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Updated: Feb 28, 2026

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
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Narrative over numbers: How testimonial medicine erodes safe practice.
Klasan Antonio1,2, Kawaguchi Kohei3, Hirschmann T Michael4,5
1AUVA UKH Steiermark, Graz, Austria.
Summary
Marketing and testimonials increasingly influence orthopaedic surgery, especially joint arthroplasty, risking patient safety and scientific integrity. Evidence-based practices must guide innovation adoption over commercial strategies.
Area of Science:
- Orthopaedic surgery
- Medical innovation adoption
- Health services research
Background:
- Testimonial-based and marketing-driven practices are rising in orthopaedics, particularly joint arthroplasty.
- These trends challenge scientific integrity, patient safety, and the responsible adoption of new techniques.
- Economic pressures and marketing permissiveness, especially in the US, accelerate the proliferation of branded surgical approaches.
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