The I. Ridgeway Trimble Lecture Andrew L. Warshaw, MD, FACS, FRCSEd (Hon) Keywords: health care, outcomes, patient choice There are myriads of guidelines extant for clinical decisions, including the American College of Surgeons Evidence-Based Deci- (Ann Surg 2018;267:S52–S54) sions in Surgery, now numbering more than 100. Although these are the product of (good) surgical judgment, they are likely to differ from s the title of this perspective indicates, there are 2 components to comparable guidelines written by nonsurgeon specialists or primary A decisions about surgical care: What is appropriate and what are care physicians. Guidelines are subject to discipline-based opinion or the bases of choices? These decisions are a vector of views and varied weighting of factors. Even within the same field, the guide- requirements emanating from physicians, surgeons, payors, hospitals lines promulgated for the management of intraductal papillary and systems, and the patient and patient’s family (Fig. 1). mucinous neoplasms by the pancreatologists of the International It is commonly stated that that outcomes of health care are better Association of Pancreatology, the American Pancreatic Association, assessed by clinical measures than by administrative and claims data. and the American Gastrointestinal Association differ significantly. Similarly, there is a strong movement,
Annals of Surgery – Wolters Kluwer Health
Published: Feb 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera