Sebastian Arjun S
Department of Orthopedic Surgery, Rothman Institute Orthopaedics, Philadelphia, PA.
Clin Spine Surg. 2017 Feb;30(1):27-29. doi: 10.1097/BSD.0000000000000496.
Many of the studies in the spine surgical literature using national databases have been directed at examining adverse events, readmission rates, cost, and risk factors for poorer outcomes. Although such studies allow for assessment of large cohorts taken from multiple institutions, they are limited by data collection methods, short-term follow-up, and minimal assessment of functional outcomes. Furthermore, few studies are directed at producing actionable practice changes to improve patient care. Recent work aimed at producing databases with more relevance to spine surgery represent exciting developments to the rapidly growing field of health outcomes research.
脊柱外科文献中许多使用国家数据库的研究都旨在检查不良事件、再入院率、成本以及预后较差的风险因素。尽管此类研究能够对来自多个机构的大量队列进行评估，但它们受到数据收集方法、短期随访以及功能结局评估不足的限制。此外，很少有研究旨在产生可付诸行动的实践变革以改善患者护理。近期致力于创建与脊柱手术更相关数据库的工作，对快速发展的健康结局研究领域而言是令人振奋的进展。
