de Moraes Vinícius Ynoe, Ferrari Paula Martins de Oliveira, Gracitelli Guilherme Conforto, Faloppa Flávio, Belloti João Carlos
Universidade Federal de São Paulo, Department of Orthopedics, São Paulo, Brazil, Department of Orthopedics - Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.
Acta Ortop Bras. 2014;22(6):330-3. doi: 10.1590/1413-78522014220601009.
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.
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。