[Skip to Content]
[Skip to Content Landing]
Views 288
Citations 0
Comment & Response
November 20, 2019

Varying Estimations of Surgical Work Value Units

Author Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio
JAMA Surg. Published online November 20, 2019. doi:https://doi.org/10.1001/jamasurg.2019.4632

To the Editor While the use of National Surgical Quality Improvement Program (NSQIP) data by Childers et al1 is a welcome attempt to objectively gauge the workload of specialists, the methods are oversimplistic. Adjusting for length of procedure, hospital stay, and readmissions might work well for comparing workload between procedures within a given specialty, but this falls short when it comes to interspecialty comparisons. The authors concede in the Methods section1 that they could not find a reliable objective measure of complexity, so they settled with 30-day reoperation rate as a surrogate.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×