Outcomes assessment and minimally invasive surgery

Historical perspective and future directions

S. B. Archer, M. M. Sims, R. Giklich, B. Traverso, B. Laycock, B. M. Wolfe, K. N. Apfelgren, Robert Joseph Fitzgibbons, J. G. Hunter

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

Background: Outcomes assessment is being used increasingly to shape practice patterns in all areas of medicine. Although outcomes assessment is not a new concept, the widespread application of outcomes measurement for modifying practice is novel. Instead of focusing on results of interventions in highly controlled environments, outcomes studies usually report results as they occur in uncontrolled, real-world environments. Recently, the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) has initiated a society-wide initiative to monitor outcomes in patients undergoing various laparoscopic operations. Methods: Pertinent literature is reviewed as it relates to outcomes assessment. The historical background underpinning the modern interest in outcomes is outlined. Definitions of terms useful for understanding outcomes research are given. The impact of outcomes assessment on minimally invasive surgery, both positive and negative, are examined. The SAGES outcome initiative is introduced. Conclusions: Although outcomes studies usually do not provide information on the causes of observations made, they have gained in popularity because they provide information about patient perceptions of disease, disability, and treatment. Minimally invasive surgical procedures often are reported in terms of outcomes assessment because a controlled clinical trial was rendered impossible by early and widespread application of laparoscopic surgery. The SAGES outcomes initiative will provide the necessary tools for the participation of surgeons in the process of practice profiling.

Original languageEnglish
Pages (from-to)883-890
Number of pages8
JournalSurgical Endoscopy
Volume14
Issue number10
DOIs
StatePublished - 2000
Externally publishedYes

Fingerprint

Minimally Invasive Surgical Procedures
Outcome Assessment (Health Care)
Controlled Environment
Direction compound
Controlled Clinical Trials
Laparoscopy
Medicine
Surgeons

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Archer, S. B., Sims, M. M., Giklich, R., Traverso, B., Laycock, B., Wolfe, B. M., ... Hunter, J. G. (2000). Outcomes assessment and minimally invasive surgery: Historical perspective and future directions. Surgical Endoscopy, 14(10), 883-890. https://doi.org/10.1007/s004640000220

Outcomes assessment and minimally invasive surgery : Historical perspective and future directions. / Archer, S. B.; Sims, M. M.; Giklich, R.; Traverso, B.; Laycock, B.; Wolfe, B. M.; Apfelgren, K. N.; Fitzgibbons, Robert Joseph; Hunter, J. G.

In: Surgical Endoscopy, Vol. 14, No. 10, 2000, p. 883-890.

Research output: Contribution to journalReview article

Archer, SB, Sims, MM, Giklich, R, Traverso, B, Laycock, B, Wolfe, BM, Apfelgren, KN, Fitzgibbons, RJ & Hunter, JG 2000, 'Outcomes assessment and minimally invasive surgery: Historical perspective and future directions', Surgical Endoscopy, vol. 14, no. 10, pp. 883-890. https://doi.org/10.1007/s004640000220
Archer, S. B. ; Sims, M. M. ; Giklich, R. ; Traverso, B. ; Laycock, B. ; Wolfe, B. M. ; Apfelgren, K. N. ; Fitzgibbons, Robert Joseph ; Hunter, J. G. / Outcomes assessment and minimally invasive surgery : Historical perspective and future directions. In: Surgical Endoscopy. 2000 ; Vol. 14, No. 10. pp. 883-890.
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