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Improvement of research quality in the fields of orthopaedics and trauma—a global perspective

Fayaz HC, Haas N, Kellam J, Bavonratanavech S, Parvizi J, Dyer G, Pohlemann T, Jerosch J, Prommersberger KJ, Pape HC, Smith M, Vrahas M, Perka C, Siebenrock K, Elhassan B, Moran C, Jupiter JB. Int Orthop. 2013 May;37:1205–1212.


Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA. [email protected]




The international orthopaedic community aims to achieve the best possible outcome for patient care by constantly modifying surgical techniques and expanding the surgeon’s knowledge. These efforts require proper reflection within a setting that necessitates a higher quality standard for global orthopaedic publication. Furthermore, these techniques demand that surgeons acquire information at a rapid rate while enforcing higher standards in research performance. An international consensus exists on how to perform research and What rules should be considered when publishing a scientific paper. Despite this global agreement, in today’s “Cross Check Era”, too many authors do not give attention to the current standards of systematic research.

Despite our great advances in research, validity is still clearly lacking in the accessible studies. Consequently (and unfortunately), the majority of cases do not present a clear, documented treatment choice; rather, we still depend upon the opinions of surgeons with special expertise that extend beyond the boundaries of research standards and guidelines. To encourage an optimal culture of research performance, orthopaedic organisations in leadership positions need to explicitly support a standardisation of the peer review process while inspiring and rewarding those researchers who can harvest new information rather than recycled evidence.

Our international group aims to implement a professional publishing culture based on standards that will identify the violation of gold-standard publishing and identify options to improve the quality of research to meet future challenges.

Considering the globalisation of the field of orthopaedics, reforming the peer review process on an international scale will be the ultimate challenge to improve the quality of research and realise a future that includes better patient care worldwide.

While the globalisation in health care is processing, it is wise to promote more health care leaders originated from other countries to participate and lead our system of improving patient care. By this we will not only be able to unify the differences on an international basis in term of patient care but also in term of having an international medical system that is able to deliver superior and equivalent medical treatments to all patients, regardless of their geographic location.

In conclusion, we strongly believe that international exchange, cooperation and standardised reformation of the peer review process will one day allow us to improve the quality of healthcare and ultimately will lead to advancements in patient care worldwide.


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Hangama C. Fayaz, MD, PhD