{"id":"https://openalex.org/W4411901523","doi":"https://doi.org/10.1186/s12911-025-03032-5","title":"Can we ever have evidence-based decision making in orthopaedics? A qualitative evidence synthesis and conceptual framework","display_name":"Can we ever have evidence-based decision making in orthopaedics? A qualitative evidence synthesis and conceptual framework","publication_year":2025,"publication_date":"2025-07-01","ids":{"openalex":"https://openalex.org/W4411901523","doi":"https://doi.org/10.1186/s12911-025-03032-5","pmid":"https://pubmed.ncbi.nlm.nih.gov/40598225"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-025-03032-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-03032-5","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-03032-5","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"review","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-03032-5","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036544311","display_name":"Arabella Scantlebury","orcid":"https://orcid.org/0000-0003-3518-2740"},"institutions":[{"id":"https://openalex.org/I79619799","display_name":"University of Birmingham","ror":"https://ror.org/03angcq70","country_code":"GB","type":"education","lineage":["https://openalex.org/I79619799"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Arabella Scantlebury","raw_affiliation_strings":["Centre for Evidence and Implementation Science, College of Social Sciences, University of Birmingham, Birmingham, B15 2RT, England. a.l.scantlebury@bham.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Evidence and Implementation Science, College of Social Sciences, University of Birmingham, Birmingham, B15 2RT, England. a.l.scantlebury@bham.ac.uk","institution_ids":["https://openalex.org/I79619799"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013819177","display_name":"Katherine Jones","orcid":"https://orcid.org/0000-0003-0615-8442"},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Katherine Jones","raw_affiliation_strings":["Warwick Medical School, University of Warwick, Warwick, CV4 7AL, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Warwick, CV4 7AL, England","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029011020","display_name":"Joy Adamson","orcid":"https://orcid.org/0000-0002-9860-0850"},"institutions":[{"id":"https://openalex.org/I52099693","display_name":"University of York","ror":"https://ror.org/04m01e293","country_code":"GB","type":"education","lineage":["https://openalex.org/I52099693"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Joy Adamson","raw_affiliation_strings":["York Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"York Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, England","institution_ids":["https://openalex.org/I52099693"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008351749","display_name":"Melissa Harden","orcid":"https://orcid.org/0000-0003-2338-6869"},"institutions":[{"id":"https://openalex.org/I4210088647","display_name":"Kleijnen Systematic Reviews (United Kingdom)","ror":"https://ror.org/004g82f36","country_code":"GB","type":"company","lineage":["https://openalex.org/I4210088647"]},{"id":"https://openalex.org/I52099693","display_name":"University of York","ror":"https://ror.org/04m01e293","country_code":"GB","type":"education","lineage":["https://openalex.org/I52099693"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Melissa Harden","raw_affiliation_strings":["Centre for Reviews and Dissemination, University of York, York, YO10 5DD, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Reviews and Dissemination, University of York, York, YO10 5DD, England","institution_ids":["https://openalex.org/I52099693","https://openalex.org/I4210088647"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036244746","display_name":"Catriona McDaid","orcid":"https://orcid.org/0000-0002-3751-7260"},"institutions":[{"id":"https://openalex.org/I52099693","display_name":"University of York","ror":"https://ror.org/04m01e293","country_code":"GB","type":"education","lineage":["https://openalex.org/I52099693"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Catriona McDaid","raw_affiliation_strings":["York Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"York Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, England","institution_ids":["https://openalex.org/I52099693"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006358843","display_name":"Amy Grove","orcid":"https://orcid.org/0000-0002-8027-7274"},"institutions":[{"id":"https://openalex.org/I79619799","display_name":"University of Birmingham","ror":"https://ror.org/03angcq70","country_code":"GB","type":"education","lineage":["https://openalex.org/I79619799"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Amy Grove","raw_affiliation_strings":["Centre for Evidence and Implementation Science, College of Social Sciences, University of Birmingham, Birmingham, B15 2RT, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Evidence and Implementation Science, College of Social Sciences, University of Birmingham, Birmingham, B15 2RT, England","institution_ids":["https://openalex.org/I79619799"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":5.5917,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.95506575,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"25","issue":"1","first_page":"216","last_page":"216"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.12849999964237213,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.12849999964237213,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10206","display_name":"Meta-analysis and systematic reviews","score":0.12290000170469284,"subfield":{"id":"https://openalex.org/subfields/1804","display_name":"Statistics, Probability and Uncertainty"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.10689999908208847,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.5156761407852173},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.5026135444641113},{"id":"https://openalex.org/keywords/decision-aids","display_name":"Decision aids","score":0.4827689230442047},{"id":"https://openalex.org/keywords/conceptual-framework","display_name":"Conceptual framework","score":0.4656931161880493},{"id":"https://openalex.org/keywords/conceptual-model","display_name":"Conceptual model","score":0.4128470718860626},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.40217864513397217},{"id":"https://openalex.org/keywords/management-science","display_name":"Management science","score":0.3614358901977539},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3609588146209717},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3097238540649414},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.17142322659492493},{"id":"https://openalex.org/keywords/sociology","display_name":"Sociology","score":0.11243394017219543},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.10534942150115967},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.10403057932853699}],"concepts":[{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5156761407852173},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.5026135444641113},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.4827689230442047},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.4656931161880493},{"id":"https://openalex.org/C13606891","wikidata":"https://www.wikidata.org/wiki/Q2623243","display_name":"Conceptual model","level":2,"score":0.4128470718860626},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.40217864513397217},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.3614358901977539},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3609588146209717},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3097238540649414},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.17142322659492493},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.11243394017219543},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.10534942150115967},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.10403057932853699},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000066491","descriptor_name":"Clinical Decision-Making","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000066491","descriptor_name":"Clinical Decision-Making","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000066491","descriptor_name":"Clinical Decision-Making","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009985","descriptor_name":"Orthopedics","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D009985","descriptor_name":"Orthopedics","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D009985","descriptor_name":"Orthopedics","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019317","descriptor_name":"Evidence-Based Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019637","descriptor_name":"Orthopedic Procedures","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D019637","descriptor_name":"Orthopedic Procedures","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D019637","descriptor_name":"Orthopedic Procedures","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1186/s12911-025-03032-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-03032-5","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-03032-5","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:40598225","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40598225","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:eprints.whiterose.ac.uk:229350","is_oa":false,"landing_page_url":"https://orcid.org/0000-0003-3518-2740>,","pdf_url":null,"source":{"id":"https://openalex.org/S4306400854","display_name":"White Rose Research Online (University of Leeds, The University of Sheffield, University of York)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I2800616092","host_organization_name":"White Rose University Consortium","host_organization_lineage":["https://openalex.org/I2800616092"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12211141","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12211141","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Inform Decis Mak","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:a9bfea5d15ad47cd8e6c27c8a2d34f5e","is_oa":true,"landing_page_url":"https://doaj.org/article/a9bfea5d15ad47cd8e6c27c8a2d34f5e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Informatics and Decision Making, Vol 25, Iss 1, Pp 1-15 (2025)","raw_type":"article"},{"id":"pmh:oai:pure.atira.dk:openaire_cris_publications/f8f0dc92-a9a7-442f-a613-fba07e34b238","is_oa":true,"landing_page_url":"https://research.birmingham.ac.uk/en/publications/f8f0dc92-a9a7-442f-a613-fba07e34b238","pdf_url":null,"source":{"id":"https://openalex.org/S4306402634","display_name":"University of Birmingham Research Portal (University of Birmingham)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I79619799","host_organization_name":"University of Birmingham","host_organization_lineage":["https://openalex.org/I79619799"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Scantlebury, A, Jones, K, Adamson, J, Harden, M, McDaid, C & Grove, A 2025, 'Can we ever have evidence-based decision making in orthopaedics? A qualitative evidence synthesis and conceptual framework', BMC Medical Informatics and Decision Making, vol. 25, 216. https://doi.org/10.1186/s12911-025-03032-5","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12911-025-03032-5","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-03032-5","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-03032-5","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.75,"display_name":"Peace, Justice and strong institutions","id":"https://metadata.un.org/sdg/16"}],"awards":[{"id":"https://openalex.org/G685313641","display_name":"Institutional Strategic Support Fund","funder_award_id":"204829","funder_id":"https://openalex.org/F4320311904","funder_display_name":"Wellcome Trust"}],"funders":[{"id":"https://openalex.org/F4320311904","display_name":"Wellcome Trust","ror":"https://ror.org/029chgv08"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4411901523.pdf","grobid_xml":"https://content.openalex.org/works/W4411901523.grobid-xml"},"referenced_works_count":51,"referenced_works":["https://openalex.org/W973946566","https://openalex.org/W1593550344","https://openalex.org/W1759865658","https://openalex.org/W2081052974","https://openalex.org/W2109305774","https://openalex.org/W2115977429","https://openalex.org/W2126340581","https://openalex.org/W2135572748","https://openalex.org/W2155209767","https://openalex.org/W2299177375","https://openalex.org/W2471908204","https://openalex.org/W2529385512","https://openalex.org/W2582521557","https://openalex.org/W2605245624","https://openalex.org/W2766402037","https://openalex.org/W2769961594","https://openalex.org/W2786763646","https://openalex.org/W2792224298","https://openalex.org/W2805236473","https://openalex.org/W2810701939","https://openalex.org/W2898893259","https://openalex.org/W2908304600","https://openalex.org/W2912947305","https://openalex.org/W2919575532","https://openalex.org/W2963366324","https://openalex.org/W2969400909","https://openalex.org/W2977611900","https://openalex.org/W2991224894","https://openalex.org/W3010973949","https://openalex.org/W3095619512","https://openalex.org/W3096965861","https://openalex.org/W3100709725","https://openalex.org/W3109166460","https://openalex.org/W3113344411","https://openalex.org/W3120700416","https://openalex.org/W3159285505","https://openalex.org/W3171041369","https://openalex.org/W3196528675","https://openalex.org/W3206181426","https://openalex.org/W3206958536","https://openalex.org/W3210766017","https://openalex.org/W4224871184","https://openalex.org/W4226149170","https://openalex.org/W4289667134","https://openalex.org/W4307091380","https://openalex.org/W4307846395","https://openalex.org/W4320519193","https://openalex.org/W4375946022","https://openalex.org/W4376504020","https://openalex.org/W4394749434","https://openalex.org/W4402514009"],"related_works":["https://openalex.org/W4391024416","https://openalex.org/W3213607208","https://openalex.org/W2548786942","https://openalex.org/W4294782963","https://openalex.org/W3188047445","https://openalex.org/W4360615222","https://openalex.org/W3196405127","https://openalex.org/W4212920570","https://openalex.org/W2323350421","https://openalex.org/W2037542244"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1],"perception":[2],"and":[3,14,35,42,46,51,54,84,96,130,138,150,182,213,239,253,302],"use":[4],"of":[5,29,73,94,163,173,199,208,220,229,251,307,332],"scientific":[6],"evidence":[7,97,333],"in":[8,19,81,108,195,210,222,279,295,311,317],"orthopaedic":[9,30,78,109,280,312],"surgical":[10,31,79,110,184,255,313],"decision-making":[11,74,99,192,209,256,294,308,342],"is":[12,16,104,194,234,319],"variable,":[13],"there":[15,103],"considerable":[17],"variation":[18,107],"practice.":[20,360],"A":[21,88,315],"previous":[22],"conceptual":[23,66,148,259],"framework":[24,67,149,162,260,287,298],"described":[25],"eight":[26],"different":[27,92],"drivers":[28,72,207,306],"decision-making:":[32],"formal":[33,47,266],"codified":[34,267],"managerial":[36],"knowledge,":[37,268],"medical":[38,174],"socialisation,":[39],"cultural,":[40],"normative":[41],"political":[43],"influence,":[44],"training":[45],"education,":[48],"experiential":[49,325],"factors,":[50],"individual":[52],"patient":[53],"surgeon":[55,237],"factors.":[56],"This":[57,297,338],"Qualitative":[58],"Evidence":[59],"Synthesis":[60],"(QES)":[61],"aims":[62],"to":[63,68,77,100,119,146,176,236,247,263,328,357],"refine":[64],"the":[65,147,191,218,300],"understand":[69],"how":[70,91,167,252],"these":[71,305],"are":[75,309],"applied":[76,310],"work":[80],"a":[82,170,188,196,211,276,285,344],"dynamic":[83,301],"fluid":[85,303],"way.":[86],"METHODS:":[87],"QES":[89],"explored":[90],"types":[93],"knowledge":[95,326],"inform":[98],"explore":[101],"why":[102,254,265],"so":[105],"much":[106],"work.":[111,314],"Nine":[112],"databases":[113],"were":[114,133,144,158],"systematically":[115],"searched":[116],"from":[117,322],"2014":[118],"2023.":[120],"Screening":[121],"was":[122],"undertaken":[123,134],"independently":[124],"by":[125,135,141,352],"two":[126],"researchers.":[127],"Data":[128],"extraction":[129],"quality":[131],"assessment":[132],"one":[136],"researcher":[137],"accuracy":[139],"checked":[140],"another.":[142],"Findings":[143],"mapped":[145],"expanded":[151],"through":[152,271],"thematic":[153],"synthesis.":[154],"RESULTS:":[155],"Twenty-five":[156],"studies":[157],"included.":[159],"Our":[160,258],"re-conceptualised":[161,286],"evidence-based":[164,330,354,359],"orthopaedics":[165,318],"portrays":[166],"surgeons":[168,204],"undergo":[169],"constant":[171,197],"process":[172,193],"brokering":[175],"make":[177],"decisions.":[178],"Routinely":[179],"standardising,":[180],"implementing":[181],"regulating":[183],"decision":[185,223],"making":[186],"presents":[187],"challenge":[189],"when":[190],"state":[198],"flux.":[200],"We":[201,216,283],"found":[202],"that":[203,347],"constantly":[205],"prioritise":[206],"flexible":[212],"context-specific":[214],"manner.":[215],"introduce":[217],"concept":[219],"socialisation":[221,228],"making,":[224],"which":[225,242],"describes":[226],"\"the":[227],"factors":[230],"affecting":[231],"decision-making.":[232,281,337],"Socialisation":[233],"additive":[235],"identity":[238],"organisational":[240],"capacity,":[241],"as":[243,334,343],"explanatory":[244],"linchpins":[245],"act":[246],"mediate":[248],"our":[249],"understanding":[250,289],"varies.":[257],"allows":[261],"us":[262],"rationalise":[264],"typically":[269],"endorsed":[270],"clinical":[272],"guidelines,":[273],"consistently":[274],"plays":[275],"limited":[277],"role":[278],"CONCLUSIONS:":[282],"present":[284],"for":[288,336],"what":[290],"drives":[291],"real":[292],"world":[293],"orthopaedics.":[296],"highlights":[299],"way":[304],"shift":[316],"required":[320],"away":[321],"prioritising":[323],"informal,":[324],"first":[327],"incorporating":[329],"sources":[331],"essential":[335],"paradigm":[339],"shift,":[340],"views":[341],"complex":[345],"intervention,":[346],"requires":[348],"alternative":[349],"approaches":[350],"underpinned":[351],"multi-faceted,":[353],"implementation":[355],"strategies":[356],"encourage":[358],"REGISTRATION:":[361],"PROSPERO":[362],"CRD42022311442":[363],"CLINICAL":[364],"TRIAL":[365],"NUMBER:":[366],"Not":[367],"applicable.":[368]},"counts_by_year":[{"year":2026,"cited_by_count":3}],"updated_date":"2026-07-02T09:51:11.867554","created_date":"2025-10-10T00:00:00"}