RT Journal A1 Shore, Benjamin J. A1 Nasreddine, Adam Y. A1 Kocher, Mininder S. T1 Overcoming the Funding Challenge: The Cost of Randomized Controlled Trials in the Next Decade JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2012 FD July 18 VO 94 IS Suppl 1(E) SP 101 OP 106 DO 10.2106/JBJS.L.00193 UL http://dx.doi.org/10.2106/JBJS.L.00193 AB Abstract:  Randomized controlled trials (RCTs) represent the gold standard of evidence-based medicine. However, over the last several decades, the cost associated with conducting RCTs has increased dramatically. Several factors contribute to higher costs associated with clinical trials. This paper describes important barriers to conducting surgical RCTs, identifies funding sources available to finance RCTs, and suggests strategies to maintain cost-efficient study practices as we move into the next decade.