Paediatric Orthopaedics: The Modern Quest For Standardized, Evidence-Based Care

Description

In this episode of the BJJ podcast, host Andrew Duckworth welcomes listeners back for an insightful discussion on pediatric orthopedics. Joined by esteemed guests including editorial board members Yael Gelfer and Liz Ashby, as well as specialty editor Professor Dan Perry, the episode delves into the evolution of pediatric orthopedics research. The panel reflects on recent advancements in evidence-based practices, highlighting the importance of consensus statements, core outcome sets, and collaborative efforts among pediatric surgeons.



Yael outlines the significant upgrades in treatment standards over the past decade, emphasizing a shift from low evidence-based practices to a framework that supports higher levels of evidence. Liz shares her observations on the transition from retrospective studies to collaborative research that addresses common pediatric conditions through randomized controlled trials (RCTs). The conversation then shifts to practical examples such as the development of core outcome sets for conditions like clubfoot, emphasizing how these frameworks incorporate patient perspectives.



Professor Dan Perry elucidates ongoing studies, including the BOSS and Op NON-STOP trials, aimed at evaluating treatment efficacy for Perthes disease and slipped capital femoral epiphysis (SCFE), respectively. He highlights the crucial role of teamwork in pediatric orthopedic surgery, where the focus is on achieving the best patient outcomes, fostering a sense of community among practitioners.



The episode poignantly wraps up with a shared appreciation for the collaborative spirit in pediatric orthopedics, and a hopeful outlook on the future of research and treatment methodologies that aim to improve care for children.

Specialties

Paper Links

https://boneandjoint.org.uk/Article/10.1302/0301-620X.107B1.BJJ-2024-1151