SGEM#365: Stop! It’s Not Always Hammer Time

Studi estratti dal podcast di Dr. Ken Milne

• 2021Common elective orthopaedic procedures and their clinical effectivenessOtherIn patients undergoing common elective orthopaedic surgery, only carpal tunnel decompression and knee replacement improved function versus non-operative care.
• 2010KANONOtherIn 121 young active adults with acute ACL tear, rehabilitation plus early ACL reconstruction did not improve 2-year KOOS4 versus rehabilitation plus optional delayed reconstruction.
• 2023KANONOtherIn 120 adults with acute ACL rupture, MRI-evident ACL healing on rehabilitation alone gave better 2-year KOOS than non-healing or reconstruction.
• 2009Scientific Evidence Underlying the ACC/AHA Clinical Practice GuidelinesOtherAmong 7196 recommendations in 53 ACC/AHA guidelines from 1984 to 2008, grading by level of evidence showed a median of 11% level A versus 48% level C.
• 2019Levels of Evidence Supporting ACC/AHA and European Society of Cardiology Guidelines, 2008-2018OtherAmong6329 recommendations in 51 current ACC/AHA and ESC guidelines,level A evidencesupported only 8.5% of ACC/AHA and 14.2% of ESC recommendations, with no rise versusprior guideline versionsfor theshare of multi-RCT-backed advice.