December 2002 Bulletin

Application of evidence-based practice

Review of literature looking for best treatment options is the most widely used EBP by orthopaedic surgeons, with more than 4 out of 5 doctors reporting they currently engage in this practice. Among those with who rate themselves high in knowledge of and comfort with EBP, and high importance of EBP, the incidence jumps to more than 9 in 10 doctors. Similar proportions of doctors report they look for new evidence and discuss options with patients before deciding on treatment.

Evidence-Based Practice Survey

Copyright 2002 American Academy of Orthopaedic Surgeons

% of survey respondents with high rating
reporting practice of application

% selecting
(N=583)

Knowledge

Comfort

Importance

Review literature regularly for general information in my specialty

87

94

96

91

Review literature regularly for treatment best practices

83

91

94

89

Look for new evidence and discuss options with patient before deciding treatment

78

92

89

88

Rely on treatments that I am comfortable with

64

60

65

66

Use guidelines developed by other organizations/ associations

47

65

52

57

Participate in peer review of patient treatment

43

56

56

49

Use benchmarks and/ or performance measures to evaluate treatment outcomes

37

55

45

44

Collect and analyze patient outcomes

36

63

60

41

Participate in a journal club

29

45

47

34

Teach and train other physicians and staff in evidence-based practice

26

60

54

39

Develop or participate in pathway or evidence-based guideline development

25

45

40

34

Evaluate guidelines for evidence quality and applicability to patients

24

42

38

34

Design and implement clinical trials

17

41

37

21

Coordinate evidence-based studies and outcomes across multiple centers

8

26

19

11

* Significant differences between rating groups in application of practice


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