A Surgery Standard Under Fire - The unintended consequences of using 30-day mortality as a performance metric. http://nyti.ms/1wLY64l
@LaurenceVick Interesting. Does the same 30 day yardstick get used in the UK too, would you know Laurence?
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@C7RKY 30 day mortality is the universal standard, unfortunately. Die at 31 days or survive but suffer brain damage and you're a 'success' -
@LaurenceVick What a shame many end up in no fit state to celebrate their medical 'success' then. Such a farce...
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@C7RKY UK colorectal surgeons publish 90 day mortality rates instead@LaurenceVick -
@MarkCheetham@LaurenceVick Is there a particular reason for that Mark? Just wondering how these 'outcome yardsticks' are determined. -
@C7RKY 90 day mortality roughly double 30 days, effect of surgical complications largely disappears after 90 days.@LaurenceVick -
@C7RKY deaths 90 days after surgery largely due to underlying disease not surgery@LaurenceVick -
@MarkCheetham@LaurenceVick That sounds perfectly reasonable to me. Harder to 'limp patients over the line' for 90 days. But who decides? -
@C7RKY@MarkCheetham although a complex issue, my quest after acting for the Bristol heart families is to see meaningful morbidity data -
@LaurenceVick@MarkCheetham I'd definitely be a fan of that. Many options are not open to us, just because my mum was harmed, but didn't die
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