A survey on beliefs and attitudes of trainee surgeons towards placebo.
A survey on beliefs and attitudes of trainee surgeons towards placebo.
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对学员外科医生对安慰剂的信念和态度的调查。
DOI：
10.1186/s12893-016-0142-5
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发表时间：
2016-04-27
期刊：
影响因子：
1.9
通讯作者：
Carr AJ
中科院分区：
文献类型：
--
作者：
Baldwin MJ;Wartolowska K;Carr AJ
本研究的目的是调查见习外科医生在手术实践和研究中对安慰剂干预的信念和态度，并将其与资深骨科医生进行比较。参与在线调查的邀请已发送至英国骨科实习生协会 (BOTA) 会员数据库中的所有电子邮件地址。 BOTA 的所有 987 名成员均受邀参与调查，并有 189 名成员做出回应（19%）。大多数学员认为安慰剂效应是真实的（88%），具有治疗益处（88%）并且安慰剂操作是允许的（98%）。 60% 的受访者同意安慰剂可以在研究之外使用，最常见的是区分器质性和非器质性症状 (36%)。与资深外科医生相比，实习生更有可能使用安慰剂来控制疼痛（34% vs. 12%）。他们主要担心与使用安慰剂相关的副作用风险（80%），并且更喜欢侵入性最小的安慰剂干预措施。 73% 的受访者将招募患者参加拟议的随机对照手术试验。受训者对安慰剂的功效、允许性和适应症的看法与骨科顾问的看法相似。骨科学员认为安慰剂是允许的，并表示愿意招募参加安慰剂对照试验。然而，他们似乎对安慰剂效应的机制了解有限，并低估了它的普遍性。本文的在线版本 (doi:10.1186/s12893-016-0142-5) 包含补充材料，可供授权用户使用。
The aim of this study was to investigate the beliefs and attitudes of trainee surgeons regarding placebo interventions, in surgical practice and in research, and to compare them to those of senior orthopaedic surgeons. An invitation to participate in an online survey was sent to all the email addresses in the members’ database of the British Orthopaedic Trainees Association (BOTA). All 987 members of BOTA were invited to participate in the survey and 189 responded (19 %). The majority of trainees think that the placebo effect is real (88 %), has therapeutic benefits (88 %) and that placebo manipulations are permissible (98 %). Sixty per cent of respondents agree that placebo can be used outside of research, most commonly, to distinguish between organic and non-organic symptoms (36 %). Trainees are more likely than senior surgeons to use placebo for pain management (34 % vs. 12 %). They are mainly concerned about the risk of side effects associated with the use of placebo (80 %) and prefer placebo interventions with minimal invasiveness. Seventy-three per cent respondents would recruit patients into the proposed randomised controlled surgical trial. The views regarding efficacy, permissibility and indications for placebo among trainees are similar to those of orthopaedic consultants. Orthopaedic trainees regard placebo as permissible and show willingness to recruit into placebo-controlled trials. However, they seem to have limited understanding of mechanisms of placebo effect and underestimate its ubiquity. The online version of this article (doi:10.1186/s12893-016-0142-5) contains supplementary material, which is available to authorized users.