求英翻中

An area of potentially increasing contribution of anesthesia and perioperative care is in the realization of clinical trials for efficacy of surgical therapy. It is not unreasonable to assume that reimbursement for delivery of clinical care in the future may be increasingly tied to participation in some form of organized assessment of efficacy, such as a randomized controlled trial (e.g., the case of lung reduction surgery).32 Such considerations are especially pertinent for procedures that are highly reimbursed, but controversial in terms of efficacy, as in the case of minimally symptomatic cerebrovascular diseases.30,33 Perverse incentives can drive clinical practice and influence expert opinion. In addition to insights into the delivery of perioperative medical care, anes-thesiologists can help provide an “honest broker” function in such settings.