Evidence map›Paper›PMID 39460818›Full record

ArticleAnnals of surgical oncology2025

When Benchmarks Fail Us: A Case Study in Cytoreductive Surgery.

Varun V Bansal, Hunter D D Witmer, Christopher P Childers, David G Su, Kiran K Turaga, RVU Writing Group, PSM Consortium Group

Abstract readEditorial
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In one paragraph

Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Varun V BansalYale School of Medicine, New Haven, CT, USA.
Hunter D D WitmerUniversity of Chicago, Chicago, IL, USA.
Christopher P ChildersMD Anderson Cancer Center, Houston, TX, USA.
David G SuYale School of Medicine, New Haven, CT, USA.
Kiran K TuragaYale School of Medicine, New Haven, CT, USA. kiran.turaga@yale.edu.
RVU Writing Group
PSM Consortium Group

Funding

Yale Cancer Center Advanced Training Program for Physician-Scientists (YCC-ATPP)T32CA233414 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 2019 to 2026
$3.2M
CTSA K12 Program at The University of Texas Health Science Center at HoustonK12TR004908 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Charles C Miller, JON E. TYSON · 2024 to 2026
$2.9M
NCATS NIH HHS K12 TR004908NCI NIH HHS T32 CA233414
6 · The paper itself

Abstract

introductionRelative Value Units (RVUs) are utilized to measure physician work effort and create national benchmarks. Physicians are often measured against national benchmarks to determine compensation. Using a case study in cytoreductive surgery, we explored variability in coding that can impact national benchmarks.

methodsA survey was conducted amongst surgeons in the peritoneal surface malignancies consortium (PSM). Data was collected on clinical experience, clinical full time equivalent, wRVUS and institutional coding practice.

resultsCoding of the same procedure resulted in significantly varying RVUs (IQR 60-101) across institutions. Higher volume (> 50% practice) appeared to have better coding practices with higher wRVU/case (Median 102 vs 62, p = 0.04).

conclusionsThere is significant variability in the measurement of similar effort across institutions due to coding variability. Such variability creates flaws in measurement necessary for benchmarks.

Indexed as

BenchmarkingCytoreduction Surgical ProceduresPeritoneal NeoplasmsClinical CodingHumansPractice Patterns, Physicians'PrognosisRelative Value ScalesSurgeonsSurveys and QuestionnairesCytoreductive surgical proceduresOrganization and administrationPeritoneal neoplasmsPeritoneal surface malignancies

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.