Special Interests: Adult Cardiac Surgery
Kulvinder Lall is one of the United Kingdom’s leading cardiac Surgeons. Qualifying in 1989 from the University of London he has trained in Cardiothoracic Surgery in London, Glasgow & Sydney. He was appointed to St Bartholomew’s Hospital as one of the youngest cardiac surgeons in the UK aged 36. As a NHS Surgeon he has performed in excess of 5000 heart operations with outstanding results as measured by The Care Quality Commission & Department of Health. A leading specialist in high risk aortic, mitral, coronary & electrophysiological surgery he has published in over 15 peer reviewed worldwide journals and is actively involved in NHS research. He teaches extensively in China, Europe, Hong Kongand Israel and was the first implanter of a stentlessheart valve in Asia(Beijing2010). More recently he has been implanting the next generation of sutureless heart valves in London, presenting data at International meetings in New York, Europe and Asia.
Kulvinder Lall is also able to produce medicolegal reports and has acted as an expert witness for over a decade.
King's College Hospital School of Medicine & Dentistry 1989
West of Scotland Cardiac Surgical Training Programme 1996-2002
Cardiac Transplant Fellow St Vincent's Hospital, Sydney, Australia 1999
FRCS (Lon) 1993
FRCS CTh 2001
The Society of Cardiothoracic Surgeons of Great Britain (SCTS)
The European Association of Cardiothoracic Surgeons (EACTS)
International Society of Minimally Invasive Cardiac Surgery (ISMICS)
Member of the Society of Thoracic Surgeons (STS), United States of America.
Fellow of the Royal College of Surgeons of England.
Unit Representative to The Society of Cardiothoracic Surgery
Treasury Trustee Society of Cardiothoracic Surgery
Treasurer to The Society of Cardiothoracic Surgeons
Risk-adjusted in-hospital survival rate
This graph shows the “in hospital” survival rate of patients who are operated on by the individual surgeon/unit you have selected. “In hospital” means time the patient is in the hospital where they have had their operation. It does not include any time that patients may have spent in other hospitals, either before or after their heart operation.
The data has been through a complex methodology, including the variations in patient risk factors in order to give you a comparative base from which to work from. This means that the survival rates take into account the type and risk of patients being operated on for each surgeon/unit. This is known as risk adjusted survival.
The vertical axis shows the GMC number of the surgeon or the Hospital identifier. In brackets is the total number of patients operated on by the surgeon/unit and the percentage of patients for whom the survival is known. The horizontal axis is the percentage survival. The dashed vertical line shows the risk adjusted survival rate for the UK as a whole. The solid black horizontal line represents the surgeon/unit. What is important here is that the horizontal line crosses the vertical dashed line. If this occurs, it means that the surgeon/unit are within the expected outcomes given the case-mix and risk factors of the patients they operate on.
The icons that sit on the horizontal line should give you more information about your surgeon/team.
The open square is the survival rate with no risk adjustments:
The X is the predicted survival with adjustments
The solid dot is the survival probability after the methodology has been applied.
- If the solid dot is red it means survival is worse than expected
- If the solid dot is black it means that it is within limits
- If the solid dot is green it means that there is significantly higher survival than expected
There is a lot of information on these plots, but the takeaway message is that if the solid black line crosses the dashed vertical line then the survival rate for the surgeon/unit is within expectations and that there is no reason for any concern.
A more detailed explanation about these graphs and methodology can be found here: Graph Explanations