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Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League

The use of platelet rich plasma (PRP) as a novel treatment is discussed in the context of a qualitative research study comprising 38 interviews with sports medicine practitioners and other stakeholders working within the English Premier League during the 2013–16 seasons. Analysis of the data produce...

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Detalles Bibliográficos
Autores principales: McNamee, M. J., Coveney, C. M., Faulkner, A., Gabe, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208980/
https://www.ncbi.nlm.nih.gov/pubmed/28756518
http://dx.doi.org/10.1007/s10728-017-0345-7
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author McNamee, M. J.
Coveney, C. M.
Faulkner, A.
Gabe, J.
author_facet McNamee, M. J.
Coveney, C. M.
Faulkner, A.
Gabe, J.
author_sort McNamee, M. J.
collection PubMed
description The use of platelet rich plasma (PRP) as a novel treatment is discussed in the context of a qualitative research study comprising 38 interviews with sports medicine practitioners and other stakeholders working within the English Premier League during the 2013–16 seasons. Analysis of the data produced several overarching themes: conservatism versus experimentalism in medical attitudes; therapy perspectives divergence; conflicting versions of appropriate evidence; subcultures; community beliefs/practices; and negotiation of medical decision-making. The contested evidence base for the efficacy of PRP is presented in the context of a broader professional shift towards evidence based medicine within sports medicine. Many of the participants while accepting this shift are still committed to casuistic practices where clinical judgment is flexible and does not recognize a context-free hierarchy of evidentiary standards to ethically justifiable practice. We also discuss a tendency in the data collected to consider the use of deceptive, placebo-like, practices among the clinician participants that challenge dominant understandings of informed consent in medical ethics. We conclude that the complex relation between evidence and ethics requires greater critical scrutiny for this emerging specialism within the medical community.
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spelling pubmed-62089802018-11-09 Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League McNamee, M. J. Coveney, C. M. Faulkner, A. Gabe, J. Health Care Anal Original Article The use of platelet rich plasma (PRP) as a novel treatment is discussed in the context of a qualitative research study comprising 38 interviews with sports medicine practitioners and other stakeholders working within the English Premier League during the 2013–16 seasons. Analysis of the data produced several overarching themes: conservatism versus experimentalism in medical attitudes; therapy perspectives divergence; conflicting versions of appropriate evidence; subcultures; community beliefs/practices; and negotiation of medical decision-making. The contested evidence base for the efficacy of PRP is presented in the context of a broader professional shift towards evidence based medicine within sports medicine. Many of the participants while accepting this shift are still committed to casuistic practices where clinical judgment is flexible and does not recognize a context-free hierarchy of evidentiary standards to ethically justifiable practice. We also discuss a tendency in the data collected to consider the use of deceptive, placebo-like, practices among the clinician participants that challenge dominant understandings of informed consent in medical ethics. We conclude that the complex relation between evidence and ethics requires greater critical scrutiny for this emerging specialism within the medical community. Springer US 2017-07-29 2018 /pmc/articles/PMC6208980/ /pubmed/28756518 http://dx.doi.org/10.1007/s10728-017-0345-7 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
McNamee, M. J.
Coveney, C. M.
Faulkner, A.
Gabe, J.
Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_full Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_fullStr Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_full_unstemmed Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_short Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_sort ethics, evidence based sports medicine, and the use of platelet rich plasma in the english premier league
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208980/
https://www.ncbi.nlm.nih.gov/pubmed/28756518
http://dx.doi.org/10.1007/s10728-017-0345-7
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