Khandelwal Rohan, Agarwal Brij B
VMMC Safdarjang Hospital, Sir Ganga Ram Hospital and Association of Surgeons of India, New Delhi, India.
Indian J Surg. 2012 Jun;74(3):213-6. doi: 10.1007/s12262-012-0585-6. Epub 2012 Jun 17.
Surgery like all fields of medicine is evolving rapidly and these new techniques are challenging to replace the existing 'standard of care'. Though some of these advances are here to stay, many of them are driven by a handful of surgeons influenced by market forces. In some controversial topics, there is a problem of plenty and it is difficult for a general surgeon to choose from the various options available. In order to address some of these contentious issues, a cross sectional, questionnaire based study was designed. The questionnaire was posted to surgeons across the country and it included 11 questions (single best answer format) on the current debates in surgery. The questionnaire was answered by 778 surgeons and gave rise to interesting observations. The practice of surgery is an interplay of patient- surgeon and market forces and more comprehensive studies are required to address these controversial topics in surgery.
与所有医学领域一样,外科手术正在迅速发展,而这些新技术正面临着取代现有“护理标准”的挑战。尽管其中一些进展会持续存在,但许多进展是由少数受市场力量影响的外科医生推动的。在一些有争议的话题上,存在过多选择的问题,普通外科医生很难从各种可用选项中做出选择。为了解决其中一些有争议的问题,设计了一项基于问卷调查的横断面研究。问卷被发送给全国各地的外科医生,其中包括11个关于当前外科手术辩论的问题(单项最佳答案格式)。778名外科医生回答了问卷,得出了有趣的观察结果。外科手术实践是患者、外科医生和市场力量相互作用的结果,需要更全面的研究来解决外科手术中的这些争议性话题。