The Journal of Bone and Joint Surgery 81:732-40 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.
Symposium - The Outcomes Movement in Orthopaedic Surgery: Where We Are and Where We Should Go
MARC F. SWIONTKOWSKI, M.D., MINNEAPOLIS, MINNESOTA,
JOSEPH A. BUCKWALTER, M.D., IOWA CITY, IOWA,
ROBERT B. KELLER, M.D., MANCHESTER, MAINE and
ROBERT HARALSON, M.D., M.B.A., MARYVILLE, TENNESSEE
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Introduction
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Introduction
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Although the radical concept of understanding the effect of medical and operative treatment on patient function emanated from Codman3 more than sixty years ago, the orthopaedic community has been actively engaged in the outcomes movement for only the last twelve to fifteen years. Under the leadership of such individuals as Gartland and Sledge, we collectively became aware of the deficiencies apparent in our literature, which had resulted in a less-than-solid foundation on which to make treatment recommendations to patients4,5,9. The technique of small-area analysis pioneered by Wennberg and others revealed the effects of this lack of a solid foundation10,11. Our orthopaedic community is now actively involved in remedying this problem. For eight years, the Outcomes Committee of the American Academy of Orthopaedic Surgeons has provided annual courses on the techniques used in the field of outcomes assessment. We have devoted substantial resources toward providing validated questionnaires and the . . . [Full Text of this Article]
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