Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League.pdf (435.1 kB)
Ethics, evidence based sports medicine, and the use of platelet rich plasma in the English Premier League
journal contribution
posted on 2018-10-17, 12:44 authored by M.J. McNamee, Katie CoveneyKatie Coveney, A. Faulkner, Jonathan GabeThe 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 AnalysisCitation
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 AuthorsVersion
- 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
2018Notes
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
1065-3058eISSN
1573-3394Publisher version
Language
- en