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Research Letter
October 30, 2019

Characterization of High Mortality Probability Operations at National Surgical Quality Improvement Program Hospitals

Author Affiliations
  • 1Department of Surgery, Yale School of Medicine, New Haven, Connecticut
  • 2Department of Surgery, Texas Tech University Health System, Lubbock
JAMA Surg. 2020;155(1):85-88. doi:10.1001/jamasurg.2019.3750

The decision to operate on high-risk patients can be challenging. To our knowledge, there is little evidence available for guidance and wide variability in practice.1 Surgeons may encounter clinical scenarios in which they believe that the chances of improving a patient’s life are minimal compared with the risks of surgery, yet the notion of futility in surgery remains controversial.2

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