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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
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.
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.
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