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APPLICABILITY OF RANDOMIZED TRIALS IN HAND SURGERY: SURVEY STUDY
Vinícius Ynoe DE Moraes1, Priscila Frantz Ruff1, Carlos Henrique Fernandes1
1. Hand Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Acta Ortopedica Brasileira
|July 25, 2018
Summary
Surgeon experience and journal impact factor do not influence the applicability of randomized clinical trials in hand surgery, with low agreement found among evaluators. This impacts evidence-based practice.
Area of Science:
- Orthopedic Surgery
- Evidence-Based Medicine
- Research Methodology
Background:
- Randomized clinical trials (RCTs) are crucial for evidence-based medicine.
- Assessing the applicability of RCTs in clinical practice is essential.
- Factors influencing RCT applicability, such as surgeon experience and journal impact, require investigation.
Purpose of the Study:
- To evaluate the applicability of hand surgery randomized clinical trials.
- To determine if surgeon experience influences the perceived applicability of these trials.
- To assess the impact of journal impact factor on the applicability of hand surgery RCTs.
Main Methods:
- A survey study involving 32 hand surgery RCTs published between 2013-2015.
- 20 hand surgeons with varying experience levels assessed trial applicability.
- Statistical analysis included Cohen's kappa and chi-square tests.
Main Results:
- Low inter-rater agreement (kappa <0.2) was observed among surgeons regarding trial applicability.
- No significant difference in applicability was found based on surgeon experience (p=0.424, p=0.70).
- Journal impact factor did not significantly influence perceived applicability (p=0.29).
Conclusions:
- There is low agreement on the applicability of hand surgery RCTs among clinicians.
- Surgeon experience and journal impact factor do not appear to be significant factors influencing applicability.
- Findings suggest a need for clearer applicability criteria in surgical research.
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