Knutson C O, Fry D E, Barbie R D, Polk H C
Ann Surg. 1978 May;187(5):549-54. doi: 10.1097/00000658-197805000-00014.
A program developed for the intraoperative judgement decisions commonly faced in cancer of the colon and rectum has been published and has been found to correlate frequently with the management carried out in a cancer hospital and on the ward services of university programs in city/county and Veterans Administration hospitals. Those patients whose management varies with the recommendations of the program are subject to statistically significant excess risk of dying in the hospital and excess risk of failure of ultimate control of their malignant process. It is our opinion that this program is not only useful in demonstrating the explicit nature of surgical judgement but is also useful to the operating surgeon as an indication for the need for consultation or reassessment of his obwervations.
一个针对结肠直肠癌手术中常见判断决策而开发的程序已发表，并且发现它常常与癌症医院以及市/县大学项目和退伍军人管理局医院的病房服务中所实施的治疗方法相关。那些治疗方法与该程序建议不同的患者在医院死亡的风险显著过高，且其恶性病情最终失控的风险也过高。我们认为，该程序不仅有助于展示手术判断的明确性质，而且对于主刀外科医生来说，也是一个表明需要咨询或重新评估其观察结果的有用依据。
