Surgical caseload is only one variable that influences outcome

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6991.1406a (Published 27 May 1995) Cite this as: BMJ 1995;310:1406
  1. Christopher Penfold
  1. Senior registrar Maxillofacial Unit, Queen Victoria Hospital NHS Trust, East Grinstead, Sussex RH19 3DZ

    EDITOR,—Recent studies have highlighted deficiencies in the overall standard and organisation of repair of cleft lip and palate in England and Wales, but, contrary to the opinions expressed in these papers, there is no conclusive evidence that surgical caseload is a critical factor in determining outcome.1 2 In a retrospective European multicentre study the number of operations carried out by an operator was just one of several variables that may have influenced the outcome of treatment in patients …

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