Letters Colorectal surgery performance

HESteria or hype?

BMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d5947 (Published 21 September 2011) Cite this as: BMJ 2011;343:d5947
  1. Nigel Scott, president1,
  2. Graham Williams, president elect1,
  3. Mike Parker, chairman, quality outcomes strategy group2
  1. 1Association of Coloproctology of Great Britain and Ireland, Royal College of Surgeons of England, London WC2A 3PE, UK
  2. 2Royal College of Surgeons of England, London, UK
  1. nigel.scott{at}lthtr.nhs.uk

Colorectal surgery subjects the old, weak, and frail to major physical trauma to cure cancer and abdominal sepsis. The reoperation rate of 6.5% for English colorectal units (based on 250 000 observations) is comparable with US centres, but so what?1

What makes a story is to drill down to 175 individual trusts and the apparent …

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