AAOS Now, August 2011
What would Hippocrates do about DDH?
By Sally T. Halderman OREF grant recipient wants to know when surgical reduction results begin to deteriorate The concept of “first do no harm” is central to the Hippocratic Oath embraced by every physician. But in a world of increasingly complex treatments and subtle risk-to-benefit calculations, it may be difficult to know where that Hippocratic bar is set. James W. Roach, MD Dr.
Coming soon: Appropriate use criteria
Follow-ups to CPGs focus on clinical application As they continue to develop and issue new clinical practice guidelines (CPGs), AAOS volunteers are also embarking on a major new phase in the Academy’s comprehensive quality initiative: appropriate use criteria (AUCs). William C. Watters III, MD The AUCs will serve as clinically relevant complements to the CPGs, providing important guidance on the appropriate use of a procedure or other therapeutic measure. As William C.
Synthesizing research to support patient care
Comparative effectiveness symposium addresses research, cost concerns Comparing the effectiveness of different orthopaedic treatments pre-sents several problems for researchers. How, for example, do you design a randomized controlled trial that is both ethical and effective in measuring outcomes among different treatment options? At the Comparative Effectiveness Research (CER) Symposium, held earlier this year in Washington, D.C.
What do you know about AAOS CPGs?
One of the more controversial clinical practice guidelines (CPGs) developed by the AAOS concerns the treatment of osteoporotic spinal compression fractures. Released last September, the guideline includes a strong recommendation against vertebroplasty for patients whose radiographs show an osteoporotic spinal compression fracture and who have correlating clinical signs and symptoms and are neurologically intact. On Aug.