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Related Experiment Video

Updated: May 2, 2026

Intraoperative Ultrasound in Spinal Surgery
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Published on: August 17, 2022

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Outcomes reported in high-impact surgical journals.

I Antonescu1, C L Mueller, G M Fried

  • 1Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada.

The British Journal of Surgery
|March 12, 2014
PubMed
Summary

Patient-reported outcomes (PROs) are crucial for evaluating surgical quality but are inconsistently used. This study highlights the need for better integration of PROs alongside traditional surgical endpoints in clinical research.

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Last Updated: May 2, 2026

Intraoperative Ultrasound in Spinal Surgery
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Area of Science:

  • Surgical outcomes research
  • Patient-centered care evaluation

Background:

  • Traditional surgical outcome measures like morbidity and mortality are insufficient.
  • Patient-reported outcomes (PROs) are increasingly vital for assessing surgical intervention effectiveness and quality.

Purpose of the Study:

  • To identify outcomes reported in high-impact surgical journals.
  • To determine the frequency of patient-reported outcomes (PROs) usage in surgical studies.

Main Methods:

  • Hand-searched four high-impact surgical journals (2008-2012).
  • Included clinical studies of adult patients undergoing planned abdominal, thoracic, or vascular surgery.
  • Classified reported outcomes using Wilson and Cleary's conceptual model.

Main Results:

  • 91.6% of studies reported biological/physiological outcomes; PROs were used in 38.7% overall.
  • Use of formal health-related quality of life (QoL) measures varied by journal, from 8.9% to 33.8%.
  • British Journal of Surgery (BJS) showed higher PRO reporting (73.4%) compared to others.

Conclusions:

  • Predominant reporting of clinical endpoints necessitates improved application of PROs.
  • Further research and education are needed to enhance PRO integration in surgical settings.