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How good is the orthopaedic literature?
Harman Chaudhry1, Raman Mundi, Ishu Singh
1Department of Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton General Hospital, Hamilton, Ontario, Canada. chaudhh@mcmaster.ca
Indian Journal of Orthopaedics
|October 15, 2009
Summary
Randomized trials are rare in orthopaedic literature due to challenges in surgical research. Improving evidence quality requires addressing these issues and enhancing reporting standards for better surgical knowledge advancement.
Area of Science:
- Orthopaedic Surgery
- Clinical Research Methodology
Background:
- Orthopaedic literature quality is a concern, with a perceived need for improvement.
- Limitations include reliance on low-level evidence and poor reporting in high-level surgical studies.
Purpose of the Study:
- To analyze the characteristics of orthopaedic literature.
- To address the challenges associated with conducting randomized trials in surgery.
Main Methods:
- Literature review and analysis of existing orthopaedic research.
- Identification and discussion of obstacles specific to surgical randomized trials.
Main Results:
- Randomized trials represent a small fraction (approximately 3%) of the orthopaedic literature.
- Key challenges hinder the execution of high-quality randomized trials in surgical fields.
Conclusions:
- The scarcity of randomized trials in orthopaedics is linked to inherent research difficulties.
- Addressing these challenges is crucial for advancing surgical evidence and improving literature quality.
