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Evidence-Based Medicine (EBM) is properly perceived but its application is still limited in the orthopedic clinical practice: an online survey among the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) members

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To evaluate the knowledge and awareness of Evidence-Based Medicine (EBM) among members of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).

Methods

A questionnaire was developed that explored the following areas: (i) respondents’ attitudes to EBM; (ii) their motivation to implement EBM in daily practice; (iii) their educational background, knowledge and skills related to accessing and interpreting information; (iv) their level of attention to, and use of, scientific literature; (v) access to and availability of evidence; (vi) perceived barriers in using EBM in clinical practice. The resulting data were analyzed using descriptive statistics, and the correlation between age, educational background and country was further investigated.

Results

Two-hundred and eighty-eight ESSKA members (11% of the total population) compiled the questionnaire. The participants covered all the five continents and an expected prevalence of European professionals (77%) was observed. The vast majority of participants were medical doctors (91%), mainly specialized in knee surgery with minimal involvement in research. 97% of the participants declared having some knowledge of EBM, acquired mainly during their professional education, with some geographical differences. The youngest clinicians and those from Eastern Europe reported the greatest difficulty in using EBM in daily practice. The application of EBM in clinical practice is positively affected by the time dedicated to research and negatively correlates with the time dedicated to patient care.

Conclusions

The results of this survey highlight the need for further investigation into the main reasons behind the limited diffusion of the EBM approach, despite the medical community’s knowledge and interest in the concept. A wider application of EMB would upgrade clinical practice, linking medical knowledge and scientific evidence to patients’ needs which would result of benefit to patients, but also more in general to the health system.

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References

  1. Ahmadi N, McKenzie ME, MacLean A, Brown CJ, Mastracci T, McLeod RS (2012) Teaching evidence based medicine to surgery residents-is journal club the best format? A systematic review of the literature. J Surg Educ 69:91–100

    Article  Google Scholar 

  2. Artino AR, Durning SJ, Sklar DP (2018) Guidelines for reporting survey-based research submitted to academic medicine. Acad Med 93:337–340

    Article  Google Scholar 

  3. Bennett S, Mckenna K, Hoffmann T, Tooth L, Mccluskey A, Strong J (2007) The value of an evidence database for occupational therapists: An international online survey. Int J Med Inf 76:507–513

    Article  Google Scholar 

  4. Chalmers L (1983) Scientific inquiry and authoritarianism in perinatal care and education. Birth 10:151–166

    Article  CAS  Google Scholar 

  5. Evidence-Based Medicine Working Group (1992) Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA 268:2420–2425

    Article  Google Scholar 

  6. Ganeshkumar P, Gopalakrishnan S (2013) Systematic reviews and meta-analysis: Understanding the best evidence in primary healthcare. J Fam Med Prim Care 2:9

    Article  Google Scholar 

  7. Guyatt G (1992) Evidence-based medicine: a new approach to teaching the practice of medicine. JAMA 268:2420

    Article  Google Scholar 

  8. Haynes B, Haines A (1998) Barriers and bridges to evidence based clinical practice. BMJ 317:273–276

    Article  CAS  Google Scholar 

  9. Heiwe S, Kajermo KN, Tyni-Lenne R, Guidetti S, Samuelsson M, Andersson I-L, Wengstrom Y (2011) Evidence-based practice: attitudes, knowledge and behaviour among allied health care professionals. Int J Qual Health Care 23:198–209

    Article  Google Scholar 

  10. Herbert R, Jamtvedt G, Hagen KB (2016) Practical evidence-based physiotherapy. Churchill Livingstone, London (2011 ProQuest Ebrary)

    Google Scholar 

  11. Hurwitz S (2003) Evidence-based medicine in orthopaedic surgery—a way to the future. Iowa Orthop J 23:61–65

    PubMed  PubMed Central  Google Scholar 

  12. Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, Hill JC, Ogilvie L, Volk D (2003) Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther 83:786–805

    Article  Google Scholar 

  13. MAGICapp https://magicproject.org/. Accessed 11 June 2019

  14. Majid S, Foo S, Luyt B, Zhang X, Theng Y-L, Chang Y-K, Mokhtar IA (2011) Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. J Med Libr Assoc JMLA 99:229–236

    Article  Google Scholar 

  15. Mallidi JR (2017) The challenges in practice of evidence based medicine. J Circ 1:2

    Google Scholar 

  16. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS (1996) Evidence based medicine: what it is and what it isn’t. BMJ 312:71–72

    Article  CAS  Google Scholar 

  17. Slowther A, Ford S, Schofield T (2004) Ethics of evidence based medicine in the primary care setting. J Med Ethics 30:151–155

    Article  CAS  Google Scholar 

  18. Sung J, Siegel J, Tornetta P, Bhandari M (2008) The orthopaedic trauma literature: an evaluation of statistically significant findings in orthopaedic trauma randomized trials. BMC Musculoskelet Disord 9:14

    Article  Google Scholar 

  19. Vogel EW (1999) Challenges to using evidence-based medicine in daily clinical practice. Semin Med Pract 2:21–24

    Google Scholar 

Download references

Acknowledgements

The authors wish to thank Zhanna Kovalchuk, Executive Director, and Anna Hansen Rak, Office Manager, of ESSKA a.s.b.l., Luxembourg, for their support with the survey circulation; Davide Corbetta and Riccardo Negri for their help and assistance with the pilot study.

Funding

The project was funded by the Italian Ministry of Health, Ricerca Corrente, Progetto “Revisioni sistematiche della letteratura scientifica in ortopedia, traumatologia e riabilitazione funzionale”.

Author information

Authors and Affiliations

  1. Orthopedic Biotechnology Laboratory, IRCCS Orthopedic Institute Galeazzi, Via R. Galeazzi 4, 20161, Milan, Italy

    G. Lugano & Laura de Girolamo

  2. Unit of Clinical Epidemiology, IRCCS Orthopedic Institute Galeazzi, Milan, Italy

    S. Gianola & G. Castellini

  3. IRCCS Orthopedic Institute Galeazzi, Milan, Italy

    G. Banfi & M. Denti

  4. Vita-Salute San Raffaele University, Milan, Italy

    G. Banfi

  5. Department of Orthopaedic Surgery, Centre Hospitalier Luxembourg, Clinique d’Eich, Luxembourg, Luxembourg

    R. Seil

  6. Sports Medicine Research Laboratory, Luxembourg Institute of Health, Strassen, Luxembourg

    R. Seil

Authors
  1. G. Lugano
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  2. S. Gianola
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  3. G. Castellini
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  4. G. Banfi
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  5. R. Seil
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  6. M. Denti
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  7. Laura de Girolamo
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Corresponding author

Correspondence to Laura de Girolamo.

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Lugano, G., Gianola, S., Castellini, G. et al. Evidence-Based Medicine (EBM) is properly perceived but its application is still limited in the orthopedic clinical practice: an online survey among the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) members. Knee Surg Sports Traumatol Arthrosc 28, 1665–1672 (2020). https://doi.org/10.1007/s00167-019-05670-5

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  • DOI: https://doi.org/10.1007/s00167-019-05670-5

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