Invited Critique |

Are Surgeons Ready to Embrace a Paradigm Shift in Surgical Comparative Effectiveness Research?  Comment on “Introduction to Propensity Scores”

Elliott R. Haut, MD
Arch Surg. 2010;145(10):945-946. doi:10.1001/archsurg.2010.187.
Text Size: A A A
Published online


Congratulations to Dr Hemmila and colleagues on another strong article in the arena of surgical outcomes research using novel, cutting-edge, advanced biostatistical methods. The authors are among a new breed of surgical scientists who are changing the face of surgical investigation and resident training. Cutting-edge surgical research has historically been based in basic science laboratories using bench assays, cells, and animal surgery as the standard fare. Only more recently has the world of surgical outcomes research begun to flourish. It would have been an absurd request for me to spend my research time during residency doing “outcomes research” and taking epidemiology or biostatistics classes 15 years ago. However, times are changing, and surgical educators see the benefit in training residents (and faculty) for the research they will eventually perform. I am not the only surgical faculty member who has not performed a “laboratory experiment” or written a basic science article since my research years during residency. We do clinical research; we should follow the lead of these authors and invest the time and energy needed to learn the important tools of the trade.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles