David Spiegelhalter
Emeritus Professor of Statistics at the University of Cambridge, former president of the Royal Statistical Society, and author of The Art of Statistics.
Everything they publish, on ppll ↗
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Their wordsMeasurement of outcomes from medical or surgical interventions is part of good practice, but publication of individual doctors' results remains controversial.
↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org 1st of 5 in this piece
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Their wordsThe administration believes the performance of a surgeon cannot be separated from that of his or her institution as quality is highly dependent on institutional systems.
↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org 2nd of 5 in this piece
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Our reading
Casemix makes it unwise to publish surgeons' unadjusted mortality figures for comparison.
Their wordsBecause of this casemix influence it would not be sensible to publish unadjusted mortality by surgeon.
↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org 3rd of 5 in this piece
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Their wordsThe use of a single risk adjusted number to summarise a surgeon's results runs the risk of lending a level of spurious credibility to an analysis that does not take into account the impact of influences that are not patient related.
↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org 4th of 5 in this piece
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Their wordsNo conclusions can be drawn until a full review has taken place. This sort of data cannot contribute to patient choice.
↗The legacy of Bristol: public disclosure of individual surgeons' results (with 5 co-authors)doi.org 5th of 5 in this piece