• Clin J Pain · Jun 1989

    Review

    Perspectives on surgical indications. Implications for controls.

    • J L Seres and R I Newman.
    • Northwest Pain Center, Portland, OR 97216.
    • Clin J Pain. 1989 Jun 1; 5 (2): 131-6.

    AbstractSurgical indications do not forecast outcomes as well as they should. A review of the literature demonstrates a significant rate of overutilization of coronary angiography, coronary artery surgery, cardiac pacemaker insertion, upper gastrointestinal endoscopies, carotid endarterectomies, back surgery, and pain-relieving procedures. The tendency appears to be a reduction in developing specific indications, and the evolution of a "last resort" concept. Arguments against this approach and a plea for the development of tighter focused indications are presented. Implications for cost saving and reduction in suffering are discussed.

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