Medical Technologies. Washington, DC: US Government Printing Office; 1978.
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Imrie RH, Ramey DW. The evidence for evidence-based medicine. Complement Ther Med. 2000;8:123–126.CrossRefPubMed
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Ioannidis JP. Contradicted and initially stronger effects in highly cited clinical research. JAMA. 2005;294:218–228.CrossRefPubMed
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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
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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
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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
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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
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Osler W. Chauvanism in medicine. [Address given at the Canadian Medical Association, Montreal, September 17, 1902]. In: Montreal Med J. 1902;31:684–699.
Metadata
Title
Editor’s Spotlight/Take 5: Do Orthopaedic Surgeons Acknowledge Uncertainty?
Author
Seth S. Leopold, MD
Publication date
01-06-2016
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 6/2016
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-016-4708-4

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