ArticleClinical orthopaedics and related research2008
Orthopaedic surgeons prefer to participate in expertise-based randomized trials.
Article in Clinical orthopaedics and related research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- A systematic review of the use of an expertise-based randomised controlled trial design.Trials · 2015Pooled it
- Expertise-based design in surgical trials: a narrative review.Canadian journal of surgery. Journal canadien de chirurgiePooled it
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- Characterization of medical device randomized controlled trials with adaptive designs.Journal of comparative effectiveness research · 2025Article
- How to design high quality acupuncture trials-a consensus informed by evidence.BMJ (Clinical research ed.) · 2022Article
- Surgeon Level of Expertise in Adult Reconstruction: A Brief Communication Regarding the Need for Reporting the Level of Expertise.Arthroplasty today · 2021Article
- Surgery of the lateral skull base: a 50-year endeavour.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2019Review
- Are large fracture trials really possible? What we have learned from the randomized controlled damage control study?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018Article
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- Disc Golf, a Growing Sport: Description and Epidemiology of Injuries.Orthopaedic journal of sports medicine · 2015Article
- Design and execution of clinical trials in orthopaedic surgery.Bone & joint research · 2014Review
- HUMeral shaft fractures: measuring recovery after operative versus non-operative treatment (HUMMER): a multicenter comparative observational study.BMC musculoskeletal disorders · 2014Observational
- Methodological choices for the clinical development of medical devices.Medical devices (Auckland, N.Z.) · 2014Review
- Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons.BMC musculoskeletal disorders · 2013Article
- Letter to the editor re: Orthopaedic surgeons prefer to participate in expertise-based randomized trials: Bednarska E, Bryant D, Devereaux, PJ. Orthopaedic surgeons prefer to participate in expertise-based randomized trials. Clin Orthop Relat Res. 2008;466:1734-1744.Clinical orthopaedics and related research · 2009Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Empiric data and theoretical arguments suggest an alternative randomized clinical trial (RCT) design, called expertise-based RCT, has enhanced validity, applicability, and ethical integrity compared with conventional RCT. Little is known, however, about whether physicians will participate in an expertise-based RCT. In a cross-sectional survey of Canadian orthopaedic surgeons, we evaluated preference for and willingness to participate in an expertise-based versus a conventional RCT if given the opportunity to participate in a trial investigating the effectiveness of high tibial osteotomy versus unicompartmental knee arthroplasty. Using an electronic survey ((c)2005 SurveyMonkey.com), we invited all 767 members of the Canadian Orthopaedic Association (2005) to participate; 276 surgeons completed the questionnaire (37.5% response rate). One hundred two surgeons (53.4%) were willing to participate in an expertise-based RCT compared with 35 surgeons (18.3%) willing to participate in a conventional RCT. Ninety-seven surgeons (52.4%) strongly or moderately preferred the expertise-based design compared with 25 (13.5%) who preferred the conventional design. For the clinical example we presented, the majority of Canadian orthopaedic surgeons were willing to participate in and preferred the expertise-based design. The expertise-based randomized clinical trial design may overcome some of the barriers to conducting clinical trials in orthopaedic surgery and improve the validity of their conclusions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.