The effect of consultant outcome publication on surgeon behaviour: a systematic review and narrative synthesis.

Williams, M P and Modgil, V and Drake, M J and Keeley, F (2018) The effect of consultant outcome publication on surgeon behaviour: a systematic review and narrative synthesis. Annals of the Royal College of Surgeons of England, 100 (6). pp. 428-435. ISSN 1478-7083. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

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Official URL: https://publishing.rcseng.ac.uk/doi/abs/10.1308/rc...

Abstract

Introduction Surgeon-specific outcome data, or consultant outcome publication, refers to public access to named surgeon procedural outcomes. Consultant outcome publication originates from cardiothoracic surgery, having been introduced to US and UK surgery in 1991 and 2005, respectively. It has been associated with an improvement in patient outcomes. However, there is concern that it may also have led to changes in surgeon behaviour. This review assesses the literature for evidence of risk-averse behaviour, upgrading of patient risk factors and cessation of low-volume or poorly performing surgeons. Materials and methods A systematic literature review of Embase and Medline databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Original studies including data on consultant outcome publication and its potential effect on surgeon behaviour were included. Results Twenty-five studies were identified from the literature search. Studies suggesting the presence of risk-averse behaviour and upgrading of risk factors tended to be survey based, with studies contrary to these findings using recognised regional and national databases. Discussion and conclusion Our review includes instances of consultant outcome publication leading to risk-averse behaviour, upgrading of risk factors and cessation of low-volume or poorly performing surgeons. As UK data on consultant outcome publication matures, further research is essential to ensure that high-risk patients are not inappropriately turned down for surgery.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WO Surgery
Divisions: Planned IP Care > General Surgery
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Depositing User: Mrs Yolande Brookes
Date Deposited: 06 Jul 2018 13:55
Last Modified: 06 Jul 2018 13:55
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1690

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