Surgical Outcome Reporting. Moving From a Comic to a Tragic Opera?
Fariba Abbassi1,2, Matthias Pfister1, Anja Domenghino1,2
1Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
Annals of Surgery
|February 7, 2024
Summary
Surgical outcome reporting quality in medical literature remains poor, with most studies failing to meet basic criteria. Standardized reporting is urgently needed to improve patient care and guidelines.
Area of Science:
- Medical research
- Surgical outcomes
- Publication quality
Background:
- The Lancet highlighted poor surgical outcome reporting in 1996, impacting surgical quality and patient care.
- Persistent deficiencies in reporting hinder advancements in surgical practice.
Purpose of the Study:
- To evaluate the current standard of surgical outcome reporting in medical journals.
- To propose recommendations for enhancing the quality of surgical outcome reporting.
Main Methods:
- Analysis of 627 articles on surgical outcomes from leading surgical and medical journals.
- Assessment of reporting quality using a 12-item checklist, including randomized controlled trials.
Main Results:
- Only 0.2% of articles met all reporting criteria; 57% met fewer than half.
- Cumulative morbidity burden (94%) and patient-reported outcomes (83%) were poorly reported.
- Higher impact journals and medical journals demonstrated better reporting quality for specific criteria.
Conclusions:
- Surgical outcome reporting quality has not improved significantly over two decades.
- Standardized reporting is crucial for accurate data interpretation and improved patient outcomes.
- Enhanced reporting will facilitate the development of evidence-based clinical guidelines.
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