UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Hip surgery and its evidence base: progress over a decade?

Hasan, K; Shankar, S; Sharma, A; Carter, A; Zaidi, R; Cro, S; Skinner, J; (2016) Hip surgery and its evidence base: progress over a decade? Journal of Orthopaedics and Traumatology 10.1007/s10195-016-0421-z. Green open access

[img]
Preview
Text
art%3A10.1007%2Fs10195-016-0421-z.pdf - Published version

Download (529kB) | Preview

Abstract

BACKGROUND: The burden of traumatic and elective hip surgery is set to grow. With an increasing number of techniques and implants against the background of an aging population, the emphasis on evidence-based treatment has never been greater. The purpose of this study was to assess changes in the levels of evidence in the hip literature over a decade. MATERIALS AND METHODS: Articles pertaining to hip surgery from the years 2000 and 2010 in Hip International, Journal of Arthroplasty, Journal of Bone and Joint Surgery and The Bone and Joint Journal were analysed. Articles were ranked by a five-point level of evidence scale and by type of study, according to guidelines from the Centre for Evidence-based Medicine. RESULTS: 531 articles were analysed from 48 countries. The kappa value for the inter-observer reliability showed excellent agreement between the reviewers for study type (κ = 0.956, P < 0.01) and for levels of evidence (κ = 0.772, P < 0.01). Between 2000 and 2010, the overall percentage of high-level evidence (levels I and II) studies more than doubled (12 to 31 %, P < 0.001). The most frequent study type was therapeutic; the USA and UK were the largest producers of published work in these journals, with contributions from other countries increasing markedly over the decade. CONCLUSIONS: There has been a significant increase in high levels of evidence in hip surgery over a decade (P < 0.001). We recommend that all orthopaedic journals consider implementing compulsory declaration by authors of the level of evidence to help enhance quality of evidence. LEVEL OF EVIDENCE: Level 2: economic and decision analysis.

Type: Article
Title: Hip surgery and its evidence base: progress over a decade?
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10195-016-0421-z
Publisher version: http://dx.doi.org/10.1007/s10195-016-0421-z
Language: English
Additional information: Copyright © The Author(s) 2016. Open Access: this article is distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Arthroplasty, Evidence-based medicine, Hip
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Ortho and MSK Science
URI: https://discovery.ucl.ac.uk/id/eprint/1505696
Downloads since deposit
45Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item