tailieunhanh - Kết quả nghiên cứu trong Chỉnh hình

Một chương trình nghị sự mới trong kết quả nghiên cứu đã phát triển trong thập kỷ qua. Các gói kích thích đã đến như là kết quả của chi phí chăm sóc nhanh chóng gia tăng sức khỏe, đánh dấu sự thay đổi trong sử dụng các dịch vụ chăm sóc sức khỏe, và sự thiếu hụt trong các tài liệu nghiên cứu. | Outcomes Research in Orthopaedics Robert B. Keller MD Abstract A new agenda in outcomes research has developed in the past decade. The stimulus has come as the result of rapidly increasing health care costs marked variations in utilization of health care services and deficiencies in the research literature. Outcomes research includes methods such as analysis of large databases small-area analysis structured literature reviews meta-analysis prospective clinical trials decision analysis and guideline development. Clinical research should be prospective and should employ modern statistical and assessment methods. The focus of this research is on patient-oriented outcomes of care rather than on assessments of the process of care. To illustrate these applications in orthopaedics lumbar spine fusion with internal fixation for spinal instability is presented as an example. Completed large-database analyses small-area variation studies and a meta-analysis indicate the need for clinical studies. An outline of the form and content of such a study is presented. J Am Acad Orthop Surg 1993 1 122-129 During the past 5 to 10 years a new term has appeared in the medical vocabulary outcomes research. The purpose of this article is to define and describe this new concept particularly as it relates to orthopaedic surgery. Additionally by using a clinical example the methods underlying this concept will be clarified. What is outcomes research and why do we need to be concerned about it Outcomes research can be simply defined as refined and enhanced clinical research. In this research there is an important focus on patient-based outcomes as opposed to measures of process of care. Patientbased outcomes are assessments that measure the results of care as they are perceived by patients. They include factors like pain function satisfaction and quality of life. Process measures include such factors as radiographic appearance range of motion and laboratory results. Additional new .