The Journal of Bone and Joint Surgery (American). 2005;87:1909-1910.
doi:10.2106/JBJS.8709.edit
© 2005 The Journal of Bone and Joint Surgery, Inc.
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Editorial

Grades of Recommendation

James G. Wright, MD, MPH, FRCSC, Associate Editor for Evidence-Based Orthopaedics, Thomas A. Einhorn, MD, Deputy Editor for Current Concepts Reviews and James D. Heckman, MD, Editor-in-Chief

The first 20% of the full text of this article appears below.

Surgeons use the literature to determine the best treatment for their patients. Although practice can be changed by a single study, we often find multiple studies more convincing. The appropriate literature can be identified in many ways. First, we can search the literature ourselves. However, this takes a lot of time and the search may not be comprehensive. Second, we can identify meta-analyses or systematic overviews, which collect and combine studies together to assemble a larger sample size in order to provide greater precision around treatment effects. However, meta-analyses pose many methodologic challenges and are not always available. Finally, we can use review articles such as the Current Concepts Reviews published by The Journal as a source for treatment recommendations. The difficulty with review articles is uncertainty about the quality of the recommendations they contain.

In this issue, The Journal introduces the latest in a . . . [Full Text of this Article]


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Read all Letters to the Editor

Grades of Recommendations
Krishna Reddi Boddu Siva Rama
JBJS Online, 14 Sep 2005 [Full text]
Drs. Wright, Einhorn, and Heckman respond to Dr. Rama
James G. Wright, M.D., MPH, FRCSC, et al.
JBJS Online, 3 Oct 2005 [Full text]
Revised Grades of Recommendation for Summaries or Reviews of Orthopaedic Surgical Studies
James G. Wright, M.D., MPH, FRCSC
JBJS Online, 21 Mar 2006 [Full text]