- When it comes to interventional medicine, we must put systems in place to better measure outcomes. If surgeons detect poor outcomes, surgeons study and improve. The challenge is detection. Outcome measurement is paramount, and can mitigate against low volume or limited experience.
- A series of articles on statistics are intended for an audience of clinicians, as well as statisticians and authors. Statistical significance is different than clinical significance. Understanding of clinical outcomes, value, quality, or generalizability requires critical analysis of medical research literature to ensure that statistical analyses have been properly applied and interpreted.
- To achieve a good clinical outcome, arthroscopic and related surgeons must choose the proper treatment, and the basis of this choice is accurate diagnosis. Generally, our clinical focus is on outcome, but outcome is achieved after the fact. While this seems obvious, arthroscopic and related surgeons—and our patients who participate in shared decision making—evaluate the utility, or usefulness, of potential treatments based on desired and expected benefits versus potential risks. Today, cost is frequently considered as a determinant of value in medicine and may be applied to the decision analysis, but if an individual patient perceives health to be priceless, cost becomes irrelevant.
- Pearls of wisdom can be a convenient and efficient strategy to improve performance. As Editors, we employ pearls to standardize the review and editorial process, and we offer our own pearls to you to help facilitate acceptance of submitted research manuscripts with the ultimate goal of strengthening scientific conclusions that can affect patient care, and ultimately, improve outcome.