Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League.pdf (435.1 kB)
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Ethics, evidence based sports medicine, and the use of platelet rich plasma in the English Premier League

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posted on 17.10.2018 by M.J. McNamee, Katie Coveney, A. Faulkner, Jonathan Gabe
The use of platelet rich plasma (PRP) as a novel treatment is discussed in the context of a qualitative research study comprising 38 interviews with sports medicine 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 judgment 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.

Funding

This study was funded by the Economic and Social Research Council, Grant Number ES/K010956/1.

History

School

  • Social Sciences

Department

  • Communication, Media, Social and Policy Studies

Published in

Health Care Analysis

Citation

MCNAMEE, M.J. ... et al, 2018. Ethics, evidence based sports medicine, and the use of platelet rich plasma in the English Premier League. Health Care Analysis, 26 (4), pp.344–361.

Publisher

Springer © The Authors

Version

VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution 4.0 International (CC BY 4.0) licence. Full details of this licence are available at: http://creativecommons.org/licenses/ by/4.0/

Publication date

2018

Notes

This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

ISSN

1065-3058

eISSN

1573-3394

Language

en

Licence

Exports