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Table 1 Case study setting and participants

From: How are evidence and knowledge used in orthopaedic decision-making? Three comparative case studies of different approaches to implementation of clinical guidance in practice

Descriptor Case study A Case study B Case study C
Setting Orthopaedic trauma centre Small hospital Trust split between two geographical sites. Therefore the orthopaedic services were separated across two hospital buildings Large orthopaedic department with specialist trauma centre which received national referrals for complex hip implant revision surgery
University link Teaching hospital with a designated academic orthopaedic department located in a university owned building within the NHS hospital None Teaching hospital
Participants A majority of surgeons held joint posts between the NHS and the same university department. The staff conducted clinical effectiveness and cost-effectiveness research, mainly national randomised controlled trials of various techniques and treatments within orthopaedic surgery Surgeons provided general orthopaedic services to the local population supported by a designated group of allied health professionals Surgeons in the teaching hospital held contracts with the NHS hospital. A minority of surgeons held honorary contracts with one of the four universities in the region, i.e. they were not from the same academic department