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Original article

Vol. 141 No. 4546 (2011)

Interest in a national research network in surgery in Switzerland

  • C Sommer
  • M Furrer
DOI
https://doi.org/10.4414/smw.2011.13295
Cite this as:
Swiss Med Wkly. 2011;141:w13295
Published
07.11.2011

Summary

BACKGROUND: Networks are known to improve performance and create synergies. A research network can provide a significant advantage for all parties involved in research in surgery by systematically tracking the outcome of a huge number of patients over a long period of time. The aim of the present study was to investigate the experiences of surgeons with respect to research activities, to evaluate the opinions of surgeons with regard to the development of a national network for research in the field of surgery in Switzerland and to obtain data on how such a network should be designed.

METHODS: An anonymous postal survey of board-certified surgeons practising in Switzerland was conducted during summer 2007. The questionnaire included questions related to research activities, the desire to develop a national research network and the design and potential advantages of such a network. Qualitative analyses were performed using Mayring’s content analysis.

RESULTS: A total of 337 out of 749 (45%) questionnaires were returned. In all, 156/337 (46.3%) surgeons were engaged in research activities. During the past five years, 212/337 (62.9%) of the participants had participated at least in one multi-centre study. Out of 337, 88 (26.1%) surgeons were members of an established research association in Switzerland. Interest in a national surgical research network was reported by 266 (78.9%) participants. The reported advantages were “power” (53.1%), “teamwork effects” (23.7%), “efficiency” (12.2%) and “quality aspects” (8.0%). The most frequently named design proposal was based on a clinic for coordinating research, while the younger participants also suggested a web-based platform.

CONCLUSIONS: Due to the significant interest of participants, the establishment of a national research network should be considered. An established clinic for coordinating research alongside an additional web-based platform to target young surgeons could function as an umbrella organisation.

References

  1. Magid DJ, Gurwitz JH, Rumsfeld JS, Go AS. Creating a research data network for cardiovascular disease: the CVRN. Expert Rev Cardiovasc Ther. 2008;6(8):1043–5.
  2. Studdert DM, Mello MM, Gawande AA, Gandhi TK, Kachalia A, Yoon C, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024–33.
  3. Contant CM, Hop WC, van’t Sant HP, Oostvogel HJ, Smeets JH, Strassen LP, et al. Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet. 2007;370(9605):2112–7.
  4. Kolling C, Simmen BR, Labek G, Goldhahn J. Key factors for a successful National Arthroplasty Register. J Bone Joint Surg Br. 2007;89(12):1567–73.
  5. Melloh M, Staub L, Aghayev E, Zweig T, Barz T, Theis JC, et al. The international spine registry SPINE TANGO: status quo and first results. Eur Spine J. 2008;17(9):1201–9.
  6. Guller U, Rosella L, Karanicolas PJ, Adamina M, Hahnloser D. Population-based trend analysis of 2813 patients undergoing laparoscopic sigmoid resection. Br J Surg. 2010;97(1):79–85.
  7. Inderbitzin DT, Opitz I, Giger U, Kocher T, Krähenbühl L. Incidence of clinical pulmonary embolism after laparoscopic surgery. Br J Surg. 2007;94(5):599–603.
  8. Laffer U, Metzger U, Aeberhard P, Lorenz M, Harder F, Maibach R, et al. Adjuvant perioperative portal vein or peripheral intravenous chemotherapy for potentially curative colorectal cancer: long-term results of a randomized controlled trial. Int J Colorectal Dis. 2008;23(12):1233–41.
  9. Jost C, Binek J, Schuller JC, Bauerfeind P, Metzger U, Werth B, et al. Endosonographic radial tumor thickness after neoadjuvant chemoradiation therapy to predict response and survival in patients with locally advanced esophageal cancer: a prospective multicenter phase ll study by the Swiss Group for Clinical Cancer Research (SAKK 75/02). Gastrointest Endosc. 2010;71(7):1114–21.
  10. Klos K, Wähnert D, Gueorguiev B, Schwieger K, Hofmann GO, Windolf M, et al. Development of a technique for cement augmentation of nailed tibiotalocalcaneal arthrodesis constructs. Clin Biomech. (Bristol, Avon) 2010;25(6):576–81. Epub 2010 Apr 11.
  11. Windolf M, Schwieger K, Ockert B, Jupiter JB, Gradl G. A novel non-bridging external fixator construct versus volar angular stable plating for the fixation of intra-articular fractures of the distal radius – a biomechanical study. Injury. 2010;41(2):204–9. Epub 2009 Oct 9.
  12. van Rossum M, Bosker BH, Pierik EG, Verheyen CC. Geographic origin of publications in surgical journals. Br J Surg. 2007;94(2):244–7.
  13. Halpenny D, Burke J, McNeill G, Snow A, Torreggiani WC. Geographic origin of publications in radiological journals as a function of GDP and percentage of GDP spent on research. Acad Radiol. 2010;17(6):768–71. Epub 2010 Apr 2.
  14. FMH-Ärzteindex. Swiss Medical Association (FMH). Available at: http://www.doctorfmh.ch/search_patienten.cfm. Accessed April 1, 2011.
  15. Mayring, P. Qualitative Inhaltsanalyse. Grundlagen und Techniken. 7th edition. Weinheim: Beltz, Deutscher Studienverlag; 2000:53–63.
  16. Stewart RD, Doyle J, Lollis SS, Stone MD. Surgical resident research in New England. Arch Surg. 2000;135(4):439–44.
  17. Souba WW, Tanabe KK, Gadd MA, Smith BL, Bushman MS. Attitudes and opinions toward surgical research. A survey of surgical residents and their chairpersons. Ann Surg. 1996;223(4):377–83.
  18. Buddeberg-Fischer B, Stamm M, Buddeberg C, Klaghofer R. Career-success scale – a new instrument to assess young physicians’ academic career steps. BMC Health Serv Res. 2008;8:120.
  19. Güller U, Kempski O, Zuber M. The Bumpy Path to Successful Academic Surgery: A Roadmap for the Surgical Resident. Eur Surg Res. 2009;43(3):253–5.
  20. Edwards GA, Metcalfe AJ, Johansen A, O’Doherty D. Performance monitoring in hip fracture surgery – how big a database do we really need. Injury. 2010;41(4):374–6.
  21. Lim J, Phillips AW, Sayeed R. Use of the world wide web by cardiac surgery patients. Interact Cardiovasc Thorac Surg. 2010;10(5):719–20.
  22. Shortliffe EH. Networking health: learning from others, taking the lead. Health Aff. (Millwood) 2000;19(6):9–22.
  23. Asch DA, Jedrziewski MK, Christakis NA. Response rates to mail surveys published in medical journals. J Clin Epidemiol. 1997;50(10):1129–36.