Letters Surgical performance

Authors’ reply to Das

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.e1444 (Published 28 February 2012) Cite this as: BMJ 2012;344:e1444
  1. Antoine Duclos, assistant professor of public health1,
  2. Jean-Christophe Lifante, professor of surgery2
  1. 1Hospices Civils de Lyon, Pôle Information Médicale Evaluation Recherche, Lyon F-69003, and Université de Lyon, Equipe d’Accueil Mixte 4128 Santé-Individu-Société, Lyon F-69002, France
  2. 2Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service de Chirurgie Générale et Endocrinienne, Pierre Bénite, Lyon, France
  1. antoineduclos{at}yahoo.fr

We agree with Das that studies are needed in other surgical areas to corroborate a potential decline in outcomes at the end of surgeons’ careers.1 2 Obviously, surgical performance combines various domains that are poorly understood and difficult to quantify. However, the development of a composite indicator, based on a set of …

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