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A Reply to Dr Spodick

A Reply to Dr Spodick To the Editor.— Dr Spodick's reply (232:809, 1975) to my commentary (232:37, 1975) on his earlier article (232:35, 1975) makes one wonder how much of my commentary he actually read. He questions the validity of only one of several points I made and refers to that one point as my "main argument." That one point, the skill factor, was clearly stated to be merely "a variable to be considered in assessing results," a previously overrated one at that. Regarding that single point, Dr Spodick is correct in suggesting that surgical skill may be of little importance in "large series... over time." Unfortunately, the skill factor may be of enormous importance when a new procedure is introduced—the very time Dr Spodick would like to use a controlled clinical trial to evaluate the procedure. The history of cardiovascular surgery has been a story of decreasing mortality and increasingly better results with more http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

A Reply to Dr Spodick

JAMA , Volume 234 (9) – Dec 1, 1975

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1975.03260220019008
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— Dr Spodick's reply (232:809, 1975) to my commentary (232:37, 1975) on his earlier article (232:35, 1975) makes one wonder how much of my commentary he actually read. He questions the validity of only one of several points I made and refers to that one point as my "main argument." That one point, the skill factor, was clearly stated to be merely "a variable to be considered in assessing results," a previously overrated one at that. Regarding that single point, Dr Spodick is correct in suggesting that surgical skill may be of little importance in "large series... over time." Unfortunately, the skill factor may be of enormous importance when a new procedure is introduced—the very time Dr Spodick would like to use a controlled clinical trial to evaluate the procedure. The history of cardiovascular surgery has been a story of decreasing mortality and increasingly better results with more

Journal

JAMAAmerican Medical Association

Published: Dec 1, 1975

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