Evidence-based Orthopedics (Evidence-Based Medicine) by Mohit Bhandari

By Mohit Bhandari

Surgical orthopedic techniques similar to hip replacements, arthroscopy or knee replacements are surrounded by way of pre- and post-operative issues, and there are various diverse tools for the methods themselves. This e-book, for the 1st time, brings jointly the easiest facts for remedies in addition to any issues. not just does it hide the proof base for orthopedic surgical procedure, but additionally orthopedic stipulations requiring scientific remedy, and pediatric orthopedics. utilizing the authorized EBM technique, and edited by means of lecturers of evidence-based medication, this can be a real EBM textbook for all orthopedic experts and trainees.

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Edited by Mohit Bhandari. © 2012 Blackwell Publishing Ltd. Published 2012 by Blackwell Publishing Ltd. 3 S E C T I O N I ╇ Methodology of Evidence-Based Orthopedics Least Bias Randomized Controlled Trials Controlled Trials Case Control and Conhort Studies Cross sectional Studies Case Reports, Case Series, and Expert Opinion Most Bias Question 1: What are the most important principles of evidence-based orthopedics? Patient values This principle is fundamental to any clinician. 1 This includes knowledge of the patient’s values, demographics, and circumstances.

Randomized controlled trials (RCTs) are considered to be the highest level of evidence, as randomization is the optimal method to balance known and unknown prognostic factors in treatment and control groups in therapeutic studies. 3 In some cases, it is unethical to randomize patients to certain prognostic or risk factors. Moreover, due to sample size and follow-up requirements, RCTs may not always feasible. Therefore, in orthopedic surgery, lower forms of evidence often provide valuable insights that RCTs cannot.

Evidence-based orthopedic surgery makes use of a clear definition of relevant clinical questions through a literature search pertaining to the questions, a critical appraisal of available evidence and its applicability to the clinical situation, and a balanced application of the evidence to the clinical problem. 1 However, what is the “best available” evidence? Randomized controlled trials (RCTs) are considered to be the highest level of evidence, as randomization is the optimal method to balance known and unknown prognostic factors in treatment and control groups in therapeutic studies.

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