Ozomaro Uzoezi, Gutierrez Juan C, Byrne Margaret M, Zimmers Teresa A, Koniaris Leonidas G
DeWitt Daughtry Department of Surgery and Sylvester Comprehensive Cancer Center, University of Miami School of Medicine, Miami, Florida, USA.
J Surg Res. 2007 Jul;141(1):16-21. doi: 10.1016/j.jss.2007.02.023.
To determine the relative contribution and importance of five surgical specialties (general surgery, urology, otolaryngology, neurosurgery, and orthopedics) to the total National Institutes of Health (NIH) funding at medical schools.
Publicly available NIH funding data from 1996 to 2004 were analyzed.
From 1998 through 2003 the NIH budget increased from 11.2 billion to 21.9 billion dollars. Overall, NIH funding to departments of medicine was the greatest contributor to any individual medical school's total NIH funding, comprising 28.4% of total NIH awards on average, with a correlation coefficient highly predictive of medical school's ranking for NIH awards (cc = 0.93). Total NIH funding by different surgical specialties varied greatly, both within and between institutions. Together all of the surgical subspecialties combined accounted for 4.8% of medical school NIH awards on average from the years 1996 to 2004. Among the surgical specialties, general surgery received the largest fraction of NIH dollars followed by otolaryngology, neurosurgery, urology, and orthopedics. Although general surgery had the highest overall correlation coefficient of the surgical departments during the early years of the study period (r = 0.71 in 1996), its correlation significantly decreased during the period of study (as low as r = 0.54 in 2002).
Surgical departments as an aggregate have continued to receive a stable overall fraction of NIH awards. The total funding to the different surgical departments varies considerably between institutions and does not correlate well with total institutional funding. The downward trend in the correlation of general surgery funding to total institutional funding suggests a decline in support for surgical research in this specialty nationwide.
确定五个外科专业（普通外科、泌尿外科、耳鼻喉科、神经外科和骨科）对医学院校美国国立卫生研究院（NIH）总资助的相对贡献及重要性。
分析了1996年至2004年公开的NIH资助数据。
从1998年到2003年，NIH预算从112亿美元增加到219亿美元。总体而言，NIH对医学院各医学系的资助是任何一所医学院NIH总资助的最大贡献者，平均占NIH总奖励的28.4%，相关系数对医学院在NIH奖励方面的排名具有高度预测性（cc = 0.93）。不同外科专业的NIH总资助在机构内部和机构之间差异很大。1996年至2004年期间，所有外科亚专业加起来平均占医学院NIH奖励的4.8%。在外科专业中，普通外科获得的NIH资金份额最大，其次是耳鼻喉科、神经外科、泌尿外科和骨科。尽管在研究初期普通外科在外科科室中总体相关系数最高（1996年r = 0.71），但其相关性在研究期间显著下降（2002年低至r = 0.54）。
作为一个整体，外科科室继续获得稳定的NIH奖励总体份额。不同外科科室获得的总资助在机构之间差异很大，且与机构总资助的相关性不佳。普通外科资助与机构总资助之间相关性的下降趋势表明全国范围内该专业外科研究的支持力度在下降。
