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Invited Commentary |

Decisive Steps Toward Patient-Reported Outcomes for Claudication—Tread Lightly or Full Steam Ahead? ONLINE FIRST

Philip P. Goodney, MD, MS1,2,3,4; Matthew A. Corriere, MD, MS5
[+] Author Affiliations
1Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire
2Veterans Affairs Outcomes Group, White River Junction, Vermont
3Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire
4The Geisel School of Medicine at Dartmouth, Hanover, New Hampshire
5currently with the Division of Vascular Surgery, Department of Vascular and Endovascular Surgery, Wake Forest University, Winston Salem, North Carolina
JAMA Surg. Published online August 17, 2016. doi:10.1001/jamasurg.2016.2084
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In their article “Effectiveness of a Medical vs Revascularization Intervention for Intermittent Leg Claudication Based on Patient-Reported Outcomes” in this issue of JAMA Surgery, Devine and colleagues1 embark on a challenging task in surgical outcomes assessment in their study comparing medical and invasive treatments for patients with claudication. What was the challenge? Their outcomes assessment focused not on target-lesion revascularization, ankle brachial index, or another easily measured but questionably important clinical outcome. Rather, they assessed quality of life for patients with claudication using 3 validated surveys that directly measure these patient-reported outcomes (PROs).

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