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The Journal of Bone and Joint Surgery 81:1499-500 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Commentary

Commentary - The Fallacy of Short-Term Outcomes Analysis in Pediatric Orthopaedics

R. B. Winter, M.D.

Outcomes analysis, which has become the buzzword in orthopaedic surgery over the past ten years, is not just a new name that we've put on our old friend clinical research. What is outcomes analysis? Some clarification is provided by Johnson1, who stated: "A hallmark of the outcomes research movement is the demand for and acceptance of measures of patient perceptions, functional status, emotional health, and quality of life as indicators of the effectiveness of treatment."

A new development in medicine, such as a new medication, a new operation, or a new theory, is first met by reluctance, which is followed by overenthusiasm, which is in turn followed by rebellion. Outcomes analysis has been subjected to this sequence (often called the pendulum process) and is currently in the phase of overenthusiasm. We must keep in mind the true purpose of such studies, which is the evaluation of our management process . . . [Full Text of this Article]


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