Homogeneity in Surgical Series: Image Reporting to Improve Evidence

Author:

Regazzoni Pietro1ORCID,Lambert Simon2,Jupiter Jesse B.3,Südkamp Norbert4,Liu Wen-Chih35ORCID,Fernández Dell’Oca Alberto A.67

Affiliation:

1. Department of Trauma Surgery, University Hospital Basel, 4031 Basel, Switzerland

2. Department of Trauma and Orthopaedics, University College London Hospital, London NW1 2BU, UK

3. Hand and Arm Center, Department of Orthopedics, Massachusetts General Hospital, Boston, MA 02114, USA

4. Department of Orthopedics and Trauma Surgery, Medical Center, Faculty of Medicine, Albert-Ludwigs-University of Freiburg, 79106 Freiburg, Germany

5. Kaohsiung Medical University Hospital, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80756, Taiwan

6. Department of Traumatology, The British Hospital, Montevideo 11600, Uruguay

7. Residency Program in Traumatology and Orthopedics, University of Montevideo, Montevideo 11600, Uruguay

Abstract

Good clinical practice guidelines are based on randomized controlled trials or clinical series; however, technical performance bias among surgical trials is under-assessed. The heterogeneity of technical performance within different treatment groups diminishes the level of evidence. Surgeon variability with different levels of experience—technical performance levels even after certification—influences surgical outcomes, especially in complex procedures. Technical performance quality correlates with the outcomes and costs and should be measured by image or video-photographic documentation of the surgeon’s view field during the procedures. Such consecutive, completely documented, unedited observational data—in the form of intra-operative images and a complete set of eventual radiological images—improve the surgical series’ homogeneity. Thereby, they might reflect reality and contribute towards making necessary changes for evidence-based surgery.

Publisher

MDPI AG

Subject

General Medicine

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