Background Patients with multiple rib fractures without a clinical flail chest are increasingly
being treated with rib fixation; however, high-quality evidence to support this development is …

Study Design Systematic review. Objectives To determine if the natural experiment design is
a useful research methodology concept in spinal trauma care, and to determine if this …

Natural experiments are observational studies of medical treatments in which treatment
allocation is determined by factors outside the control of the investigators, arguably …

Purpose It is challenging to generate and subsequently implement high-quality evidence in
surgical practice. A first step would be to grade the strengths and weaknesses of surgical …

First of all, we applaud the decision to increase the relevance and efficiency of systematic
review projects by the principle that before undertaking such a project, similar review studies …

abstract Natural experiments are observational studies of medical treatments in which
treatment allocation is determined by factors outside the control of the investigators …

In this issue of The Bone & Joint Journal, an article by Axelrod et al 1 charts the progress,
difficulties, experience, and success of the Canadian Orthopaedic Trauma Society (COTS) …

Twenty-first century medical and surgical practice is firmly founded upon evidencebased
medicine. Accordingly, there is an increased awareness and application of research to …

Objective To investigate patient preferences and the determinants of participation
willingness in orthopaedic diagnostic or invasive surgical randomized controlled trials …

abstract Objective: To investigate patient preferences and the determinants of participation
willingness in orthopaedic diagnostic or invasive surgical randomized controlled trials …