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Ann Thorac Surg 2002;74:1748-1749
© 2002 The Society of Thoracic Surgeons

Correspondence

Risk Assessment, League Tables, and Report Cards: Where is True Quality Monitoring?

Samer A.M. Nashef, FRCSa, François Roques, MDb

a Papworth Hospital, Cambridge CB3 8RE, United Kingdom
b Service de Chirurgie Cardiovasculaire, CHU de Fort de France, 97200 Fort de France, Martinique, French West Indies

e-mail: f.r.fwi@wanadoo.fr

The first 20% of the full text of this article appears below.

To the Editor:

In an editorial by Grunkemeier and colleagues [1], readers were encouraged to read carefully the review article by Shahian and others [2] on the controversial issue of cardiac surgery report cards. We would like to make the following comments.

Both articles identify accurately and comprehensively the weaknesses of risk assessment systems in predicting death and warn about the danger inherent in total reliance on such systems. Of course, no risk assessment system is perfect, . . . [Full Text of this Article]






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