Henderson Amanda, Henderson Simon
c/o Cochrane Consumers & Communication Review Group, Australian Institute for Primary Care and Ageing, La Trobe University, Bundoora, Victoria, Australia, 3086.
Cochrane Database Syst Rev. 2010 Nov 10(11):CD006327. doi: 10.1002/14651858.CD006327.pub2.
A consumer model of health supports that elective surgery patients should be informed about the past operative performance of their surgeon before making two important decisions: 1) to consent to the proposed surgery, and 2) to have a particular doctor perform the surgery. This information arguably helps empower patients to participate in their care. While surgeons' performance data are available in some settings there continues to be controversy over the provision of such data to patients, and the question of whether consumers should, or want to, be provided with this information.
To assess the effects of providing a surgeon's performance data to people considering elective surgery.
We searched the following databases: Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, 20 Oct 2009); MEDLINE (Ovid) (28 Sep 2009); EMBASE (Ovid) (28 Sep 2009); PsycINFO (Ovid) (28 Sep 2009); CINAHL (Ebsco) (20 Oct 2009), Current Contents (Ovid) (23 Nov 2009), and Proquest Dissertations and Theses (20 October 2009). We searched all databases from their start dates.
Randomised and cluster randomised controlled trials (RCTs), quasi-RCTs and controlled before and after studies, in which an individual surgeon's performance data were provided to patients considering elective surgery.
Two review authors independently assessed the titles and abstracts of retrieved citations. No studies were identified for inclusion. Consequently, no data collection or analysis was conducted.
We found no studies that met the inclusion criteria, therefore there are no results to report on the effect of the provision of a surgeon's performance data for people considering elective surgery.
AUTHORS' CONCLUSIONS: We found no studies reporting the impact of the provision of a surgeon's performance data for people considering elective surgery. This is an important finding in itself. While the public reporting of a surgeon's performance is not a new concept, the efficacy of this data for individual patients has not been empirically tested. We recommend that a review of qualitative studies or new primary qualitative research be conducted to determine what interventions are currently in use and explore the attitudes of consumers and professionals towards such interventions.
健康的消费者模式支持，在做出两项重要决定之前，择期手术患者应了解其外科医生过去的手术表现：1）同意拟进行的手术；2）让特定的医生实施手术。可以说，这些信息有助于增强患者参与自身治疗的能力。虽然在某些情况下可获取外科医生的表现数据，但对于向患者提供此类数据以及消费者是否应该或希望获得这些信息的问题，仍存在争议。
评估向考虑择期手术的人群提供外科医生表现数据的效果。
我们检索了以下数据库：Cochrane对照试验中心注册库（CENTRAL，Cochrane图书馆，2009年10月20日）；MEDLINE（Ovid）（2009年9月28日）；EMBASE（Ovid）（2009年9月28日）；PsycINFO（Ovid）（2009年9月28日）；CINAHL（Ebsco）（2009年10月20日），现刊目次（Ovid）（2009年11月23日），以及Proquest学位论文数据库（2009年10月20日）。我们从各数据库起始日期开始检索。
随机对照试验（RCT）、整群随机对照试验、半随机对照试验以及前后对照研究，其中向考虑择期手术的患者提供了个体外科医生的表现数据。
两位综述作者独立评估检索到的文献的标题和摘要。未识别出符合纳入标准的研究。因此，未进行数据收集或分析。
我们未发现符合纳入标准的研究，所以没有关于向考虑择期手术的人群提供外科医生表现数据的效果的结果可报告。
我们未发现有研究报告向考虑择期手术的人群提供外科医生表现数据的影响。这本身就是一个重要发现。虽然公开报告外科医生的表现并非新概念，但这些数据对个体患者的疗效尚未经过实证检验。我们建议进行定性研究综述或开展新的原发性定性研究，以确定目前正在使用哪些干预措施，并探讨消费者和专业人员对这些干预措施的态度。
