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Outcomes research: what to measure.

J G Wright1

  • 1Division of Orthopaedic Surgery, The Hospital for Sick Children and Clinical Epidemiology Health Care Evaluation Program, University of Toronto, 555 University Avenue, Room S-107, Toronto, Ontario M5G 1X8, Canada.

World Journal of Surgery
|November 7, 1999
PubMed
Summary

Surgeons evaluate treatment effectiveness using various outcome measures. Combining disease process, patient-based health, and satisfaction outcomes provides a comprehensive assessment of surgical success.

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Area of Science:

  • Surgical outcomes assessment
  • Health services research

Background:

  • Surgeons traditionally rely on disease process measures to evaluate treatment efficacy.
  • Patient-based outcomes are crucial for understanding treatment benefits from the patient's perspective.

Purpose of the Study:

  • To explore the role of different outcome measures in assessing surgical treatment effectiveness.
  • To highlight the complementary nature of disease-specific, generic health, and patient satisfaction measures.

Main Methods:

  • Review of common outcome assessment strategies in surgery.
  • Discussion of the distinct information provided by disease process, patient-based health, and satisfaction measures.

Main Results:

  • Disease process measures assess structural or functional abnormalities.
  • Patient-based outcomes (health, quality of life) gauge patient improvement.
  • Patient satisfaction offers insights into care and outcome perception.

Conclusions:

  • Multiple outcome measures offer complementary data for evaluating surgical effectiveness.
  • Integrating disease process, patient-based health, and satisfaction outcomes provides a holistic view.
  • Comprehensive outcome assessment is essential for determining the true impact of surgical interventions.

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