Gandhi R, Perruccio A V, Kakar S, Haddad F S
Toronto Western Hospital, 399 Bathurst St, EW 1-439, Toronto, Ontario, M5T 2S8, Canada.
University of Toronto, 399 Bathurst Street, EW 1-449, Toronto, Ontario M5T 2S8, Canada.
Bone Joint J. 2015 Nov;97-B(11):1456-7. doi: 10.1302/0301-620X.97B11.36981.
Recently, several high impact randomised controlled trials have been published suggesting no greater benefit from orthopaedic surgery over conservative treatment, or limited surgical intervention. These studies can have profound effects on clinical practice, leading to the abandonment of previously widely-used operations. How do surgeons who believe these operations are beneficial over conservative treatment rationalise these findings, and justify their use with hospital administrators and health care funders who require evidence for the value and efficacy of surgical treatment?
最近，几项具有重大影响力的随机对照试验已经发表，表明骨科手术相较于保守治疗或有限的手术干预并无更大益处。这些研究可能会对临床实践产生深远影响，导致一些以前广泛使用的手术被摒弃。那些认为这些手术比保守治疗更有益的外科医生如何解释这些研究结果，并向需要手术治疗价值和疗效证据的医院管理人员及医疗保健资助者证明手术的合理性呢？
