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Table 2 Extrinsic factors of research studies affecting clinical decision making

From: CHAracteristics of research studies that iNfluence practice: a GEneral survey of Canadian orthopaedic Surgeons (CHANGES): a pilot survey

Item asked

No. (%) of respondents

The judicious integration of best-available research with patient values and clinical expertise is an important part of my clinical decision-making

Strongly Agree

39 (41)

Agree

43 (45)

Somewhat Agree

13 (14)

Somewhat Disagree

0 (0)

Disagree

0 (0)

Strongly Disagree

0 (0)

Research published in a highly prestigious journal is likely to influence my clinical decision-making

Strongly Agree

9 (9.5)

Agree

42 (44)

Somewhat Agree

41 (43)

Somewhat Disagree

1 (1.1)

Disagree

2 (2.1)

Strongly Disagree

0 (0)

Research published by highly skilled subspecialist surgeons is likely to influence my clinical decision-making

Strongly Agree

6 (6.3)

Agree

44 (46)

Somewhat Agree

43 (45)

Somewhat Disagree

0 (0)

Disagree

2 (2.1)

Strongly Disagree

0 (0)

Research presented at a conference by highly skilled subspecialist surgeons is likely to influence my clinical decision-making

Strongly Agree

8 (8.4)

Agree

40 (42)

Somewhat Agree

44 (46)

Somewhat Disagree

0 (0)

Disagree

3 (3.2)

Strongly Disagree

0 (0)

The opinions of my direct colleagues are likely to influence my clinical decision-making

Strongly Agree

6 (6.3)

Agree

35 (37)

Somewhat Agree

49 (52)

Somewhat Disagree

0 (0)

Disagree

5 (5.3)

Strongly Disagree

0 (0)

Information that I received during my fellowship training is likely to influence my clinical decision-making

Strongly Agree

21 (22)

Agree

44 (46)

Somewhat Agree

44 (46)

Somewhat Disagree

29 (31)

Disagree

0 (0)

Strongly Disagree

1 (1.1)

 

0 (0)

Information that I received during my residency is likely to influence my clinical decision-making

Strongly Agree

13 (14)

Agree

36 (38)

Somewhat Agree

45 (48)

Somewhat Disagree

0 (0)

Disagree

1 (1.1)

Strongly Disagree

0 (0)

Direct company-to-patient advertising is likely to influence my clinical decision-making

Strongly Agree

0 (0)

Agree

0 (0)

Somewhat Agree

11 (12)

Somewhat Disagree

9 (9.5)

Disagree

51 (54)

Strongly Disagree

24 (25)

Pressure from patients is likely to influence my clinical decision-making

Strongly Agree

0 (0)

Agree

0 (0)

Somewhat Agree

17 (18)

Somewhat Disagree

17 (18)

Disagree

41 (43)

Strongly Disagree

20 (21)

The economic impact of the proposed intervention is likely to influence my clinical decision-making

Strongly Agree

1 (1.1)

Agree

20 (21)

Somewhat Agree

55 (58)

Somewhat Disagree

3 (3.2)

Disagree

11 (12)

Strongly Disagree

5 (5.3)

My surgical experience and personal preferences guide my practice more than research

Strongly Agree

5 (5.3)

Agree

19 (20)

Somewhat Agree

47 (50)

Somewhat Disagree

5 (5.3)

Disagree

17 (18)

Strongly Disagree

2 (2.1)

I am likely to continue with the practices I developed during my training and currently use, independent of new research

Strongly Agree

0 (0)

Agree

9 (9.5)

Somewhat Agree

14 (15)

Somewhat Disagree

14 (15)

Disagree

43 (45)

Strongly Disagree

15 (16)

Independent of literature, I will most likely implement a proposed intervention that appears harmless to patients

Strongly Agree

3 (3.2)

Agree

9 (9.5)

Somewhat Agree

28 (30)

Somewhat Disagree

12 (13)

Disagree

36 (38)

Strongly Disagree

7 (7.4)