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April 20, 2002BMJOpen Access

Surgeons should beware of plans to print individual performance

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Key result

Publishing individual surgeon performance data may lead to a reluctance among surgeons to treat severely ill patients, potentially decreasing access to care.

Why the study?

Does the public release of individual surgeon performance data lead to a reluctance to treat riskier patients?

Design

Editorial

Discussion

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Member takes

Overview

May reduce access for high-risk patients; leaves open whether public reporting improves overall outcomes or safety.

Structured PICO

Does the public release of individual surgeon performance data lead to a reluctance to treat riskier patients?

E
Exposure
Public release of individual surgeon performance data
O
Outcome
Reluctance to treat riskier patients

Publishing individual surgeon performance data may have the unintended consequence of discouraging surgeons from operating on high-risk patients.

Limitations

  • Operative mortality is always attributed to the surgeon, ignoring the important influences of cardiological management, anaesthetic care, and intensive care resources.

Cite This Study

A 2002 study reported a letter. Publication of individual surgeon performance data was evaluated. Publishing individual surgeon performance data may lead to a reluctance among surgeons to treat severely ill patients, potentially decreasing access to care.

synapsesocial.com/papers/6a9a2bd400fbc4134a9e2e2bhttps://doi.org/10.1136/bmj.324.7343.979/a
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Performance indicators in cardiac surgery - time for public release2011
  2. 2Publication of surgeon-specific outcomes2014 · 24 citations
  3. 3Performance of individual surgeons to be published2002 · 14 citations
  4. 4Creating transparency in UK adult cardiac surgery data2013 · 15 citations
  5. 5Patient-facing data is essential in the digital era2015 · 5 citations