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All elective patients (inpatients as well as outpatients) were scheduled for surgery by a specific surgeon in an operating session dedicated to that particular surgeon.
Mortality rates are reported to be influenced by the number of particular operations performed in a given hospital or by a specific surgeon (i.e. outcomes are better in high-volume centres).
This is knowledge obtained in a specific setting by a specific surgeon, representing "in my hands" experience only the equivalent of an observational study at best with level-4 evidence only (Harbour and Miller 2001; Table).
Post-randomisation clustering occurs when patients are randomised and then assigned to clusters, for example when they are randomised to a type of surgery and then assigned to a specific surgeon.
This consideration is probably different from one country to another where sometimes patients are on waiting lists for surgery and do not expect a specific surgeon to take care of them.
Patients may have preconceived ideas of the optimal treatment strategy, which may be based on non-expert experiences or information from the media, and some may have sought the particular expertise of a specific surgeon with a desire to pursue a predetermined treatment.
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On the other hand, laparoscopy requires specific surgeons' training and the longest operating time of all techniques [1, 2, 12, 15].
Our results are compared with several actual surgery schedules in a Belgian university hospital, where time blocks have been assigned to either specific surgeons or specialities several months in advance.
Nurses employed for short clinical placements to the operating suites; on a casual basis or employed for specific surgeons' lists were not eligible as they would not be present for the entire study period.
Thresholds were primarily based on tertiles or quartiles of the study-specific surgeon volume distributions.
Harris Hip Score (HHS) is a disease-specific surgeon-reported questionnaire.
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CEO of Professional Science Editing for Scientists @ prosciediting.com