University of Warwick, Warwick MedicalSchool, Clinical Sciences Research Laboratories, Clifford BridgeRoad, Coventry, CV2 2DX, UK.
Bone Joint Res. 2014 Apr 24;3(4):123-9. doi: 10.1302/2046-3758.34.2000283. Print 2014.
The surgical community is plagued with a reputation for both failing to engage and to deliver on clinical research. This is in part due to the absence of a strong research culture, however it is also due to a multitude of barriers encountered in clinical research; particularly those involving surgical interventions. 'Trauma' amplifies these barriers, owing to the unplanned nature of care, unpredictable work patterns, the emergent nature of treatment and complexities in the consent process. This review discusses the barriers to clinical research in surgery, with a particular emphasis on trauma. It considers how barriers may be overcome, with the aim to facilitate future successful clinical research. Cite this article: Bone Joint Res 2014;3:123-9.
外科领域一直面临着未能参与和开展临床研究的声誉问题。这部分是由于缺乏强烈的研究文化，但也是由于在临床研究中遇到了许多障碍；特别是那些涉及外科干预的障碍。由于护理的计划性、工作模式的不可预测性、治疗的紧急性和同意过程的复杂性，“创伤”放大了这些障碍。本文讨论了外科临床研究中的障碍，特别是创伤。它考虑了如何克服障碍，旨在促进未来成功的临床研究。引用本文：Bone Joint Res 2014;3:123-9.
