caa a22 4500 475780299 CHVBK 20180406123642.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s004640000220 doi (NATIONALLICENCE)springer-10.1007/s004640000220 Outcomes assessment and minimally invasive surgery [Elektronische Daten] Historical perspective and future directions [S. Archer, M. Sims, R. Giklich, B. Traverso, B. Laycock, B. Wolfe, K. Apfelgren, R. Fitzgibbons, J. Hunter] Background: Outcomes assessment is being used increasingly to shape practice patterns in all areas of medicine. Although outcomes assessment is not a new concept, the widespread application of outcomes measurement for modifying practice is novel. Instead of focusing on results of interventions in highly controlled environments, outcomes studies usually report results as they occur in uncontrolled, real-world environments. Recently, the Society, of American Gastrointestinal Endoscopic Surgeons (SAGES) has initiated a society-wide initiative to monitor outcomes in patients undergoing various laparoscopic operations. Methods: Pertinent literature is reviewed as it relates to outcomes assessment. The historical background underpinning the modern interest in outcomes is outlined. Definitions of terms useful for understanding outcomes research are given. The impact of outcomes assessment on minimally invasive surgery, both positive and negative, are examined. The SAGES outcome initiative is introduced. Conclusions: Although outcomes studies usually do not provide information on the causes of observations made, they have gained in popularity because they provide information about patient perceptions of disease, disability, and treatment. Minimally invasive surgical procedures often are reported in terms of outcomes assessment because a controlled clinical trial was rendered impossible by early and widespread application of laparoscopic surgery. The SAGES outcomes initiative will provide the necessary tools for the participation of surgeons in the process of practice profiling. Springer-Verlag, 2000 Laparoscopy nationallicence Minimally invasive surgery nationallicence Outcomes nationallicence Archer S. Department of Surgery, Emory University, 1364 Clifton Road, NE, Room H122 B, 30322, Atlanta, GA, USA aut Sims M. Outcomes Sciences, Boston, MA aut Giklich R. Outcomes Sciences, Boston, MA aut Traverso B. Virginia Mason Medical Center, Seattle, WA aut Laycock B. Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH aut Wolfe B. Department of Surgery, UC Davis Medical Center, Sacramento, CA aut Apfelgren K. Michigan State Univ., Lansing, MI aut Fitzgibbons R. Creighton University, Omaha, NE aut Hunter J. Department of Surgery, Emory University, 1364 Clifton Road, NE, Room H122 B, 30322, Atlanta, GA, USA aut Surgical Endoscopy Springer-Verlag 14/10(2000-10-01), 883-890 0930-2794 14:10<883 2000 14 464 https://doi.org/10.1007/s004640000220 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000220 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Archer S. Department of Surgery, Emory University, 1364 Clifton Road, NE, Room H122 B, 30322, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Sims M. Outcomes Sciences, Boston, MA aut NATIONALLICENCE 700 1- Giklich R. Outcomes Sciences, Boston, MA aut NATIONALLICENCE 700 1- Traverso B. Virginia Mason Medical Center, Seattle, WA aut NATIONALLICENCE 700 1- Laycock B. Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH aut NATIONALLICENCE 700 1- Wolfe B. Department of Surgery, UC Davis Medical Center, Sacramento, CA aut NATIONALLICENCE 700 1- Apfelgren K. Michigan State Univ., Lansing, MI aut NATIONALLICENCE 700 1- Fitzgibbons R. Creighton University, Omaha, NE aut NATIONALLICENCE 700 1- Hunter J. Department of Surgery, Emory University, 1364 Clifton Road, NE, Room H122 B, 30322, Atlanta, GA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/10(2000-10-01), 883-890 0930-2794 14:10<883 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer