Letters
Colorectal surgery performance
Authors’ reply to HESteria or hype?
BMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d6614 (Published 18 October 2011) Cite this as: BMJ 2011;343:d6614
- Omar Faiz, senior lecturer and honorary consultant colorectal surgeon1,
- John Nicholls, professor of surgery1,
- Ara Darzi, professor of surgery1
- 1Department of Surgery, Imperial College, St Mary’s Hospital, London W2 1NY, UK
- 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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