Evidence-Based Medicine in Orthopaedics.
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Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
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Marc Swiontkowski
MD, FAOA
Professor, University of Minnesota
View MoreThe conversation reflects on the evolution of evidence-based orthopedics, tracing its roots to early McMaster pioneers who built the frameworks, filters, and appraisal systems that shaped modern clinical research. The hosts revisit how orthopedic journals adopted structured evidence grading to surface impactful trials, especially those published outside core specialty venues. They discuss the rise of large multicenter RCTs, shifts toward publishing in high-impact general medical journals when results have broad clinical relevance, and the growing challenge of synthesizing an expanding body of RCTs. This leads into a forward-looking discussion on pre-appraised databases, point-of-care evidence tools, and how AI-driven systems may become essential for rapid question-answering in clinical practice.
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