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How do US orthopaed...
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Bernstein, Michael H
(author)
How do US orthopaedic surgeons view placebo-controlled surgical trials? : A pilot online survey study
- Article/chapterEnglish2022
Publisher, publication year, extent ...
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2022
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BMJ Publishing Group Ltd,2022
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-488820
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-488820URI
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https://doi.org/10.1136/jme-2022-108221DOI
Supplementary language notes
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Language:English
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Summary in:English
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Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Randomised placebo-controlled trials (RPCTs) are the gold standard for evaluating novel treatments. However, this design is rarely used in the context of orthopaedic interventions where participants are assigned to a real or placebo surgery. The present study examines attitudes towards RPCTs for orthopaedic surgery among 687 orthopaedic surgeons across the USA. When presented with a vignette describing an RPCT for orthopaedic surgery, 52.3% of participants viewed it as 'completely' or 'mostly' unethical. Participants were also asked to rank-order the value of five different types of evidence supporting the efficacy of a surgery, ranging from RPCT to an anecdotal report. Responses regarding RPCTs were polarised with 26.4% viewing it as the least valuable (even less valuable than an anecdote) and 35.7 .% viewing it as the most valuable. Where equipoise exists, if we want to subject orthopaedic surgeries to the highest standard of evidence (RPCTs) before they are implemented in clinical practice, it will be necessary to educate physicians on the value and ethics of placebo surgery control conditions. Otherwise, invasive procedures may be performed without any benefits beyond possible placebo effects.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Rosenfield, Maayan N
(author)
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Blease, CharlotteGeneral Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA(Swepub:uu)chabl597
(author)
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Magill, Molly
(author)
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Terek, Richard M
(author)
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Savulescu, Julian
(author)
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Beaudoin, Francesca L
(author)
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Rich, Josiah D
(author)
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Wartolowska, Karolina
(author)
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General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
(creator_code:org_t)
Related titles
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In:Journal of Medical Ethics: BMJ Publishing Group Ltd0306-68001473-4257
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