Quantifying surgical performance has always been an inescapable aspect of our profession. Traditionally, this has focused on the individual. A benefit of emphasizing individual performance is the concept that each surgeon assumes a lifelong commitment to improvement and learning.
The focus on outcomes as dependent on the individual extends to the surgical patient as well. A multitude of surgical patient risk-stratification schemes exist, some well known and validated, others resigned to trivia. The field of transplantation has been at the forefront of evaluating and implementing measures of outcomes.
Slakey DP. Surgical Outcomes Beyond the Individual: Comment on “The Association of Community Health Indicators With Outcomes for Kidney Transplant Recipients in the United States”. Arch Surg. 2012;147(6):526–527. doi:10.1001/archsurg.2012.1
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