Suppr超能文献

骨科与创伤学的治疗结果:将研究转化为临床实践

Outcomes in orthopedics and traumatology: translating research into practice.

作者信息

de Moraes Vinícius Ynoe, Ferrari Paula Martins de Oliveira, Gracitelli Guilherme Conforto, Faloppa Flávio, Belloti João Carlos

机构信息

Universidade Federal de São Paulo, Department of Orthopedics, São Paulo, Brazil, Department of Orthopedics - Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.

出版信息

Acta Ortop Bras. 2014;22(6):330-3. doi: 10.1590/1413-78522014220601009.

Abstract

Clinical research is focused in generating evidence that is feasible to be applicable to practitioners. However, translating research-focused evidence into practice may be challenging and often misleading. This article aims is to pinpoint these challenges and suggest some methodological safeguards, taking platelet-rich plasma therapies and knee osteochondral injuries as examples. Studies and systematic reviews involving the following concepts will be investigated: clinically relevant outcomes, systematic errors on sample calculation, internal and external validity. Relevant studies on platelet-rich plasma for muscle-tendon lesions and updates on osteochondral lesions treatment were included in this analysis. Authors and clinicians should consider these concepts for the implementation and application of dissemination of the best evidence. Research results should be challenged by a weighted analysis of its methodological soundness and applicability. Level of Evidence V, Therapeutic Studies - Investigating the Results of Treatment.

摘要

临床研究专注于生成适用于从业者的可行证据。然而,将以研究为重点的证据转化为实践可能具有挑战性,而且往往会产生误导。本文旨在找出这些挑战,并以富血小板血浆疗法和膝关节骨软骨损伤为例,提出一些方法上的保障措施。将对涉及以下概念的研究和系统评价进行调查:临床相关结局、样本计算中的系统误差、内部和外部效度。本分析纳入了关于富血小板血浆治疗肌腱损伤的相关研究以及骨软骨损伤治疗的最新进展。作者和临床医生在实施和应用最佳证据传播时应考虑这些概念。研究结果应通过对其方法合理性和适用性的加权分析来进行验证。证据等级V,治疗性研究——调查治疗结果。

相似文献

3
Platelet-rich therapies for musculoskeletal soft tissue injuries.用于肌肉骨骼软组织损伤的富血小板疗法。
Cochrane Database Syst Rev. 2013 Dec 23(12):CD010071. doi: 10.1002/14651858.CD010071.pub2.
9
PRP Therapy.富血小板血浆疗法。
Adv Exp Med Biol. 2018;1059:241-253. doi: 10.1007/978-3-319-76735-2_11.

引用本文的文献

6
Percutaneous Fixation without Bone Graft for Scaphoid Nonunion.舟骨不愈合的无植骨经皮固定术
Rev Bras Ortop (Sao Paulo). 2020 Dec;55(6):759-763. doi: 10.1055/s-0040-1712492. Epub 2020 Sep 24.
8
APPLICABILITY OF RANDOMIZED TRIALS IN HAND SURGERY: SURVEY STUDY.随机试验在手外科中的适用性:调查研究
Acta Ortop Bras. 2018 May-Jun;26(3):154-157. doi: 10.1590/1413-785220182603170123.
9
Research methodology for orthopaedic surgeons, with a focus on outcome.骨科医生的研究方法,重点关注结果。
EFORT Open Rev. 2018 May 21;3(5):160-167. doi: 10.1302/2058-5241.3.170064. eCollection 2018 May.

本文引用的文献

1
Platelet-rich therapies for musculoskeletal soft tissue injuries.用于肌肉骨骼软组织损伤的富血小板疗法。
Cochrane Database Syst Rev. 2013 Dec 23(12):CD010071. doi: 10.1002/14651858.CD010071.pub2.
3
Methodologic quality of knee articular cartilage studies.膝关节软骨研究的方法学质量。
Arthroscopy. 2013 Jul;29(7):1243-1252.e5. doi: 10.1016/j.arthro.2013.02.023. Epub 2013 Apr 26.
7
Platelet rich therapies for long bone healing in adults.用于成人长骨愈合的富血小板疗法。
Cochrane Database Syst Rev. 2012 Jul 11;2012(7):CD009496. doi: 10.1002/14651858.CD009496.pub2.
10
Measuring patient outcomes: a primer.测量患者结局:入门指南。
Injury. 2011 Mar;42(3):232-5. doi: 10.1016/j.injury.2010.11.049. Epub 2011 Jan 15.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验