The Journal of Bone and Joint Surgery (American). 2009;91:1.
doi:10.2106/JBJS.H.01747
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Design, Conduct, and Interpretation of Nonrandomized Orthopaedic Studies: A Practical Approach

(All) Evidence Matters

Mohit Bhandari, MD, MSc, FRCSC1, Saam Morshed, MD, MPH2, Paul Tornetta, III, MD3 and Emil H. Schemitsch, MD, FRCSC4

1 Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 293 Wellington Street North, Suite 110, Hamilton, ON L8L 2X2, Canada. E-mail address: bhandam@mcmaster.ca
2 Department of Orthopaedic Surgery, University of California at San Francisco, Orthopaedic Trauma Institute at San Francisco General Hospital, 1001 Potrero Avenue, Room 3A-36, San Francisco, CA 94110
3 Department of Orthopaedic Surgery, Boston Medical Center, 850 Harrison Avenue, D2N, Boston, MA 02118
4 Division of Orthopaedic Surgery, St. Michael's Hospital, 55 Queen Street East, #800, Toronto, ON M5C 1R6, Canada

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The most sophisticated practice of evidence-based orthopaedics requires a clear delineation of relevant clinical questions, a thorough search of the literature relating to the questions, a critical appraisal of available evidence and its applicability to the clinical situation, and a balanced application of the conclusions to the clinical problem. The balanced application of the evidence (i.e., clinical decision-making) is the central point of practicing evidence-based . . . [Full Text of this Article]


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