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Related Experiment Videos

Do orthopaedic surgeons practice what they preach?

Sanjay Gupta1, Scott D Muller

  • 1Trauma & Orthopaedics, Wishaw General Hospital, Netherton Street, Wishaw, UK. sanjaygupta@doctors.org.uk

Scottish Medical Journal
|April 26, 2011
PubMed
Summary
This summary is machine-generated.

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Many orthopaedic departments do not follow their own published clinical recommendations. This study highlights a gap between published research and actual practice in the Journal of Bone and Joint Surgery (British edition).

Area of Science:

  • Orthopaedic Surgery
  • Medical Publishing
  • Clinical Practice Guidelines

Background:

  • The Journal of Bone and Joint Surgery (British edition) [JBJS (Br)] is a leading orthopaedic journal.
  • Concerns were raised about the implementation of clinical recommendations published in JBJS (Br).
  • There is a need to assess adherence to published clinical recommendations by originating departments.

Purpose of the Study:

  • To determine the extent to which hospitals follow their own published clinical recommendations.
  • To investigate the gap between published orthopaedic research and clinical practice.

Main Methods:

  • A systematic review of articles published in JBJS (Br) between January 2005 and December 2006 was conducted.
  • Articles recommending a change in practice were identified.

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  • The originating departments were contacted to assess implementation of the recommendations.

    • Main Results:

    • Seventy-nine papers from 87 hospitals across 22 countries were analyzed.
    • Published clinical recommendations were followed by only 56% of institutions.
    • A significant proportion (42%) of institutions did not implement their own published recommendations.

    Conclusions:

    • A substantial number of institutions do not adhere to their published clinical recommendations.
    • This suggests a potential flaw in the dissemination and implementation of clinical research findings.
    • There is a discrepancy between publishing clinical recommendations and practicing them.