Cargando…
Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons
BACKGROUND: Manufacturers of implants and materials in the field of orthopaedics use significant amounts of funding to produce informational material to influence the decision-making process of orthopaedic surgeons with regards to choice between novel implants and techniques. It remains unclear how...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600018/ https://www.ncbi.nlm.nih.gov/pubmed/23496954 http://dx.doi.org/10.1186/1471-2474-14-96 |
_version_ | 1782475581547347968 |
---|---|
author | Schulz, Arndt P Jönsson, Anders Kasch, Richard Jettoo, Prithee Bhandari, Mohit |
author_facet | Schulz, Arndt P Jönsson, Anders Kasch, Richard Jettoo, Prithee Bhandari, Mohit |
author_sort | Schulz, Arndt P |
collection | PubMed |
description | BACKGROUND: Manufacturers of implants and materials in the field of orthopaedics use significant amounts of funding to produce informational material to influence the decision-making process of orthopaedic surgeons with regards to choice between novel implants and techniques. It remains unclear how far orthopaedic surgeons are really influenced by the materials supplied by companies or whether other, evidence-based publications have a higher impact on their decision-making. The objective was to evaluate the subjective usefulness and usage of different sources of information upon which orthopaedic surgeons base their decisions when acquiring new implants or techniques. METHODS: We undertook an online survey of 1174 orthopaedic surgeons worldwide (of whom n = 305 were head of their department). The questionnaire included 34 items. Sequences were randomized to reduce possible bias. Questions were closed or semi-open with single or multiple answers. The usage and relevance of different sources of information when learning about and selecting orthopaedic treatments were evaluated. Orthopaedic surgeons and trainees were targeted, and were only allowed to respond once over a period of two weeks. Baseline information included country of workplace, level of experience and orthopaedic subspecialisation. The results were statistically evaluated. RESULTS: Independent scientific proof had the highest influence on decisions for treatment while OEM (Original Equipment Manufacturer) driven activities like newsletters, white papers or workshops had the least impact. Comparison of answers from the three best-represented countries in this study (Germany, UK and USA) showed some significant differences: Scientific literature and congresses are significantly more important in the US than in the UK or Germany, although they are very important in all countries. CONCLUSIONS: Independent and peer-reviewed sources of information are preferred by surgeons when choosing between methods and implants. Manufacturers of medical devices in orthopaedics employ a considerable workforce to inform or influence hospital managers and leading doctors with marketing activities. Our results indicate that it might be far more effective to channel at least some of these funds into peer-reviewed research projects, thereby assuring significantly higher acceptance of the related products. |
format | Online Article Text |
id | pubmed-3600018 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-36000182013-03-17 Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons Schulz, Arndt P Jönsson, Anders Kasch, Richard Jettoo, Prithee Bhandari, Mohit BMC Musculoskelet Disord Research Article BACKGROUND: Manufacturers of implants and materials in the field of orthopaedics use significant amounts of funding to produce informational material to influence the decision-making process of orthopaedic surgeons with regards to choice between novel implants and techniques. It remains unclear how far orthopaedic surgeons are really influenced by the materials supplied by companies or whether other, evidence-based publications have a higher impact on their decision-making. The objective was to evaluate the subjective usefulness and usage of different sources of information upon which orthopaedic surgeons base their decisions when acquiring new implants or techniques. METHODS: We undertook an online survey of 1174 orthopaedic surgeons worldwide (of whom n = 305 were head of their department). The questionnaire included 34 items. Sequences were randomized to reduce possible bias. Questions were closed or semi-open with single or multiple answers. The usage and relevance of different sources of information when learning about and selecting orthopaedic treatments were evaluated. Orthopaedic surgeons and trainees were targeted, and were only allowed to respond once over a period of two weeks. Baseline information included country of workplace, level of experience and orthopaedic subspecialisation. The results were statistically evaluated. RESULTS: Independent scientific proof had the highest influence on decisions for treatment while OEM (Original Equipment Manufacturer) driven activities like newsletters, white papers or workshops had the least impact. Comparison of answers from the three best-represented countries in this study (Germany, UK and USA) showed some significant differences: Scientific literature and congresses are significantly more important in the US than in the UK or Germany, although they are very important in all countries. CONCLUSIONS: Independent and peer-reviewed sources of information are preferred by surgeons when choosing between methods and implants. Manufacturers of medical devices in orthopaedics employ a considerable workforce to inform or influence hospital managers and leading doctors with marketing activities. Our results indicate that it might be far more effective to channel at least some of these funds into peer-reviewed research projects, thereby assuring significantly higher acceptance of the related products. BioMed Central 2013-03-14 /pmc/articles/PMC3600018/ /pubmed/23496954 http://dx.doi.org/10.1186/1471-2474-14-96 Text en Copyright ©2013 Schulz et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Schulz, Arndt P Jönsson, Anders Kasch, Richard Jettoo, Prithee Bhandari, Mohit Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons |
title | Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons |
title_full | Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons |
title_fullStr | Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons |
title_full_unstemmed | Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons |
title_short | Sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons |
title_sort | sources of information influencing decision-making in orthopaedic surgery - an international online survey of 1147 orthopaedic surgeons |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3600018/ https://www.ncbi.nlm.nih.gov/pubmed/23496954 http://dx.doi.org/10.1186/1471-2474-14-96 |
work_keys_str_mv | AT schulzarndtp sourcesofinformationinfluencingdecisionmakinginorthopaedicsurgeryaninternationalonlinesurveyof1147orthopaedicsurgeons AT jonssonanders sourcesofinformationinfluencingdecisionmakinginorthopaedicsurgeryaninternationalonlinesurveyof1147orthopaedicsurgeons AT kaschrichard sourcesofinformationinfluencingdecisionmakinginorthopaedicsurgeryaninternationalonlinesurveyof1147orthopaedicsurgeons AT jettooprithee sourcesofinformationinfluencingdecisionmakinginorthopaedicsurgeryaninternationalonlinesurveyof1147orthopaedicsurgeons AT bhandarimohit sourcesofinformationinfluencingdecisionmakinginorthopaedicsurgeryaninternationalonlinesurveyof1147orthopaedicsurgeons |