Evidence-Based Orthopaedics: Is It Possible?

Viveiros, Helena; Mignott, Tashay; Bhandari, Mohit

doi:10.1615/jlongtermeffmedimplants.v17.i2.10

Cited by 6 publications

(4 citation statements)

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“…9 Evidencebased medicine influences medical decisions by using the best available scientific evidence. In addition, EBM bridges the gap between research and clinical practice, thus allowing the best available scientific evidence to play an important role in medical decisions.…”

Section: Glossary Of Termsmentioning

confidence: 99%

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Evidence-Based Techniques to Assess the Performance of Dental Implants

Kashi

Saha

2013

Journal of Oral Implantology

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The clinical use of evidence-based medicine has been regarded as one of the most significant medical advancements of the last century. As the costs of medical care escalate, clinical decisions have to be made prudently and with a high degree of efficacy. One of the most expensive treatments in dentistry includes the use of dental implants to rehabilitate partial and fully edentulous patients. Due to the high costs of treatments and the ever increasing varieties of dental implants becoming available, the clinician is often faced with a challenging situation to decide the best prostheses for their patients. Furthermore, navigating through the vast database of literature pertaining to dental implants and their related research can be very time consuming and challenging to a dental surgeon before they can make appropriate clinical decisions. Similar to other orthopedic implants, dental implants need to be evaluated for their long-term efficacy in vivo before they are clinically acceptable. In order to help clinician(s) make patient oriented decisions, evidence-based techniques are becoming increasingly popular. This can be a very useful tool in translating research findings into clinical practice, thus narrowing the gap between research and clinical dentistry. This article discusses ways in which evidence-based techniques can help dental surgeons analyze and make informed clinical decisions about dental implant treatments.

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Section: Glossary Of Termsmentioning

confidence: 99%

“…Adopting individual clinical expertise to existing proven clinical research data constitutes EBM. 9 Several factors, including patient preferences, research evidence, and clinical circumstances, are relevant to formulate successful EBM decisions, as shown in Figure 1.…”

Section: Glossary Of Termsmentioning

confidence: 99%

Evidence-Based Techniques to Assess the Performance of Dental Implants

Kashi

Saha

2013

Journal of Oral Implantology

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“…This leads to a need to institute treatment grounded in non-randomized studies 6 . Within this spectrum, prospective series provide the greatest volume of published data and these, if conducted with methodological rigor, should not be dismissed 2, 7, 8, 9, 10…”

Section: Introductionmentioning

confidence: 99%

“…Despite the lower decision-making power coming from these studies, worldwide efforts have concentrated on optimizing the methodological rigor of these series, through instituting rigid inclusion criteria and systematic and objective outcome measurements that minimize the bias that may subjectively interfere with evaluations on the results 6, 8, 11, 12, 13, 14…”

Section: Introductionmentioning

confidence: 99%

Prospective Non-randomized Studies in Orthopaedics and Traumatology: Systematic Assessment of its Methodological Quality

Pignataro

Lins

Oliveira

et al. 2013

Revista Brasileira de Ortopedia (English Edition)

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In surgical interventions, randomization and blinding may be difficult to implement. In this situation, non-randomized prospective studies (EPNR) can generate the best evidence. The objective of this study is to evaluate, by means of the scale proposed by Downs & Black, the quality of EPNR published in our country and to assess the interobserver reproducibility of this scale. EPNR published in Acta Ortopedica Brasileira and Revista Brasileira de Ortopedia until 2011 and prior to 2006 were included. Two of us independently applied the Downs & Black scale. The studies were stratified by period of publication, journal and type of intervention. The scores obtained were considered to assess the reliability of the scale and groups comparison. 59 studies were considered, seven excluded during the assessments. There were no differences between the scores, except for the type of intervention, which showed better methodological quality for studies involving clinical interventions (p < 0.001). The correlation coefficient for the Downs & Black score was 0.79 (95% CI 0.65 to 0.88), demonstrating good reliability. EPNR present methodological quality similar when stratified by the periodic publication and publication period. Studies with clinical interventions have better methodological quality. The Downs & Black scale shows good interobserver reproducibility.

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