Randomised Trial Support for Orthopaedic Surgical Procedures

Denne nevner at den samlede bevismengde for ortopediske inngrep viser at operasjoner ikke er bedre enn ikke-operativ behandling. Den nevner at kirurger forholder seg mindre (25%) til evidensbasert medisin enn andre leger (53%). Jeg legger merke til at kun 53% av avgjørelsene legene tar er evidensbaserte, den andre halvdelen av avgjørelser er det altså ikke evidens for.

The level of RCT support for common orthopaedic procedures compares unfavourably with other fields of medicine.

Empirical research has shown that healthcare decisions on medical wards are more likely to be based on randomised trial evidence (53%) [5] than those on surgical wards (24% to 26%) [6]–[8].

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057075/

Randomised Trial Support for Orthopaedic Surgical Procedures

Denne nevner at i 50% av de undersøkte kirurgiske inngrepene er det ikke evidens for at det er bedre enn placebo.

Placebo controlled trial is a powerful, feasible way of showing the efficacy of surgical procedures. The risks of adverse effects associated with the placebo are small. In half of the studies, the results provide evidence against continued use of the investigated surgical procedures. Without well designed placebo controlled trials of surgery, ineffective treatment may continue unchallenged.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029190/