We would like to thank and applaud the authors and contributors to the 7th National Audit Project (NAP7) for such a thorough investigation and Anaesthesia for its dissemination and sharing of content [1]. However, we must ask if the primary purpose of the project has been lost among the volume of papers (we think this is the 12th)? Having spoken to a number of colleagues, none of them admit to having read all of them. Rather, comments include how long the report [2] is (567 pages compared with the 219 pages of NAP4 [3]); how many papers have been published (12 compared with 2 for NAP4); and the confusion as to what they should read.

We appreciate there are a lot of data and discussion points, but we fear the key messages relating to the primary purpose of the project may have been missed or lost in the volume of published materials. We believe the authors would have been better focusing more on the primary outcome rather than the overwhelming number of secondary outcomes and publication noise.

That said, the additional materials produced are excellent, namely the infographic [4] and overview slides [5]. We very much hope to continue seeing these being produced in future NAPs.

我们要感谢并赞扬第 7 届国家审计项目 （NAP7） 的作者和贡献者进行了如此彻底的调查，并感谢 Anaesthesia 对其内容的传播和分享 [1]。然而，我们必须问，这个项目的主要目的是否已经在论文量中丢失了（我们认为这是第 12 篇）？在与许多同事交谈后，他们都没有承认读过所有文章。相反，评论包括报告 [2] 的长度（567 页，而 NAP4 [3] 的 219 页）;已发表的论文数量（12 篇，而 NAP4 为 2 篇）;以及他们应该读什么的困惑。

我们感谢有大量的数据和讨论点，但我们担心与项目主要目的相关的关键信息可能在大量出版材料中被遗漏或丢失。我们认为，作者最好更多地关注主要结局，而不是大量的次要结局和发表噪音。

也就是说，制作的其他材料非常出色，即信息图 [4] 和概述幻灯片 [5]。我们非常希望在未来的 NAP 中继续看到这些。