BMJ Quality & Safety 06 January 2020. doi: 10.1136/bmjqs-2019-010513
- An editorial considering an article which examines the impact of three widely known orthopaedic trauma RCTs and the subsequent Health Technology Assessment (HTA) reports and their uptake in clinical practice.
- "Contrary to trials with medications, surgical trials may include a new technique or a new prosthesis that requires a particular skill set. Conversely, surgeons have already spent considerable time acquiring and improving surgical skills for procedures they already perform, so they may find disinvestment hard to accept if, as in these three trials examined by Reeves and colleagues demonstrated, less-invasive treatment performed better."
- "To aid in the clinical uptake of evidence-based medicine, policy initiatives may need to go hand in hand with the publication of trials and subsequent recommendations. For some medical services or procedures, new evidence will not be implemented by itself but requires a managed process, referred to as deimplementation."
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