Laparoscopic Colectomy Cooper M, et al., BMJ 2014. 210,000 deaths - - PowerPoint PPT Presentation

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Feb 22, 2024 127 likes •324 views

Laparoscopic Colectomy Cooper M, et al., BMJ 2014. 210,000 deaths Causes of Death in the U.S. 1. Heart disease 597,689 2. Cancer 574,743 3. Variation 210,000 4. Respiratory diseases 138,080 Makary MA, Daniel M. Medical Error: The third

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Laparoscopic Colectomy

Cooper M, et al., BMJ 2014.

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210,000 deaths

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Causes of Death in the U.S.

1. Heart disease

597,689

2. Cancer

574,743

3. Variation

210,000

4. Respiratory diseases 138,080

Makary MA, Daniel M. Medical Error: The third leading cause

f death in the U.S., Johns Hopkins University, 2015

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What percent of Medical Care is Unnecessary?

Lyu H et al, Unpublished data, Johns Hopkins University School of Medicine % Respondents

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XuT, et al. AGA 2015

Likelihood of complications by surgeon (N=92)

5 10 O/E = 1 O/E = 2 O/E = 3

O/E ratio

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Cuts Per Patient

100 200 300 400 500 600 1 1.2 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 More Frequency Mean Number of Stages/Case

Courtesy: John Albertini and Joe Francis, Am Coll Mohs Surgeons

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Daniel M, et al. The Orphan Drug Act: Restoring it’s mission to rare

diseases. Am Jour Clin Oncol. 2015;in press

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Cotman

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martymakary@gmail.com @DrMartyMD