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Nonexperimental Data Systems in Surgery

Published online by Cambridge University Press:  10 March 2009

Leslie L. Roos
Leslie L. Roos
Affiliation:
University of Manitoba
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Extract

This article reviews nonexperimental data bases, emphasizing the present uses and future opportunities of routinely collected information. Data bases are discussed in terms of appropriate research designs. Possibilities for expanding available information through new data collection and through record linkage are stressed. The relationship of nonexperimental data systems to randomized trials and to clinical decision-making is examined.

Type
Special Section: Technology Assessment and Surgical Policy
Information
International Journal of Technology Assessment in Health Care , Volume 5 , Issue 3 , July 1989 , pp. 341 - 356
Copyright
Copyright © Cambridge University Press 1989

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References

REFERENCES

Abrams, H. B., Detsky, A. S., Roos, L. L., & Wajda, A.Is there a role for surgery in the acute management of infective endccarditis? A decision analysis and medical database approach. Medical Decision Making, 1988, 8, 165–74.CrossRefGoogle Scholar
Anderson, G. M., & Lomas, J.Monitoring the diffusion of a technology: Coronary artery bypass surgery in Ontario. American Journal of Public Health, 1988, 78, 251–4.CrossRefGoogle ScholarPubMed
Barry, M. J., Mulley, A. G., Fowler, F. J., & Wennberg, J. E.Watchful waiting vs. immediate transurethral resection for symptomatic prostatism: The importance of patients' preferences. Journal of the American Medical Association, 1988, 259, 3010–7.CrossRefGoogle ScholarPubMed
Blaxter, M. Longitudinal studies in Britain relevant to inequalities in health. In Wilkinson, R. G. (Ed.), Class and health: Research and longitudinal data. New York: Tavistock Publications, 1986, 125–215.Google Scholar
Brook, R. H., & Lohr, K. N.Efficacy, effectiveness, variations, and quality: Boundary-crossing research. Medical Care, 1985, 23, 710–22.CrossRefGoogle ScholarPubMed
Bunker, J. P., Fowles, J., & Schaffarzick, R.Evaluation of medical technology strategies: Effects of coverage and reimbursement. New England Journal of Medicine, 1982, 306, 620–24, 687–92.CrossRefGoogle ScholarPubMed
Chassin, M. R., Kosecoff, J., Solomon, D. H., & Brook, R. H.How coronary angiography is used: Clinical determinants of appropriateness. Journal of the American Medical Association, 1987, 258, 2543–47.CrossRefGoogle ScholarPubMed
Cohen, M. M., & Duncan, P. G.Physical status score and trends in anesthetic complications. Journal of Clinical Epidemiology, 1988, 41, 83–90.CrossRefGoogle ScholarPubMed
Cohen, M. M., & Hammarstrand, K. M. Papincolaou testing without a cytology registry. American Journal of Epidemiology. In press.Google Scholar
Coronary Drug Project Research Group. Influence of adherence to treatment and response of cholesterol on mortality in the coronary drug project. New England Journal of Medicine, 1980, 303, 1038–41.CrossRefGoogle Scholar
Dubois, R. W., Rogers, W. H., Moxley, J. H., & Brook, R. H.Hospital inpatient mortality: Is it a predictor of quality? New England Journal of Medicine, 1987, 317, 1674–80.CrossRefGoogle ScholarPubMed
Flood, A. B., & Scott, W. R.Hospital structure and performance. Baltimore, MD: Johns Hopkins University Press, 1987.Google Scholar
Fowler, F. J., Wennberg, J. E., Timothy, R. P., Barry, M. J., Mulley, A. G., & Hanley, D.Symptom status and quality of life following prostatectomy. Journal of the American Medical Association, 1988, 259, 3018–22.CrossRefGoogle ScholarPubMed
Gilbert, J. P., McPeek, B., & Mosteller, F. Progress in surgery and anesthesia: Benefits and risks of innovative therapy. In Bunker, J. P., Barnes, B. A., & Mosteller, F. (Eds.), Costs, risks, and benefits of surgery. New York: Oxford University Press, 1977, 124–69.Google Scholar
Horwitz, R. I.The experimental paradigm and observational studies of cause-effect relationships in clinical medicine. Journal of Chronic Diseases, 1987, 40, 91–99.CrossRefGoogle ScholarPubMed
Institute of Medicine. Annual report, 1987. Washington, DC: National Academy Press, 1988.Google Scholar
Klingman, D., Pine, P., & Simon, J.Outcomes of surgery among Medicaid recipients in Georgia and Michigan, 1981–1982. Presented at American Medical Review Research Center, Second Annual Research Symposium, Washington, DC, 09 10, 1987.Google Scholar
Luft, H. S.Diverging trends in hospitalization: Fact or artifact. Medical Care, 1981, 19, 979–94.CrossRefGoogle ScholarPubMed
Luft, H. S., Bunker, J. P., & Enthoven, A. C.Should operations be regignalzed? The empirical relation between surgical volume and mortality. New England Journal of Medicine, 1979, 301, 1364–69.CrossRefGoogle ScholarPubMed
McNeil, B. J., & Adelstein, S. J.The value of case finding in hypertensive renovascular disease. New England Journal of Medicine, 1975, 293, 221–26.CrossRefGoogle ScholarPubMed
Melton, L. J., Ilstrup, D. M., Beckenbaugh, R. D., & Riggs, B. L.Hip fracture recurrence: A population-based study. Clinical Orthopaedics, 1982, 67, 131–38.Google Scholar
Newcombe, H. B.Handbook of record linkage. New York: Oxford University Press, 1988.Google Scholar
Paradise, J. L., Bluestone, C. D., Bachman, R. Z. et al. . Efficacy of tonsillectomy for recurrent throat infection in severely affected children: Results of parallel randomized and non- randomized clinical trials. New England Journal of Medicine, 1984, 310, 674–83.CrossRefGoogle Scholar
Patricelli, R. E.Employers as managers of risk, cost, and quality. Health Affairs, 1987, 6, 75–81.CrossRefGoogle ScholarPubMed
Pauker, S. G., & Kassirer, J. P.Decision analysis. New England Journal of Medicine, 1987, 316, 250–58.CrossRefGoogle ScholarPubMed
Peto, R.What treatments for rheumatoid arthritis can best be assessed by large, simple, long-term trials? British Journal of Rheumatology, 1983, 22, 3–8.CrossRefGoogle ScholarPubMed
Roos, L. L.Alternative designs to study outcomes: The tonsillectomy case. Medical Care, 1979, 17, 1069–87.CrossRefGoogle ScholarPubMed
Roos, L. L., Cageorge, S. M., Austen, E., & Lohr, K. N.Using computers to identify complications after surgery. American Journal of Public Health, 1985, 75, 1288–95.CrossRefGoogle ScholarPubMed
Roos, L. L., Nicol, J. P., & Cageorge, S. M.Using administrative data for longitudinal research: Comparisons with primary data collection. Journal of Chronic Diseases. 1987, 40, 41–9.CrossRefGoogle ScholarPubMed
Roos, L. L., Roos, N. P., & Henteleff, P. D.Assessing the impact of tonsillectomies. Medical Care, 1978, 16, 502–18.CrossRefGoogle ScholarPubMed
Roos, L. L., Roos, N. P., & Sharp, S. M.Monitoring adverse outcomes of surgery using administrative data. Health Care Financing Review, 1987, 7 (suppl.), 5–16.Google Scholar
Roos, L. L., & Sharp, S. M.Becoming more efficient at outcomes research. International Journal of Technology Assessment in Health Care, 1988, 4, 555–71.CrossRefGoogle ScholarPubMed
Roos, L. L., Sharp, S. M., Cohen, M. M., & Wajda, A. Risk adjustment in claims-based research: The search for efficient approaches. Journal of Clinical Epidemiology. In press.Google Scholar
Roos, N. P., & Ramsey, E. Apopulation-based study of prostatectomy: Long term outcomes associated with differing surgical approaches. Journal of Urology, 1987, 137, 1184–88.CrossRefGoogle ScholarPubMed
Roos, N. P., Roos, L. L., Mossey, J. M., & Havens, B. J.Using administrative data to predict important health outcomes: Entry to hospital, nursing home, and death. Medical Care, 1988, 26, 221–39.CrossRefGoogle ScholarPubMed
Roos, N. P., Wennberg, J. E., Malenka, D. J. et al. Mortality and reoperation after open and transurethral resection of the prostate for benign prostatic hyperplasia. New England Journal of Medicine, 1989, 320, 1120–24.CrossRefGoogle ScholarPubMed
Steinbrook, R.Hospital quality in California. Health Affairs, 1988, 7, 235–36.CrossRefGoogle ScholarPubMed
U.S. Congress, Office of Technology Assessment. The quality of care, information for consumers (OTA-H-386). Washington, DC: Government Printing Office, 06 1988.Google Scholar
Varnauskas, E., & the European Coronary Surgery Study Group. Twelve-year follow-up of survival in the randomized European Coronary Surgery Study. New England Journal of Medicine, 1988, 319, 332–37.CrossRefGoogle ScholarPubMed
Wajda, A., & Roos, L. L.Simplifying record linkage: Software and strategy. Computers in Biology and Medicine, 1987, 17, 239–48.CrossRefGoogle ScholarPubMed
Weiss, R.Quoted in Gravitational. The New Yorker, 1986, 62, 27–28.Google Scholar
Wennberg, J. E.Commentary: Non-experimental methods in the assessment of efficacy. Medical Decision Making, 1988, 8, 175–76.CrossRefGoogle Scholar
Wennberg, J. E.Improving the medical decision-making process. Health Affairs, 1988, 7, 99–106.CrossRefGoogle ScholarPubMed
Wennberg, J. E., Mulley, A. G., Hanley, D. et al. An assessment of prostatectomy for benign urinary tract obstruction: Geographic variations and the evaluation of medical care outcomes. Journal of the American Medical Association, 1988, 259, 3027–30.CrossRefGoogle ScholarPubMed
Wennberg, J. E., Roos, N. P., Sola, L., Schori, A., & Jaffe, R.Use of claims data systems to evaluate health care outcomes: Mortality and reoperation following prostatectomy. Journal of the American Medical Association, 1987, 257, 933–36.CrossRefGoogle ScholarPubMed