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Ultimately, the variation in practice is driven by a paucity of high-quality comparative evidence [28], leading the National Institute for Health and Care Research (NIHR) in the United Kingdom to commission a randomized controlled trial on posterior laminectomy with fixation for DCM (POLYFIX-DCM).
As part of the design process of the POLYFIX-DCM trial, it was important to establish where surgeons had uncertainty or clinical equipoise in the absence of clear evidence.
JMIR Form Res 2023;7:e48321
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