Evidence Based Orthopedics
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http://www.guideline.gov/browse/browsemode.aspx?node=28541&type=1
The National Guideline Clearinghouse™ (NGC) is a comprehensive database of evidence-based clinical practice guidelines and related documents. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. NGC was originally created by AHRQ in partnership with the American Medical Association and the American Association of Health Plans (now America's Health Insurance Plans [AHIP]).
The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use.
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http://www.outcomecentre.com/
The Oswestry Outcome Centre is an organisation dedicated to the the collection of clinical data and assessment of major planned operations. Aims are to provide evidence of expertise in the field of major joint arthroplasty. To enable us to plot an individuals progress against a standard survival curve in order to ascertain how well they are doing. To identify problems or benefits of each type of prosthesis.
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http://bmj.com/cgi/content/full/327/7406/89?etoc
Preventing fractures in elderly people is a priority, especially as it has been predicted that in 20 years almost a quarter of people in Europe will be aged over 65. This article describes the factors contributing to fracture, interventions to prevent fracture, and the various treatments. BMJ 2003;327:89-95 (12 July)
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http://agatha.york.ac.uk/online/nhseed/976370.htm
The objective of the study was to evaluate the annual costs of hip implants from all hip operations in Norway. The authors also compared the rate of revision of the prosthesis operation. The Charnley implant was used as the 'gold' standard comparison because it was the most frequently used implant in Norway during the time of the study, and had the best outcomes documented in the literature. The authors did not state the perspective from which the economic analysis was conducted.
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