Perioperative safety and bariatric surgery.
نویسندگان
چکیده
n engl j med 361;19 nejm.org november 5, 2009 1910 the differences between these observational data sets might provide insights to further refine endoscopic-harvesting techniques. We look forward to seeing these data published in the peer-reviewed literature. Our analysis has identified an important potential area for quality improvement in cardiac surgery, and further observational and randomized evaluations are called for. The medical community and regulatory agencies should continually assess whether technological changes in medical devices should be implemented only after an analysis of randomized outcome data or can be implemented on the basis of observational or anecdotal information. Data collected in professional registries3 and more efficient clinical trials should enable us to reduce the substantial uncertainty that currently exists regarding the balance of benefit and risk of many therapies.4 Further research on endoscopic harvesting should focus on improving the technique so that patients can benefit from the short-term advantages without any detriment to long-term clinical outcomes. Renato D. Lopes, M.D., Ph.D. John H. Alexander, M.D., M.H.S.
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عنوان ژورنال:
- The New England journal of medicine
دوره 361 19 شماره
صفحات -
تاریخ انتشار 2009