Letters Colorectal surgery performance

Authors’ reply to HESteria or hype?

BMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d6614 (Published 18 October 2011) Cite this as: BMJ 2011;343:d6614
  1. Omar Faiz, senior lecturer and honorary consultant colorectal surgeon1,
  2. John Nicholls, professor of surgery1,
  3. Ara Darzi, professor of surgery1
  1. 1Department of Surgery, Imperial College, St Mary’s Hospital, London W2 1NY, UK
  1. o.faiz{at}imperial.ac.uk

In reply to Scott and colleagues,1 we found an unequivocally wide variation in reoperation after colorectal surgery. Furthermore, variation is identifiable at high surgical caseloads, suggesting that centralisation of surgical services, a policy commonly applied to reduce variation, may be ineffective. Our duty as researchers is to report variation when it clearly exceeds what would be expected by chance. The extent to …

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