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Article
December 29, 1917

A UNIFORM AND GENERALLY APPLICABLE SYSTEM FOR REPORTING SURGICAL END-RESULTS

Author Affiliations

Fellow of the American College of Surgeons SCHENECTADY, N. Y.

JAMA. 1917;LXIX(26):2166-2167. doi:10.1001/jama.1917.02590530008003

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Abstract

The foundation of future progress in surgery must consist largely of a comprehensive understanding of the successes and failures of the past. In view of the fact that several million operations have been performed in this country alone during recent years, we should now have abundant data about the end-results of operations frequently performed. The lack of available end-result data in many important fields of surgery is little short of amazing.

A few years ago, the medical director of one of the life insurance companies undertook to determine the insurability of persons recovering from the commoner types of surgical kidneys. Out of 100 surgeons consulted, only eight were able to furnish data of any value on the subject, and the medical director was obliged to conclude that very few surgeons could make a definite statement, based on their own work, concerning the ultimate effect of their kidney operations on the

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