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Review
. 2014 Aug;30(3):319-27, vi.
doi: 10.1016/j.hcl.2014.04.001. Epub 2014 Jun 6.

Comparative effectiveness research in hand surgery

Shepard P Johnson  1 , Kevin C Chung  2
Affiliations
Review

Comparative effectiveness research in hand surgery

Shepard P Johnson et al. Hand Clin. 2014 Aug.

Abstract

Comparative effectiveness research (CER) is a concept initiated by the Institute of Medicine and financially supported by the federal government. The primary objective of CER is to improve decision making in medicine. This research is intended to evaluate the effectiveness, benefits, and harmful effects of alternative interventions. CER studies are commonly large, simple, observational, and conducted using electronic databases. To date, there is little comparative effectiveness evidence within hand surgery to guide therapeutic decisions. To draw conclusions on effectiveness through electronic health records, databases must contain clinical information and outcomes relevant to hand surgery interventions, such as patient-related outcomes.

Keywords: Comparative effectiveness research; Hand surgery; Large databases; Patient-reported outcomes.

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Figures

Figure 1
Figure 1
Selecting the appropriate database is critical in designing observational CER studies. Column two highlights important database characteristics. Column three offers an example within Hand Surgery.
See this image and copyright information in PMC

References

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    1. Report to the President and Congress. Dept. of Health and Human Services; [6-30-2009]. Federal Coordinating Counsel for Comparative Effectiveness Research; pp. 3–8.
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    1. Chung KC. Clinical research in hand surgery. J Hand Surg. 2010;35:109–120. - PMC - PubMed

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