Logistic, additive or historical: is EuroSCORE an appropriate model for comparing individual surgeons’ performance? | Heart

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Article Text

Editorial

Logistic, additive or historical: is EuroSCORE an appropriate model for comparing individual surgeons’ performance?

Free

B E Keogh

Correspondence to:
Professor Bruce E Keogh
The Heart Hospital, Suite 501, 16–18 Westmoreland Street, London W1G 8PH, UK; bruce.keogh{at}uclh.org

Abstract

Both versions of the EuroSCORE, the complex logistic and the simpler additive, have been used for comparing institutional performance, but they are no longer robust enough to be used for comparing individual surgeons. It is now time to tighten the standard and add additional data to obtain a more holistic picture of the quality of cardiac surgical care in the UK.

https://doi.org/10.1136/hrt.2006.090902

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Footnotes

Published Online First 27 September 2006
Competing interests: BEK is President of the Society for Cardiothoracic Surgery in Great Britain and Ireland, and a Commissioner on the Healthcare Commission.