Is our evidence‐based practice effective?

John Holden (Garswood Surgery, Garswood, UK)
Emma Wooff (Garswood Surgery, Garswood, UK)

Clinical Governance: An International Journal

ISSN: 1477-7274

Publication date: 1 December 2005



The purpose of this article is to review all patients having received a steroid injection for rheumatic problems in the period 1995‐2003 by one general practitioner.


Self‐completion questionnaire given to patients at the time of the injection to be returned after one month.


Most of the 435 patients (92 per cent) were pleased that they had received the injection. Pain was relieved better than mobility. Results for different sites were similar. Complication rates were low and many patients had further steroid injections.

Practical implications

It is feasible to collect large series reviewing the outcome of interventions in general practice. Results can be usefully compared with those obtained in randomised controlled trials.


This is the largest review of steroid injections carried out in a single general practice in the UK. It provides information with which others can compare their own practice and results, especially in primary care.



Holden, J. and Wooff, E. (2005), "Is our evidence‐based practice effective?", Clinical Governance: An International Journal, Vol. 10 No. 4, pp. 276-280.

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Emerald Group Publishing Limited

Copyright © 2005, Emerald Group Publishing Limited

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