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Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

psychnewsdaily.com

11–20 of 222 posts

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#11

> The researchers emphasized that this study focused on common procedures, and on older Medicare patients. This means that the findings may not apply to other types of patients, or to other surgical procedures. Is there any reason Medicare would play a role in the surgeon's performance?

Medicare (as in the method of payment) obviously wouldn't, but by only polling Medicare patients they bias the patients, as Medicare patients are predominately the elderly.

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#12
post #4
post #2

So they went to fish for correlations and found this? EDA at its best...

I feel like we need an opposite saying for sentiments like this to the age old "correlation does not equal causation", something like "correlation does not mean automatically dismiss"

Indeed, and this finding could at the very least be said to have some plausible underlying (perhaps indirect) causation.

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#13
> The study, which appears today in the British Medical Journal (BMJ), looked at 980,876 procedures performed in US hospitals by 47,489 surgeons. Of those procedures, 2,064 (0.2%) took place on a surgeon’s birthday.

So, only a fraction of the surgeons performed operation on their birthdays. Would be interesting to compare the outcomes using the same surgeon group: surgeries on birthday vs same-surgeon surgeries on other dates.

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#14
post #5

> Research on judges has yielded similar results. It has found, for example, that external factors as diverse as outdoor temperatures and sports results can influence judges’ decisions. When I hear of these funky effects I always wonder how they relate to AI. Presumably this is somehow related to some kind of lossy compression of the state of the world, maybe similar to principal components[0]? Where the "I feel grum…

[deleted]

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#15
post #5

> Research on judges has yielded similar results. It has found, for example, that external factors as diverse as outdoor temperatures and sports results can influence judges’ decisions. When I hear of these funky effects I always wonder how they relate to AI. Presumably this is somehow related to some kind of lossy compression of the state of the world, maybe similar to principal components[0]? Where the "I feel grum…

Also interesting is "Impossibly Hungry Judges". Many of these correlation effects are paradoxically so strong that they they _cannot_ be the true explanation.

[0] http://nautil.us/blog/impossibly-hungry-judges

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#16
> They also found that some surgeons did not work on their birthdays

Is this partially that better/more experienced/senior/more affluent doctors are taking their birthday off, hence people getting more junior doctors?

It would be interesting to see how many more people die on a particular surgeons birthday compared with the rest of their year, rather than the birthday of the surgeon a patient gets.

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#17
post #4
post #2

So they went to fish for correlations and found this? EDA at its best...

I feel like we need an opposite saying for sentiments like this to the age old "correlation does not equal causation", something like "correlation does not mean automatically dismiss"

Correlation doesn't imply causation but it could co-occur with it

Too long

Correlative causation is more correlated with causation than non-correlative causation

Too tongue twisting

Correlation is closer to causation than no correlation

I like that

Ignoring possible causation is correlated with stupidity

Too cruel

Correlation does not equal causation but they are correlated

Not bad

Anyone else?

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#18

> They also found that some surgeons did not work on their birthdays Is this partially that better/more experienced/senior/more affluent doctors are taking their birthday off, hence people getting more junior doctors? It would be interesting to see how many more people die on a particular surgeons birthday compared with the rest of their year, rather than the birthday of the surgeon a patient gets.

Those that are working on their birthday also more likely to do so under emergency situations...

Re: Elderly patients 23% more likely to die if surgery is on the surgeon’s birthday

#19
post #4
post #2

So they went to fish for correlations and found this? EDA at its best...

I feel like we need an opposite saying for sentiments like this to the age old "correlation does not equal causation", something like "correlation does not mean automatically dismiss"

The comment you replied to has nothing to do with "correlation does not equal causation". The point was that fishing for results, by trying everything, is guaranteed to find something.

So if, in a study like this, they looked at differences in morality rate between: 1) men and women, 2) younger and older people, 3) younger and older surgeons, 4) surgeries in summer vs winter 4) surgeries in morning vs evening 5) etc etc.... And it came down all the way to n) surgeries on birthday - to find an effect. Then it would be almost guaranteed that such a finding is spurious.

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