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The Journal of Bone and Joint Surgery (American) 86:633-640 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

An AOA Critical Issue The Outcome of the Outcomes Movement*

Robert B. Bourne, MD1, William J. Maloney, MD1 and James G. Wright, MD1

1 London Health Sciences Centre, 339 Windermere Road, London, ON N6A 5A5, Canada. E-mail address for R.B. Bourne: robert.bourne@lhsc.on.ca

The first 150 words of the full text of this article appear below.


   Introduction
 
We all expect to lead healthy, productive lives with ready access to an effective health-care system1. An aging population, new technologies, and competition for resources have led to a worldwide crisi in health care. As such, health-care interventions have come under increasing scrutiny2. Health-care providers are interested in how good an intervention is and whether it is cost-effective3. The outcomes movement has evolved to answer many of these questions in a scientifically valid manner.

The outcomes movement has revolutionized clinical research, and there is increased emphasis on the use of validated outcomes measures. New patient-specific, disease-specific, global health, functional capacity, and cost-to-utility outcome tools have been developed4-10. Exciting developments in the fields of national registries, small-area variations, and evidence-based medicine have occurred11,12. Blinded, randomized clinical trials have been recognized as the gold standard of clinical investigations, removing bias by the patient and the treating physician3,13-18. . . [Full Text of this Article]


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