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What can we learn from outliers in Cardiac Surgery?
  • Mohammad Salmasi,
  • Omar Jarral,
  • Thanos Athanasiou
Mohammad Salmasi
Imperial College London
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Omar Jarral
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Thanos Athanasiou
Imperial College London
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Abstract

At a time where delivering the best quality of care is the raison d’être of the health service, outliers can pose a serious challenge to both clinicians and policy makers. Methods of outlier detection are highly variable. The collection and assimilation of outcome variables can also be very challenging. Despite this, the publication of surgeon specific data has brought the concept of outliers into the public eye and the consequent punitive action affected upon surgeons can be deleterious to clinician psychology and patient perception. Simultaneously, positive outliers are rarely mentioned and never rewarded. Moving forward, the use of more objective outcomes, including novel biomarkers and patient-centred data, as well as innovative statistical strategies and management cultures, can positively evolve the healthcare paradigm for the future.

Peer review status:ACCEPTED

10 Feb 2021Submitted to Journal of Cardiac Surgery
12 Feb 2021Submission Checks Completed
12 Feb 2021Assigned to Editor
12 Feb 2021Reviewer(s) Assigned
14 Feb 2021Review(s) Completed, Editorial Evaluation Pending
15 Feb 2021Editorial Decision: Revise Major
23 Feb 20211st Revision Received
24 Feb 2021Submission Checks Completed
24 Feb 2021Assigned to Editor
25 Feb 2021Reviewer(s) Assigned
25 Feb 2021Review(s) Completed, Editorial Evaluation Pending
25 Feb 2021Editorial Decision: Accept