RT Journal A1 Bernstein, Joseph A1 Ahn, Jaimo T1 Is After-Hours Orthopaedic Surgery Associated with Adverse Outcomes? JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2010 FD February 1 VO 92 IS 2 SP 524 OP 524 DO UL http://dx.doi.org/ AB The study perhaps could be considered to be under the category "prognostic studies—investigating the effect of a patient characteristic on the outcome of disease." (In this case, the "patient characteristic" is the time of the operation.) In the JBJS guidelines, a prognostic study can be considered Level I if it was "high-quality." Of course, the height of quality is a subjective judgment, but we question whether this study is of sufficiently high quality to be deemed Level I. For one thing, the two groups were patently dissimilar beyond the variable in question; in addition, the sample size was inadequately powered.