The Orthopaedic Forum   |    
Symposium Integrating Evidence-Based Medicine into Clinical Practice*
Rick W. Wright, MD1; John E. Kuhn, MD2; Annunziato Amendola, MD3; Morgan H. Jones, MD4; Kurt P. Spindler, MD2
1 Department of Orthopaedic Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, One Barnes-Jewish Plaza, Suite 11300, St. Louis, MO 63110
2 Department of Orthopaedic Surgery and Rehabilitation, Vanderbilt University Medical School, 1215 21st Avenue South, Suite 4200 MCE, South Tower, Nashville, TN 37232
3 Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, 01018 John Pappajohn Pavilion, 200 Hawkins Drive, Iowa City, IA 52242-1088
4 Department of Orthopaedic Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195
View Disclosures and Other Information
Disclosure: In support of their research for or preparation of this manuscript, one or more of the authors received grants or outside funding from Air-cast and Smith and Nephew. They 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 authors are affiliated or associated.
Presented at the Annual Meeting of the American Orthopaedic Association, Huntington Beach, California, June 25, 2005.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Jan 01;89(1):199-205. doi: 10.2106/JBJS.E.00934
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Evidence-based medicine represents the combination of the best available clinical research evidence with clinical experience and expertise and the needs and expectations of patients. Evidence-based medicine as a concept has been available for years, but it has become increasingly important over the last decade. Some evidence has suggested that it began as early as the ancient Chinese medicine practices, while other evidence has indicated its origins were in postrevolutionary France with the systematic patient observations of Pierre Louis1. Gordon Guyatt led a group at McMaster University in the early 1990s that introduced many of the current concepts of evidence-based medicine. This led to a major increase in interest in the area. One paper had been published in the literature in 1992, but by 1998 over a thousand manuscripts had been published in the field1.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    Massachusetts - The University of Massachusetts Medical School
    Ohio - OhioHealth Research and Innovation Institute (OHRI)