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Bypass surgery mortality is blunt measure of performance

BMJ 2004; 329 doi: https://doi.org/10.1136/bmj.329.7470.856-a (Published 07 October 2004) Cite this as: BMJ 2004;329:856
  1. Ian S Gilfillan, cardiothoracic surgeon (ian.gilfillan@health.wa.gov.au)
  1. Fremantle Hospital, Fremantle, WA 6160, Australia

    EDITOR—Kmietowicz reports that UK heart surgeons are among the best in the world as measured by crude mortality of isolated coronary artery bypass surgery.1 This marker of surgical performance is widespread.

    Imagine the following scenario. A patient undergoing isolated bypass grafting has an uneventful procedure. During …

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