The Journal of Bone and Joint Surgery 80:111-20 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.
Current Concepts Review - Principles of Epidemiology for the Orthopaedic Surgeon*
ROBERT M. SZABO, M.D., M.P.H. , SACRAMENTO, CALIFORNIA
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Introduction
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It has been stated that "`the object of any science is the accumulation of systematized verifiable knowledge,' and that this is to be achieved through `observation, experiment and thought.'"12 Orthopaedists are concerned primarily with individual patients; epidemiologists study the occurrence of disease or other health-related conditions or events in defined populations26. Epidemiological research is based on the systematic collection of observations related to the phenomenon of interest in a defined population. These data then are subjected to quantification, which includes the measurement of random variables, the estimation of population parameters, and the statistical testing of hypotheses22.
The changing profile of health-care-delivery systems requires orthopaedists to go beyond the individual and to consider their practices in terms of their effects on the lives entrusted to them. Epidemiology is the biomedical discipline focused on the distribution and determinants of disease in groups of individuals who happen to have some characteristics, . . . [Full Text of this Article]

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