Letters to the Editor   |    
Knowledge Is Our Business
James G. Wright, MD, MPH, FRCSC1
1 Division of Orthopaedic SurgeryThe Hospital for Sick Children555 University Avenue, Suite 107Toronto, ON M5G 1X8, Canadajim.wright@sickkids.ca
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In support of his research or preparation of this work, the author received a grant or outside funding from the R.B. Salter Chair of Surgical Research. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Feb 01;87(2):460-a-461
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To The Editor:In his Presidential Address to the American Academy of Orthopaedic Surgeons (AAOS), "Knowledge Is Our Business" (2004;86:1575-8), Dr. Bucholz, as they say, hit the nail on the head. Knowledge is the business of the American Academy of Orthopaedic Surgeons. As he so eloquently stated, the Academy is "the authority for up-to-date, accurate knowledge on musculoskeletal diseases and patient care." With that thought in mind, I would propose that the Academy begin to integrate level-of-evidence ratings into their activities. Levels of evidence are a way of grading the quality of the studies on the basis of their methodology, where Level I, a randomized clinical trial, is the highest level and Level V, expert opinion, is the lowest level of evidence.
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