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Taking a Broader Perspective on the Benefits of Minimally Invasive Surgery

Taking a Broader Perspective on the Benefits of Minimally Invasive Surgery Research Original Investigation Surgery, Medical Spending, and Absenteeism Invited Commentary Taking a Broader Perspective on the Benefits of Minimally Invasive Surgery Justin B. Dimick, MD, MPH; Andrew M. Ryan, PhD Although the clinical benefits of minimally invasive surgery are Patients who have less invasive procedures, as opposed to well known, the study by Epstein et al in this issue of JAMA traditional surgery, may be different in ways that were not mea- Surgery provides a much broader perspective. Traditional clini- sured but drive important outcomes (ie, selection bias). In this cal research asks a relatively narrow but important question: study, selection bias likely results in an overestimation of the “Is this procedure better for this patient?” Dr Epstein, a health benefits of less invasive procedures. Standard open surgical economist at the University of Pennsylvania, and his col- approaches are often offered to patients who have advanced leagues instead ask the question, “Is the trend toward less in- disease that is not amenable to a less invasive strategy. For ex- vasive procedures better for society?” The answers to these two ample, abdominal aortic aneurysms that extend to the renal questions are not necessarily the same. Less invasive proce- arteries are http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Taking a Broader Perspective on the Benefits of Minimally Invasive Surgery

JAMA Surgery , Volume 148 (7) – Jul 1, 2013

Taking a Broader Perspective on the Benefits of Minimally Invasive Surgery

Abstract

Research Original Investigation Surgery, Medical Spending, and Absenteeism Invited Commentary Taking a Broader Perspective on the Benefits of Minimally Invasive Surgery Justin B. Dimick, MD, MPH; Andrew M. Ryan, PhD Although the clinical benefits of minimally invasive surgery are Patients who have less invasive procedures, as opposed to well known, the study by Epstein et al in this issue of JAMA traditional surgery, may be different in ways that were not mea- Surgery provides a much broader...
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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2013.160
pmid
23552957
Publisher site
See Article on Publisher Site

Abstract

Research Original Investigation Surgery, Medical Spending, and Absenteeism Invited Commentary Taking a Broader Perspective on the Benefits of Minimally Invasive Surgery Justin B. Dimick, MD, MPH; Andrew M. Ryan, PhD Although the clinical benefits of minimally invasive surgery are Patients who have less invasive procedures, as opposed to well known, the study by Epstein et al in this issue of JAMA traditional surgery, may be different in ways that were not mea- Surgery provides a much broader perspective. Traditional clini- sured but drive important outcomes (ie, selection bias). In this cal research asks a relatively narrow but important question: study, selection bias likely results in an overestimation of the “Is this procedure better for this patient?” Dr Epstein, a health benefits of less invasive procedures. Standard open surgical economist at the University of Pennsylvania, and his col- approaches are often offered to patients who have advanced leagues instead ask the question, “Is the trend toward less in- disease that is not amenable to a less invasive strategy. For ex- vasive procedures better for society?” The answers to these two ample, abdominal aortic aneurysms that extend to the renal questions are not necessarily the same. Less invasive proce- arteries are

Journal

JAMA SurgeryAmerican Medical Association

Published: Jul 1, 2013

References