Wong Sandra L, McCahill Laurence E, Edge Stephen B, Askew Robert L, Beitsch Peter D, Kollmorgen Daniel R, Anthony Thomas, Petrelli Nicholas J, Leong Stanley P L, Cormier Janice N
Department of Surgery, Division of Surgical Oncology, University of Michigan, 1500 E. Medical Center Drive, 3310 CCC, Ann Arbor, MI, 48109-5932, USA.
Ann Surg Oncol. 2008 Sep;15(9):2363-71. doi: 10.1245/s10434-008-9946-6. Epub 2008 May 10.
The Society of Surgical Oncology (SSO) created a task force to address the issue of surgical outcomes as it pertains to clinical practice. A survey of its members was conducted to determine which domains of "outcomes" are important and relevant to surgical oncologists.
Participation of 1,929 SSO members was solicited via e-mail; 1,881 messages were successfully delivered. The survey instrument was administered via a web-based portal. The questionnaire was comprised of three parts: demographic information; rating scales to assess interest, involvement, and knowledge in the various domains of surgical outcomes; and questions to elicit preferences and opinions on current topics in the field of surgical outcomes.
There was an overall response rate of 30% (570 of 1,881). Respondents were representative of the general membership with respect to demographics acquired in self-reported profiles. Most members valued the clinical application of evidence-based medicine, adoption of new technologies, and quality monitoring of cancer care as particularly important areas in outcomes research. SSO members also rated quality improvement measures as important. However, there is uncertainty whether current efforts to enforce quality indicators by third party payers or with public accountability would be helpful.
Overall, this survey successfully delineated beliefs and views of the SSO members with regard to areas of particular interest in surgical outcomes, including improving the quality of cancer care. These findings have implications for planning future agendas for outcomes and health service research and in guiding national policy efforts on behalf of all SSO members.
外科肿瘤学会（SSO）成立了一个特别工作组，以解决与临床实践相关的手术结果问题。对其成员进行了一项调查，以确定“结果”的哪些领域对外科肿瘤学家来说是重要且相关的。
通过电子邮件邀请1929名SSO成员参与；成功发送了1881条消息。调查工具通过基于网络的门户进行管理。问卷由三部分组成：人口统计学信息；用于评估对外科手术结果各个领域的兴趣、参与度和知识的评分量表；以及关于引出对外科手术结果领域当前主题的偏好和意见的问题。
总体回复率为30%（1881人中的570人）。在自我报告的个人资料中获取的人口统计学方面，受访者代表了全体成员。大多数成员认为循证医学的临床应用、新技术的采用以及癌症护理的质量监测是结果研究中特别重要的领域。SSO成员也将质量改进措施评为重要。然而，目前第三方付款人或公共问责制下执行质量指标的努力是否会有帮助尚不确定。
总体而言，这项调查成功地描绘了SSO成员对外科手术结果特别感兴趣领域的信念和观点，包括提高癌症护理质量。这些发现对规划结果和卫生服务研究的未来议程以及代表所有SSO成员指导国家政策努力具有启示意义。
