Cummings Otolaryngology: Head and Neck Surgery, 3-Volume Set [6th ed] 9781455746965, 1455746967, 9780323278201, 0323278205

Table of contents :
Vol. I
Front cover
IFC_Vol. 1
Half title page
Contents Breakdown
Cummings Otolaryngology
Copyright page
In Memoriam
Contributors
Preface
Acknowledgments
Table of Contents
Video Contents
I Measuring Outcomes and Performance
1 Outcomes Research
Key Points
History
Key Terms and Concepts
Bias and Confounding
Assessment of Baseline
Definition of Disease.
Disease Severity.
Comorbidity.
Assessment of Treatment
Control Groups.
Assessment of Outcomes
Efficacy.
Effectiveness.
Fundamentals of Study Design
Randomized Trial
Observational Study
Case-Control Study. Case Series and Expert OpinionOther Study Designs
Grading of Evidence-Based Medicine Recommendations
Measurement of Clinical Outcomes
Psychometric Validation
Categories of Outcomes
Examples of Outcomes Measures
Generic Scales
Disease-Specific Scales
Head and Neck Cancer.
Otologic Disease.
Rhinologic Disease.
Pediatric Diseases.
Voice.
Sleep.
Symptom Scales
Summary and Future Directions
Suggested Readings
References
2 Interpreting Medical Data
Key Points
Seven Habits of Highly Effective Data Users
Habit 1: Check Quality before Quantity. Habit 2: Describe before You AnalyzeHabit 3: Accept the Uncertainty of All Data
Habit 4: Measure Error with the Right Statistical Test
Habit 5: Put Clinical Importance before Statistical Significance
Habit 6: Seek the Sample Source
Habit 7: View Science as a Cumulative Process
Popular Statistical Tests Used by Otolaryngologists
t Test
Description
Interpretation
Precautions
Analysis of Variance
Description
Interpretation
Precautions
Contingency Tables
Description
Interpretation
Precautions
Survival Analysis
Description
Interpretation
Precautions. Multivariate (Regression) ProceduresDescription
Interpretation
Precautions
Nonparametric Tests
Description
Interpretation
Precautions
Common Statistical Deceptions
Surgical Satisfaction Swindle
Standard Error Switcheroo
Small Sample Whitewash
Post Hoc P Values
Multiple P Value Phenomenon
Selective Analysis of Results
Powerless Equalities
Paired Data Proliferation
Understanding Sample Size
Importance of Principles
Suggested Readings
References
3 Evidence-Based Performance Measurement
Key Points
Motivation for Physician Performance Measurement. What is Quality, and Who Defines It?Process of Building a Coherent System of Performance Measurement
Engaging in Development of Performance Measures
Aggregating Demand for Performance Measurement
Unifying the Response to the Demand for Performance Measurement
Quality-Based or Value-Based Purchasing
Medical Professionalism: the Physician-Patient Relationship
Stakeholder Roles in Defining and Implementing Quality Improvement and Measurement Activity
Interface Between Physician Education and Performance Measurement
Board Certification and Maintenance of Certification.