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The sexy scalpel: unnecessary shoulder surgery on the rise
  1. Jørgen Jevne
  1. Correspondence to Jørgen Jevne, Private Practice, Hønefoss Kiropraktikk og Rehabilitering, Hønefoss 3513, Norway; jorgen{at}jevnehelse.no

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While we are supposed to be living in the era of evidence-based medicine (EBM), there is still a long distance between academic research and daily clinical practice. Clinicians love to cling to their safe havens and we often cite experience as a reason to uphold the status quo of clinical management. However, clinical experience can deceive us into thinking we know best, but in the age of evidence it seems rather anachronistic to hold experience above science when our opinions are being questioned.

EBM is not just about clinical experience and scientific studies, it includes patient preference. Although patient-centred care is an indisputable hallmark of modern medicine, a recent publication in JAMA highlighted patients’ tendency to overestimate treatment benefits and underestimate harms.1 Clinicians need to educate patients sufficiently and inform them about benefits and harms based on the …

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