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

McNamee, M J, Coveney, C M, Faulkner, A and Gabe, J (2017) Ethics, evidence based sports medicine, and the use of platelet rich plasma in the English Premier League. Health Care Analysis. ISSN 1065-3058

[img] PDF - Accepted Version
Available under License Creative Commons Attribution.

Download (558kB)

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 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.

Item Type: Article
Schools and Departments: School of Global Studies > International Relations
Related URLs:
Depositing User: Sharon Krummel
Date Deposited: 04 Sep 2017 15:48
Last Modified: 04 Sep 2017 15:54
URI: http://sro.sussex.ac.uk/id/eprint/70002

View download statistics for this item

📧 Request an update