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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
of 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Lyu H et al, Unpublished data, Johns Hopkins University School of Medicine
% R
esp
on
de
nts
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Xu T, et al. AGA 2015
Likelihood of complicationsby surgeon (N=92)
0
5
10
O/E = 1
O/E = 2
O/E = 3
O/E
ratio
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Cuts Per Patient
0
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
Fre
qu
en
cy
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