Top

Langenbeck's Archives of Surgery

Published in:

01-03-2014 | Original Article

Future perspectives for surgical research in Germany

Authors: Markus K. Diener, Michael D. Menger, Joachim Jähne, Hans-Detlev Saeger, Ernst Klar

Published in: Langenbeck's Archives of Surgery | Issue 3/2014

Abstract

Background

During the last two decades, the complexity of surgical patient care has increased dramatically. Nonetheless, there is substantial need to improve the quality of surgical research in Germany.

Purpose

Herein, we present the current concepts of the German Society of Surgery, the Section of Surgical Research, the Study Center of the German Surgical Society, and the German Surgical Trial Network (CHIR-Net) and their perspectives to promote young surgeons for a career in academic surgery and to improve the quality of surgical research in experimental studies as well as in clinical trials. The concepts include also education, teaching, and mentoring in order to strengthen the research profile of surgical departments and surgical research institutes.

Conclusions

We feel that realization of these concepts should guarantee the survival of the surgeon-scientist across all surgical subspecialties, increase the attractiveness of academic positions in surgery, and promote translational research from bench to bedside with a benefit for patient care.

Gittes GK (2006) The surgeon-scientist in a new biomedical research era. Surgery 140:123–131PubMedCrossRef

Menger MD, Schilling MK, Schäfers HJ, Pohlemann T, Laschke MW (2012) How to ensure the survival of the surgeon-scientist? The Homburg Program. Langenbecks Arch Surg 397:619–622PubMedCrossRef

Vollmar B (2012) Research as attractiveness parameter for young surgeons. Chirurg 83:319–322PubMedCrossRef

Wilhelm MJ, Schmidt C, Scheld HH (2004) The place of research and the role of academic surgeons in cardiac surgery. Thorac Cardiovasc Surg 52:117–123PubMedCrossRef

Schneider M, Werner J, Weitz J, Büchler MW (2010) Organization of clinical research: in general and visceral surgery. Chirurg 81:341–346PubMedCrossRef

Brendel W (1983) Experimentelle Chirurgie. In: Schreiber HW, Carstensen G (eds) Chirurgie im Wandel der Zeit 1945-1983. Springer, Berlin

Moore FD (1975) What is surgical research? Eur Surg Res 5:245–258CrossRef

Meßmer K (1990) Perspektiven der experimentellen Chirurgie. Chirurg 61:248–250PubMed

Knebel P, Kühn S, Ulrich AB, Büchler MW, Diener MK (2012) The Study Centre of the German Surgical Society: current trials and results. Langenbecks Arch Surg 397:611–618PubMedCrossRef

10.

Diener MK, Simon T, Büchler MW, Seiler CM (2012) Surgical evaluation and knowledge transfer—methods of clinical research in surgery. Langenbecks Arch Surg 397:1193–1199PubMedCrossRef

11.

Rekrutierende multizentrische chirurgische Studien in Deutschland. http://static.springer.com/sgw/documents/491998/application/pdf/Klinische_Studien_1_2014.pdf

12.

Schulz KF, Altman DG, Moher D, CONSORT Group (2010) CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. Ann Intern Med 152:726–732PubMedCrossRef

13.

Diener MK, Seiler CM, Antes G (2007) Systematic reviews and meta-analyses in surgery. Chirurg 78:938–944PubMedCrossRef

14.

Ioannidis JP, Greenland S, Hlatky MA, Khoury MJ, Macleod MR, Moher D et al (2014) Increasing value and reducing waste in research design, conduct, and analysis. Lancet 383:166–175PubMedCrossRef

15.

Gluud C, Nikolova D (2007) Likely country of origin in publications on randomised controlled trials and controlled clinical trials during the last 60 years. Trials 8:7PubMedCentralPubMedCrossRef

16.

Wente MN, Seiler CM, Uhl W, Buchler MW (2003) Perspectives of evidence-based surgery. Dig Surg 20:263–269PubMedCrossRef

17.

Solomon MJ, Laxamana A, Devore L, McLeod RS (1994) Randomized controlled trials in surgery. Surgery 115:707–712PubMed

18.

Hall JC, Mills B, Nguyen H, Hall JL (1996) Methodologic standards in surgical trials. Surgery 119:466–472PubMedCrossRef

19.

Doerr-Harim C, Bruckner T, Diener MK, Knebel P (2014) Insights of surgical trials—challenges and possible solutions. Langenbecks Arch Surg. 2014 Jan 18. doi:10.1007/s00423-013-1155-5

20.

Seiler CM, Bruckner T, Diener MK, Papyan A, Golcher H, Seidlmayer C et al (2009) Interrupted or continuous slowly absorbable sutures for closure of primary elective midline abdominal incisions: a multicenter randomized trial (INSECT: ISRCTN24023541). Ann Surg 249:576–582PubMedCrossRef

21.

Kenngott HG, Clemens G, Gondan M, Senft J, Diener MK, Rudofsky G et al (2013) DiaSurg 2 trial—surgical vs. medical treatment of insulin-dependent type 2 diabetes mellitus in patients with a body mass index between 26 and 35 kg/m2: study protocol of a randomized controlled multicenter trial-DRKS00004550. Trials 14:183PubMedCentralPubMedCrossRef

Title: Future perspectives for surgical research in Germany
Authors: Markus K. Diener
Michael D. Menger
Joachim Jähne
Hans-Detlev Saeger
Ernst Klar
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 3/2014
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-014-1178-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Future perspectives for surgical research in Germany

Abstract

Background

Purpose

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Purpose

Conclusions

Please log in to get access to this content

Other articles of this Issue 3/2014

Letter to the editor: Local tissue ischemia is not necessary for suture-induced adhesion formation by Dr. Rajab

Prognostic factors for primary gastrointestinal stromal tumours: are they the same in the multidisciplinary treatment era?

Pure laparoscopic liver resection reduces surgical site infections and hospital stay. Results of a case-matched control study in 50 patients

Increased rate of clinically relevant pancreatic fistula after deep enucleation of small pancreatic tumors

Core muscle size assessed by perioperative abdominal CT scan is related to mortality, postoperative complications, and hospitalization after major abdominal surgery: a systematic review

131st Congress of the German Society for Surgery