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Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League

Michael McNamee Orcid Logo, C. M. Coveney, A. Faulkner, J. Gabe

Health Care Analysis, Volume: 26, Issue: 4, Pages: 344 - 361

Swansea University Author: Michael McNamee Orcid Logo

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DOI (Published version): 10.1007/s10728-017-0345-7

Abstract

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 produce...

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Published in: Health Care Analysis
ISSN: 1065-3058 1573-3394
Published: 2018
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URI: https://cronfa.swan.ac.uk/Record/cronfa34675
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first_indexed 2017-07-17T20:14:47Z
last_indexed 2021-01-15T03:54:22Z
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spelling 2021-01-14T13:48:07.6404443 v2 34675 2017-07-17 Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League 85b0b1623e55d977378622a6aab7ee6e 0000-0002-5857-909X Michael McNamee Michael McNamee true false 2017-07-17 STSC 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. Journal Article Health Care Analysis 26 4 344 361 1065-3058 1573-3394 Ethics, Evidence based medicine, Placebo, Professionalism, Sports medicine 1 12 2018 2018-12-01 10.1007/s10728-017-0345-7 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2021-01-14T13:48:07.6404443 2017-07-17T15:59:32.5841315 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences Michael McNamee 0000-0002-5857-909X 1 C. M. Coveney 2 A. Faulkner 3 J. Gabe 4 34675__17806__00bce3104de548999d2fb5eba4972804.pdf mcnamee2017(2).pdf 2020-07-29T12:37:58.6915340 Output 435277 application/pdf Version of Record true Released under the terms of a Creative Commons Attribution License (CC-BY). true eng http://creativecommons.org/licenses/by/4.0/
title Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
spellingShingle Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
Michael McNamee
title_short Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_full Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_fullStr Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_full_unstemmed Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
title_sort Ethics, Evidence Based Sports Medicine, and the Use of Platelet Rich Plasma in the English Premier League
author_id_str_mv 85b0b1623e55d977378622a6aab7ee6e
author_id_fullname_str_mv 85b0b1623e55d977378622a6aab7ee6e_***_Michael McNamee
author Michael McNamee
author2 Michael McNamee
C. M. Coveney
A. Faulkner
J. Gabe
format Journal article
container_title Health Care Analysis
container_volume 26
container_issue 4
container_start_page 344
publishDate 2018
institution Swansea University
issn 1065-3058
1573-3394
doi_str_mv 10.1007/s10728-017-0345-7
college_str Faculty of Science and Engineering
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hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
document_store_str 1
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description 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.
published_date 2018-12-01T03:43:02Z
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score 11.012678

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