Abstract

Dear Sir,The importance of evidence-based medicine has been emphasized for many years. Levels of evidence range from I to V, where level I studies are most rigorously designed and represent the ‘best evidence’. Randomized controlled trials (RCTs) are recognized as the ‘gold standard’ for evaluating interventions. However, there is a paucity of high level evidence in surgical literature. The quality of hand surgery publications has not been fully reported. Our study evaluated levels of evidence and quality of RCTs in hand and wrist surgery publica-tions in

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