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Faulkner. Accepted preproof revised PRP HCA paper Jul017.pdf (545.34 kB)

Ethics, evidence based sports medicine, and the use of platelet rich plasma in the English Premier League

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posted on 2023-06-09, 07:48 authored by M J McNamee, C M Coveney, Alex Faulkner, J 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.

History

Publication status

  • Published

File Version

  • Accepted version

Journal

Health Care Analysis

ISSN

1065-3058

Publisher

Springer Verlag

Issue

4

Volume

26

Page range

344-361

Department affiliated with

  • International Relations Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2017-09-04

First Open Access (FOA) Date

2017-09-04

First Compliant Deposit (FCD) Date

2017-09-04

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