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Related Experiment Videos

Perspectives on surgical indications. Implications for controls.

J L Seres1, R I Newman

  • 1Northwest Pain Center, Portland, OR 97216.

The Clinical Journal of Pain
|June 1, 1989
PubMed
Summary
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Many medical procedures are overused, indicating a need for stricter surgical indications. Developing focused guidelines can reduce patient suffering and healthcare costs.

Area of Science:

  • Medical research
  • Health economics
  • Surgical outcomes

Background:

  • Current surgical indications often fail to accurately predict patient outcomes.
  • A significant rate of overutilization exists for various procedures, including coronary angiography, coronary artery surgery, and back surgery.

Purpose of the Study:

  • To review the literature on the overutilization of common surgical procedures.
  • To advocate for the development of more specific and refined indications for surgical interventions.
  • To discuss the potential benefits of improved indications, such as cost savings and reduced patient suffering.

Main Methods:

  • Literature review of studies examining surgical indications and procedure utilization.
  • Analysis of trends in the development and application of surgical guidelines.

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  • Discussion of arguments for and against current approaches to surgical indications.

    • Main Results:

    • Evidence suggests widespread overutilization of procedures like coronary angiography, cardiac pacemakers, and pain-relieving surgeries.
    • There is a trend towards less specific indications and a "last resort" approach to interventions.
    • The current system of surgical indications does not reliably forecast outcomes.

    Conclusions:

    • Overutilization of surgical procedures is a significant issue with implications for patient well-being and healthcare expenditure.
    • There is a critical need for the development of tighter, more focused indications for surgical interventions.
    • Implementing evidence-based, specific indications can lead to substantial cost savings and a reduction in patient suffering.