Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League. / McNamee, Michael; Coveney, Catherine; Faulkner, Alex; Gabe, Jonathan.

In: Health Care Analysis, Vol. 26, No. 4, 12.2018, p. 344–361.

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Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League. / McNamee, Michael; Coveney, Catherine; Faulkner, Alex; Gabe, Jonathan.

In: Health Care Analysis, Vol. 26, No. 4, 12.2018, p. 344–361.

Research output: Contribution to journalArticle

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McNamee, Michael ; Coveney, Catherine ; Faulkner, Alex ; Gabe, Jonathan. / Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League. In: Health Care Analysis. 2018 ; Vol. 26, No. 4. pp. 344–361.

BibTeX

@article{02624d33208b47d9b33f92eff4205cc4,
title = "Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League",
abstract = "The use of platelet rich plasma (PRP) as a novel treatment is discussed inthe context of a qualitative research study comprising 38 interviews with sportsmedicine 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 judgement 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.",
keywords = "ethics, Evidence-Based Medicine, placebo, PROFESSIONALISM",
author = "Michael McNamee and Catherine Coveney and Alex Faulkner and Jonathan Gabe",
year = "2018",
month = "12",
doi = "10.1007/s10728-017-0345-7",
language = "English",
volume = "26",
pages = "344–361",
journal = "Health Care Analysis",
issn = "1065-3058",
publisher = "Springer Netherlands",
number = "4",

}

RIS

TY - JOUR

T1 - Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League

AU - McNamee, Michael

AU - Coveney, Catherine

AU - Faulkner, Alex

AU - Gabe, Jonathan

PY - 2018/12

Y1 - 2018/12

N2 - The use of platelet rich plasma (PRP) as a novel treatment is discussed inthe context of a qualitative research study comprising 38 interviews with sportsmedicine 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 judgement 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.

AB - The use of platelet rich plasma (PRP) as a novel treatment is discussed inthe context of a qualitative research study comprising 38 interviews with sportsmedicine 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 judgement 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.

KW - ethics

KW - Evidence-Based Medicine

KW - placebo

KW - PROFESSIONALISM

U2 - 10.1007/s10728-017-0345-7

DO - 10.1007/s10728-017-0345-7

M3 - Article

VL - 26

SP - 344

EP - 361

JO - Health Care Analysis

JF - Health Care Analysis

SN - 1065-3058

IS - 4

ER -