Applying Evidence-based Medicine Principles to Fracture Management
Bone has the capacity to regenerate and not scar after injury—-sometimes leaving behind no evidence at all of a prior fracture. As surgeons capable of facilitating such healing, it becomes our responsibility to help choose a treatment that minimizes functional deficits and residual symptoms. And in...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2014-10-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fsurg.2014.00040/full |
| _version_ | 1819140004402692096 |
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| author | Joseph eBernstein Saam eMorshed David L Helfet Mohit eBhandari Jaimo eAhn |
| author_facet | Joseph eBernstein Saam eMorshed David L Helfet Mohit eBhandari Jaimo eAhn |
| author_sort | Joseph eBernstein |
| collection | DOAJ |
| description | Bone has the capacity to regenerate and not scar after injury—-sometimes leaving behind no evidence at all of a prior fracture. As surgeons capable of facilitating such healing, it becomes our responsibility to help choose a treatment that minimizes functional deficits and residual symptoms. And in the case of the geriatric hip fracture, we have seen the accumulation of a vast amount of evidence to help guide us.The best method we currently have for selecting treatment plans is by the practice of evidence-based medicine. According to the now accepted hierarchy, the best is called Level I evidence (eg, well performed randomized controlled trials)—but this evidence is best only if it is available and appropriate. Lower forms of accepted evidence include cohort studies, case control studies, case series and case reports, and last, expert opinion--all of which can be potentially instructive. The hallmark of evidence-based treatment is not so much the reliance on evidence in general, but to use the best available evidence relative to the particular patient, the clinical setting and surgeon experience. Correctly applied, varying forms of evidence each have a role in aiding surgeons offer appropriate care for their patients--to help them best fix the fracture. |
| first_indexed | 2024-12-22T11:31:40Z |
| format | Article |
| id | doaj.art-b2216ff1eaaf4c808c2f9cc8c0d5ffd4 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-22T11:31:40Z |
| publishDate | 2014-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-b2216ff1eaaf4c808c2f9cc8c0d5ffd42022-12-21T18:27:36ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2014-10-01110.3389/fsurg.2014.00040107327Applying Evidence-based Medicine Principles to Fracture ManagementJoseph eBernstein0Saam eMorshed1David L Helfet2Mohit eBhandari3Jaimo eAhn4University of PennsylvaniaUniversity of CaliforniaHospital for Special SurgeryMcMaster UniversityHospital of the University of PennsylvaniaBone has the capacity to regenerate and not scar after injury—-sometimes leaving behind no evidence at all of a prior fracture. As surgeons capable of facilitating such healing, it becomes our responsibility to help choose a treatment that minimizes functional deficits and residual symptoms. And in the case of the geriatric hip fracture, we have seen the accumulation of a vast amount of evidence to help guide us.The best method we currently have for selecting treatment plans is by the practice of evidence-based medicine. According to the now accepted hierarchy, the best is called Level I evidence (eg, well performed randomized controlled trials)—but this evidence is best only if it is available and appropriate. Lower forms of accepted evidence include cohort studies, case control studies, case series and case reports, and last, expert opinion--all of which can be potentially instructive. The hallmark of evidence-based treatment is not so much the reliance on evidence in general, but to use the best available evidence relative to the particular patient, the clinical setting and surgeon experience. Correctly applied, varying forms of evidence each have a role in aiding surgeons offer appropriate care for their patients--to help them best fix the fracture.http://journal.frontiersin.org/Journal/10.3389/fsurg.2014.00040/fullEvidence-Based Medicinecollective intelligenceFractureorthopaedic traumasurgical decision-makingexpert opinion |
| spellingShingle | Joseph eBernstein Saam eMorshed David L Helfet Mohit eBhandari Jaimo eAhn Applying Evidence-based Medicine Principles to Fracture Management Frontiers in Surgery Evidence-Based Medicine collective intelligence Fracture orthopaedic trauma surgical decision-making expert opinion |
| title | Applying Evidence-based Medicine Principles to Fracture Management |
| title_full | Applying Evidence-based Medicine Principles to Fracture Management |
| title_fullStr | Applying Evidence-based Medicine Principles to Fracture Management |
| title_full_unstemmed | Applying Evidence-based Medicine Principles to Fracture Management |
| title_short | Applying Evidence-based Medicine Principles to Fracture Management |
| title_sort | applying evidence based medicine principles to fracture management |
| topic | Evidence-Based Medicine collective intelligence Fracture orthopaedic trauma surgical decision-making expert opinion |
| url | http://journal.frontiersin.org/Journal/10.3389/fsurg.2014.00040/full |
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