Risky surgery, risky surgeon, and risk-taking surgeon

Q: What is the clinical evidence from this study?

Study design: Editorial. Population: Surgical risk.

Kaushik Bhattacharya; Neela Bhattacharya; Aditya Shikar Bhattacharya; VIPUL YAGNIK; PANKAJ GARG

doi:10.25259/nmji_869_2025

June 26, 2026The National Medical Journal of IndiaOpen Access

Risky surgery, risky surgeon, and risk-taking surgeon

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Key result

Surgical risk management requires distinguishing high-risk procedures from risky deviators and calculated risk-takers.

Key Points

To define and distinguish the differences between high-risk surgical operations, risky surgeons, and ethical risk-taking surgeons to enhance patient safety and clinical standards.
Narrative synthesis and expert clinical appraisal of patient-, procedure-, and practitioner-level factors driving surgical outcomes.
Evaluation of preoperative risk assessment tools, including the American Society of Anaesthesiologists classification, the National Surgical Quality Improvement Program calculator, and the POSSUM system.
The WHO reports that 0.5%–5% of patients die and 25% develop complications following major surgery, with at least 50% of hospital surgical adverse events considered preventable.
Mortality attributable to general anaesthesia reaches 1 in 150 patients in parts of Africa, while 227 surgical procedures carry a 1% or greater operative mortality in patients aged 65 years and older.
Risky surgeons deviate from accepted standards through poor judgment or practicing beyond competence, whereas disciplined risk-taking surgeons advance practice through evidence and ethical planning.

PICO

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Population

Surgical risk

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Implication

Distinguishing risk types may refine surgical oversight; leaves open whether interventions targeting surgeon behavior improve outcomes.

Abstract

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Cite This Study

Bhattacharya et al. (2026) conducted an editorial in Surgical risk. Risk management in surgery requires distinguishing between high-risk procedures, risky surgeons who deviate from accepted norms, and risk-taking surgeons who make calculated decisions.

synapsesocial.com/papers/6a420c22f91bb43ea9192afa https://doi.org/10.25259/nmji_869_2025

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Risky surgery, risky surgeon, and risk-taking surgeon

Key Points

PICO

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Implication

Abstract

Discussion

Cite This Study

Risky surgery, risky surgeon, and risk-taking surgeon

Key Points

PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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