The following results of a Medline search on EBM/Orthopedics may be of
interest for your lecture.

1: J Orthop Trauma  2001 Aug;15(6):458
Are you pro-evidence?
Matta J.
Publication Types: Letter


2: J Bone Joint Surg Am  2001 Aug;83-A(8):1284
Glossary of terms for evidence-based orthopaedics.


3: J Bone Joint Surg Am  2001 Mar;83-A(3):464
Orthopaedic POEMS and reliable research.
Peacock KC.
Publication Types: Letter


4: J Orthop Trauma  2000 Nov;14(8):527-8
Statistical correctness.
Colton C.
Publication Types:Editorial


5: J Orthop Sci  2000;5(4):317
Basic research contributing to orthopedic practice in the new millennium.
Hirasawa Y.
Publication Types:Editorial


7: Iowa Orthop J  2000;20:85-6
The future of orthopaedic basic and clinical research: where have we been?
Where
should we go? How do we get there?
Sledge CB.


8: Am J Orthop  2000 Jun;29(6):422
The learning laboratory.
Gould JS.
Publication Types: Editorial


9: J Bone Joint Surg Am  2000 Jun;82(6):888-94
Comment in:
 J Bone Joint Surg Am. 2001 May;83-A(5):783-5. UI: 21270819
Orthopaedic information mastery: applying evidence-based information tools
to
improve patient outcomes while saving orthopaedists' time.
Hurwitz SR, Slawson D, Shaughnessy A.


10: Singapore Med J  1999 Dec;40(12):721-2
Orthopaedic surgery.
Myint M.


11: Qual Health Care  1999 Jun;8(2):99-107
Comment in: Qual Health Care. 1999 Jun;8(2):75
Some limits to evidence-based medicine: a case study from elective
orthopaedics.
Ferlie E, Wood M, Fitzgerald L.

Abstract:
There has been growing interest in recent years in the application of the
principles of evidence-based medicine (EBM), although implementation is
complex.
Scientific, organisational, and behavioural factors all combine to shape
clinical behaviour change. Case study based qualitative data are presented
which
illuminate such processes within one clinical setting (elective
orthopaedics),
drawn from a larger study. It is suggested that (1) there are alternative
models
of what constitutes "evidence" in use; (2) scientific knowledge is in part
socially constructed; and (3) clinical professionals retain a monopoly of
technical knowledge. The implication is that there may be severe obstacles
to
the rapid or broad implementation of EBM.


12: J Orthop Sci  1998;3(4):191-3
Our challenge for the next millennium.
Nachemson A.
Publication Types: Editorial



Sheelagh Noonan BA Dip Lib
Medical Knowledge Architect
AusDoctors.net
Phone: 02 9643 9229
0407407682
email: [log in to unmask]
http://www.ausdoctors.net




                    Janet Martin
                    <[log in to unmask]>           To:     [log in to unmask]
                    Sent by: "Evidence based            cc:
                    health (EBH) is the                 Subject:     Re: Orthopedic EBM
                    integration of individual
                    knowledge"
                    <EVIDENCE-BASED-HEALTH@JISCM
                    AIL.AC.UK>


                    11/14/01 02:59 AM
                    Please respond to Janet
                    Martin






Mayer,

An additional relevant example would be to discuss the evidence informing
the
use of low-molecular weight heparin vs warfarin vs ASA in hip and/or knee
replacement surgery.

A systematic review that will serve as a good starting point can be found
at
www.ccohta.ca

Best regards,

Janet E. Martin, BScPharm, PharmD
Project Leader
Evidence-Based Prescribing Initiative
London Health Sciences Centre
London, Ontario
Canada N6A 4G5

tel:  (519) 685-8500 ext 77814
fax: (519) 667-6811
[log in to unmask]

>>> Mayer Brezis <[log in to unmask]> 11/12/01 03:49PM >>>
I'm preparing a lecture on EBM to orthopedic surgeons.  Any suggestions
for good demonstration of EBM in this field (I already noted the
negative Cochrane Review on back surgery)?  Also, any good example in
this field of manipulation of guidelines by the industry (like the
remarkable example of tPA in stroke, Genentek speaking via the American
Heart Association)? Thanks.
Mayer Brezis