Clinical trial networks in orthopaedic surgery

Rangan, Amar; Jefferson, Laura; Baker, Paul; Cook, Liz

doi:10.1302/2046-3758.35.2000265

Cited by 9 publications

(5 citation statements)

References 26 publications

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“…[2] A developing trainee collaborative provided the infrastructure to enable this. [3] Nationally, this study demonstrates 81% adherence to NICE guidelines for non-operatively treated uni-malleolar ankle fractures though found considerable variability in the early radiographic reassessment. It establishes a national baseline with 21% of clinicians allowing early weight-bearing postoperatively.…”

Section: Discussionmentioning

confidence: 74%

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Weight-bearing in ankle fractures: An audit of UK practice

Gill¹,

Lostis²,

Bleibleh³

et al. 2019

The Foot

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Section: Discussionmentioning

confidence: 74%

“…Collaborators were recruited and coordinated via the |Blinded| on behalf of the |Blinded|. [3] Research and Ethics Committee approval was not required under assessment of the Health Research Authority decision tool (http://www.hra-decisiontools.org.uk/research/). All collaborators obtained local approval from their respective institutions.…”

Section: Methodsmentioning

confidence: 99%

Weight-bearing in ankle fractures: An audit of UK practice

Gill¹,

Lostis²,

Bleibleh³

et al. 2019

The Foot

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“…As these trainees become consultants, a culture of trials could be distilled in UK surgical practice’ . Such translatability is supported by the recent use of surgical trainee collaboratives in Europe and recognition that collaborative research networks play an important role in supporting clinical research in orthopaedic surgery . However, care must be taken to ensure collaboration involves contribution to conceptualization, as data collection whilst essential does not necessarily promote holistic development of an individual's research capability.…”

Section: Discussionmentioning

confidence: 99%

Who, where, what and where to now? A snapshot of publishing patterns in Australian orthopaedic surgery

Croker

Lobo

Croker

et al. 2017

ANZ Journal of Surgery

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BackgroundDevelopment of core research competency is a principle of orthopaedic surgical training in Australia. This paper aims to provide an objective snapshot of publications by Australian orthopaedic trainees and surgeons, to contribute to the discussion on how to identify and build on research capability in the Australian Orthopaedic Association (AOA).MethodsBy analysing journals with a journal impact factor >1 from 2009 to 2015, data were gathered to explore scientific journal publications by Australian orthopaedic surgeons and trainees in relation to who are the authors, what they are reporting and where they are publishing.ResultsOne thousand five hundred and thirty‐nine articles were identified with 134 orthopaedic trainees and 519 surgeons as authors. The publication rate for both trainees and surgeons was just over two in five. The majority of studies were of level three or four evidence (Oxford's Centre for Evidence‐Based Medicine guidelines). Only 5% of trainee papers were published without surgeons’ co‐authorship. Eighty‐six percent of papers published by surgeons did not involve a trainee. The rates of trainees publishing with other trainees were low.ConclusionOnly 5% of trainee papers were published without surgeons' co‐authorship, highlighting the importance of surgeon mentorship in developing trainee research capability. The 86% of papers published by surgeons without trainee co‐authorship raises the question of missed mentoring opportunities. Low rates of trainee co‐authorship highlight potential for trainees to work together to support each other's research efforts. There is scope for more studies involving higher levels of evidence. This paper raises discussion points and areas for further exploration in relation to AOA trainee research capability.

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“…The study was conceived and led by the Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, and coordinated through the British Orthopaedic Network Environment (BONE), an online orthopaedic research group (organised by the British Orthopaedic Trainees Association), where collaborators were recruited and coordinated. 12 Ethical approval was not required as assessed using the Health Research Authority online decision tool (http://www.hra-decisiontools.org.uk/ research/). All collaborators registered the study with their respective base hospitals.…”

Section: Methodsmentioning

confidence: 99%

Enhanced recovery programmes for lower limb arthroplasty in the UK

Nagra

Hamilton

Strickland

et al. 2017

annals

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Introduction Enhanced recovery programmes (ERPs) reduce patient morbidity and mortality, and provide significant cost savings by reducing length of stay. Currently, no uniform ERP guidelines exist for lower limb arthroplasty in the UK. The aim of this study was to identify variations in ERPs and determine adherence to local policy. Methods Hospitals offering elective total knee arthroplasty (TKA) and total hip arthroplasty (THA) (23 and 22 centres respectively) contributed details of their ERPs, and performed an audit (15 patients per centre) to assess compliance. Results Contrasting content and detail of ERPs was noted across centres. Adherence to ERPs varied significantly (40-100% for TKA, 17-94% for THA). Analysis identified perioperative use of dexamethasone, tranexamic acid and early mobilisation for TKA, and procedures performed in teaching hospitals for THA as being associated with a reduced length of stay. Conclusions This study highlights variation in practice and poor compliance with local ERPs. Given the proven benefits of ERPs, evidence-based guidelines in the context of local skillsets should be established to optimise the patient care pathway.

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Clinical trial networks in orthopaedic surgery

Cited by 9 publications

References 26 publications

Weight-bearing in ankle fractures: An audit of UK practice

Weight-bearing in ankle fractures: An audit of UK practice

Who, where, what and where to now? A snapshot of publishing patterns in Australian orthopaedic surgery

Enhanced recovery programmes for lower limb arthroplasty in the UK

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