{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T03:47:10Z","timestamp":1782877630924,"version":"3.54.5"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,4,1]],"date-time":"2015-04-01T00:00:00Z","timestamp":1427846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J R Soc Med"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:p>Despite publishing surgical outcomes being a positive step forwards in the progression of England\u2019s healthcare system, it has no doubt been faced with criticism and reservations. This review article aims to discuss the pros and cons of publishing individual surgical outcomes, as well as the challenges faced. Publishing outcomes requires data from a number of sources such as national clinical audits, hospital episode statistics, patient-reported outcomes, registers and information from revalidation. As yet, eight surgical specialties have begun publishing their data, including cardiac (coronary artery bypass graft, valve and aortic surgery), endocrine (thyroidectomy, lobectomy, isthmusectomy), orthopaedic (hip and knee replacement), urological (full and partial nephrectomies, nephroureterectomy), colorectal (bowel tumour removal), upper gastrointestinal (stomach cancer and oesophageal cancer removal, bariatric surgery), ear, nose and throat surgery (larynx, oral cavity, oropharynx, hypopharynx and salivary gland cancer removal), as well as vascular surgery (abdominal aortic aneurysm, carotid endarterectomy). However, not all procedures have been addressed. Despite the controversy surrounding the topic of publishing surgical outcomes, the advantages of reporting outcomes outweigh the disadvantages, and these challenges can be overcome, to create a more reliable, trustworthy and transparent NHS. Perhaps one of the main challenges has been the difficulty in collecting large amounts of clinically significant data able to quantify the performance of surgeons.<\/jats:p>","DOI":"10.1177\/0141076815578652","type":"journal-article","created":{"date-parts":[[2015,4,21]],"date-time":"2015-04-21T19:20:16Z","timestamp":1429644016000},"page":"127-135","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Should surgical outcomes be published?"],"prefix":"10.1177","volume":"108","author":[{"given":"Evelyn","family":"Chou","sequence":"first","affiliation":[{"name":"Kings College London, Urology Centre, Guys Hospital, London SE1 9RT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid","family":"Abboudi","sequence":"additional","affiliation":[{"name":"Department of Urology, Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust, London SE1 9RT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Shamim Khan","sequence":"additional","affiliation":[{"name":"Department of Urology, Guy\u2019s and St. Thomas\u2019 NHS Foundation Trust, London SE1 9RT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prokar","family":"Dasgupta","sequence":"additional","affiliation":[{"name":"Kings College London, Urology Centre, Guys Hospital, London SE1 9RT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamran","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Kings College London, Urology Centre, Guys Hospital, London SE1 9RT, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,4,21]]},"reference":[{"key":"bibr1-0141076815578652","unstructured":"Royal College of Surgeons.\n                      Surgery and the NHS in numbers.\n                      See http:\/\/www.rcseng.ac.uk\/media\/media-background-briefings-and-statistics\/surgery-and-the-nhs-in-numbers (last checked 21 October 2013)."},{"key":"bibr2-0141076815578652","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7285.517"},{"key":"bibr3-0141076815578652","unstructured":"Royal College of Surgeons.\n                      Greater Information for Patients about Their Surgeons.\n                      See http:\/\/www.rcseng.ac.uk\/patients\/surgical-outcomes (last checked 21 October 2013)."},{"key":"bibr4-0141076815578652","unstructured":"Royal College of Surgeons.\n                      RCS Hails Landmark Publication of Individual Surgeons\u2019 Outcomes Data.\n                      See http:\/\/www.rcseng.ac.uk\/news\/rcs-hails-landmark-publication-of-individual-surgeons2019-outcomes-data#.Ul6x7yhD3dk (last checked 21 October 2013)."},{"key":"bibr5-0141076815578652","unstructured":"Royal College of Surgeons.\n                      Measuring Surgical Outcomes.\n                      See http:\/\/www.rcseng.ac.uk\/media\/media-background-briefings-and-statistics\/measuring-surgical-outcomes (last checked 26 October 2013)."},{"key":"bibr6-0141076815578652","unstructured":"Royal College of Surgeons.\n                      Outcomes.\n                      See http:\/\/www.rcseng.ac.uk\/providers-commissioners\/clinical-policy\/outcomes (last checked 26 October 2013)."},{"key":"bibr7-0141076815578652","unstructured":"Healthcare Quality Improvement Partnership.\n                      What is clinical audit?\n                      See http:\/\/www.hqip.org.uk\/what-is-clinical-audit\/ (last checked 26 October 2013)."},{"key":"bibr8-0141076815578652","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10747.x"},{"key":"bibr9-0141076815578652","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes180"},{"key":"bibr10-0141076815578652","first-page":"342","volume":"61","author":"Mitropoulos D","year":"2012","journal-title":"Eur Assoc Urol"},{"key":"bibr11-0141076815578652","unstructured":"Secretary of State for Health.\n                      Learning from Bristol: The Department of Health\u2019s Response to the Report of the Public Inquiry into children\u2019s heart surgery at the Bristol Royal Infirmary 1984\u20131995\n                      . Report no. 5363. London: Department of Health, 2002."},{"key":"bibr12-0141076815578652","unstructured":"Royal College of Surgeons.\n                      Outcomes data\u2009-\u2009patient Q & A.\n                      See http:\/\/www.rcseng.ac.uk\/patients\/surgical-outcomes\/faq-outcomes-data#Why%20aren\u2019t%20all%20operations%20and%20procedures%20covered%20within%20the%2010%20specialties? (last checked 29 October 2013)."},{"key":"bibr13-0141076815578652","unstructured":"Royal College of General Practitioners (2013)\n                      Minor Surgery\n                      . See http:\/\/www.rcgp.org.uk\/clinical-and-research\/clinical-resources\/minor-surgery.aspx (last checked 31 January 2014)."},{"key":"bibr14-0141076815578652","first-page":"1136","volume":"20","author":"Lacobucci G","year":"2012","journal-title":"Br Med J"},{"key":"bibr15-0141076815578652","volume-title":"What is Patient-Centred Healthcare? A Review of Definitions and Principles","author":"Bennet W","year":"2007"},{"key":"bibr16-0141076815578652","unstructured":"Jones IR, Gabe J and Exworthy M. Will publishingsurgeon performance improve outcomes? http:\/\/www.hsj.co.uk\/comment\/will-publishing-surgeon-performance-improve-outcomes\/5060344.article#.VQH9BiiGtbw (accessed 12 March 2014)."},{"key":"bibr17-0141076815578652","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1114951"},{"key":"bibr18-0141076815578652","unstructured":"Lintern S. Performance of individual surgeons to be published by next summer. http:\/\/www.hsj.co.uk\/news\/performance-of-individual-surgeons-to-be-published-by-next-summer\/5053005.article (accessed 12 March 2014)."},{"key":"bibr19-0141076815578652","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f4187"},{"key":"bibr20-0141076815578652","volume-title":"Complications in surgery","author":"Mulholland MW","year":"2011","edition":"2"},{"key":"bibr21-0141076815578652","first-page":"61537","volume":"6736","author":"Walker K","year":"2013","journal-title":"Lancet"}],"container-title":["Journal of the Royal Society of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0141076815578652","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0141076815578652","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0141076815578652","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:10:57Z","timestamp":1777525857000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0141076815578652"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,4]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,4]]}},"alternative-id":["10.1177\/0141076815578652"],"URL":"https:\/\/doi.org\/10.1177\/0141076815578652","relation":{},"ISSN":["0141-0768","1758-1095"],"issn-type":[{"value":"0141-0768","type":"print"},{"value":"1758-1095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,4]]}}}