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Comparative effectiveness research in hand surgery.

Shepard P Johnson¹, Kevin C Chung²

¹Department of Surgery, Saint Joseph Mercy Hospital, 5333 McAuley Drive, Reichert Health Building, Suite R-2111, Ann Arbor, MI 48197, USA.

|July 29, 2014

Summary

This summary is machine-generated.

Comparative effectiveness research (CER) evaluates medical interventions to improve healthcare decisions. More CER data is needed in hand surgery, requiring detailed electronic health records with patient outcomes.

Keywords:

Comparative effectiveness research Hand surgery Large databases Patient-reported outcomes

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Area of Science:

Health Services Research
Clinical Effectiveness Research

Background:

Comparative effectiveness research (CER) aims to inform medical decision-making by evaluating alternative interventions.
This research is federally funded and often utilizes large, observational studies with electronic databases.

Purpose of the Study:

To highlight the need for comparative effectiveness evidence in hand surgery.
To identify requirements for utilizing electronic health records for hand surgery CER.

Main Methods:

Review of the principles and common methodologies of comparative effectiveness research.
Assessment of the current state of evidence in hand surgery.

Main Results:

There is a significant lack of comparative effectiveness evidence in hand surgery.
Existing electronic health records may lack the necessary clinical detail and patient-reported outcomes for robust CER.

Conclusions:

Hand surgery requires more robust CER to guide therapeutic decisions.
Electronic health record databases need enhancement with relevant clinical information and patient outcomes for effective CER in hand surgery.