What David Spiegelhalter thinks about surgical outcomes

@david-spiegelhalter · 5 positions · On ppll ↗

Emeritus Professor of Statistics at the University of Cambridge, former president of the Royal Statistical Society, and author of The Art of Statistics.

David Spiegelhalter did not write this page.

We collected these quotes from things they published elsewhere, and every quote links to where it was said. They have no account here and have not endorsed this site. Quotes are word for word; the short line under each one is our own restatement, not their wording. Their own site. Is this you? Claim it or ask us to remove it. Or tell us what is wrong here.

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5 dated positions, 2004, in their own words. Our reading of what David Spiegelhalter has said — not written or endorsed by them.

1. 19 Aug 2004

   Our readingMeasuring outcomes of medical or surgical interventions is part of good practice, but publishing individual doctors' results remains controversial.

   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 All 5 from this paper

3. 19 Aug 2004

   Our readingA surgeon's performance cannot be separated from that of the institution because quality depends heavily on institutional systems.

   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 All 5 from this paper

5. 19 Aug 2004

   Our readingCasemix 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 All 5 from this paper

7. 19 Aug 2004

   Our readingA single risk-adjusted summary of a surgeon's results risks giving spurious credibility to analyses that ignore non-patient influences.

   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 All 5 from this paper

9. 19 Aug 2004

   Our readingNon-risk-adjusted mortality data cannot support patient choice and only signal that a fuller review is required.

   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 All 5 from this paper