We recently came across this editorial that pointed out the divergence between evidence and practice. In it the author points out that in spite of the substantial evidence that hyaluronate injections (viscosupplementation) are ineffective, the market value of these products is expected to exceed $2.6 Billion by 2021.
He points to three questions we should ask about any treatment we use: (1) is it effective? (2) is it safe? and (3) is it worth the cost?
This editorial is recommended reading for all of us who are tempted by 'novel' approaches, drugs, and implants.
We could say that the burden of proof lies with the advocates for a new technology, perhaps restating the author's questions: (1) is it more effective than what we are currently using? (2) is it safer than what we are currently using? and (3) is it worth the increased cost over what we are currently using?
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