HOME >> MEDICINE >> NEWS
Hospital volume may not be best criteria for selecting hospital for coronary bypass surgery

For coronary artery bypass graft surgery (CABG), hospital procedural volume is only modestly associated with outcomes and therefore may not be an adequate quality indicator, according to a study in the January 14 issue of The Journal of the American Medical Association (JAMA).

There have been recent calls for using hospital procedural volume as a quality indictor for CABG surgery, but further research into analysis and policy implication is needed before hospital procedural volume is accepted as a standard quality measure, according to background information in the article.

Eric D. Peterson, M.D., M.P.H., of the Duke Clinical Research Institute, Durham, N.C., and colleagues examined the association between hospital CABG procedural volume and outcome using clinical data available from the Society of Thoracic Surgeons (STS) National Cardiac Database. The analysis included 267,089 CABG procedures performed at 439 U.S. hospitals between January 1, 2000, and December 31, 2001.

The researchers found that the median (interquartile range) annual hospital volume for isolated CABG procedures was 253 (165-417), with 82 percent of centers performing fewer than 500 procedures per year. The overall operative mortality was 2.66 percent. After adjusting for patient risk and clustering effects, rates of operative mortality decreased with increasing hospital CABG volume (0.07 percent for every 100 additional CABG procedures). "While the association between volume and outcome was statistically significant overall, this association was not observed in patients younger than 65 years or in those at low operative risk and was confounded by surgeon volume. The ability of hospital volume to discriminate those centers with significantly better or worse mortality was limited due to the wide variability in risk-adjusted mortality among hospitals with similar volume. Closure of up to 100 of the lowest-volume centers (i.e., those performing 150 or less CABG proc
'"/>

Contact: Richard Merritt
919-660-1309
JAMA and Archives Journals
13-Jan-2004


Page: 1 2

Related medicine news :

1. Hospital acquired infections present major problem for infants in developing countries
2. Hospitals may now be more willing to partner up with former adversaries
3. Northwestern Memorial Hospital honored with one of the nations top awards for quality
4. Society of Hospital Medicine to launch new medical journal
5. Surgeon General at Childrens Hospital & Research Center at Oakland
6. Northwestern Memorial Hospital receives $10 million commitment to support preeminent heart program
7. Childrens Hospital Oakland opens new $5.6 million infectious disease lab
8. Brenner Childrens Hospital named to NIH Pediatric Heart Network
9. Hospital admissions for asthma more likely for ethnic minorities in the UK
10. Society of Hospital Medicine selects John Wiley & Sons, Inc. to publish The Hospitalist Newsletter
11. Childrens Hospital at Vanderbilt ranked 8th in nation by Child magazine

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:9/24/2018)... ... September 24, 2018 , ... Paris-based My Cuistot ... Its roster of talented chefs works constantly to create innovative, balanced meals, which ... to its standard weekly meals, My Cuistot is happy to customize its meal ...
(Date:9/22/2018)... ... ... From 1991 to 2012, Works of Heart raised more than one million ... to the generous artists, sponsors, and patrons who supported what became the Triangle’s premier ... HIV/AIDS, about the Alliance of AIDS Services - Carolina, and (now) about Works of ...
(Date:9/22/2018)... Calif. (PRWEB) , ... September 22, 2018 , ... The ... is the serious health risk that particularly affects older adults – the risk of ... (CDC):, Every second of the day and adult aged 65 and older falls in ...
(Date:9/15/2018)... (PRWEB) , ... September 14, 2018 , ... ... “Rare Diseases." This campaign will showcase the innovative work being done within rare ... potential future therapies for those living with rare diseases. , ...
(Date:9/13/2018)... Mont. (PRWEB) , ... September 13, 2018 , ... Pulsara ... Annual Health IT + Revenue Cycle Conference on September 19-22 in Chicago. Dr. ... separate panels as well as a talk titled, “Your Clinical Communication & Collaboration (CC&C) ...
Breaking Medicine News(10 mins):
(Date:9/7/2018)... ... September 06, 2018 , ... CTL Medical Corporation ... its commercial spine business, which includes its complete portfolio of spine-related patents and ... result from it. The deal will make CTL Medical the world’s exclusive provider ...
(Date:9/7/2018)... ... September 07, 2018 , ... Elaine ... “Diagnosis: Cancer”: a gripping narrative that shows the author’s experience of encountering with ... Author Uonelli writes an eventful life that revolves around a disease with a ...
(Date:9/7/2018)... ... 2018 , ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh in Abilene, Texas, ... and says the proof is undeniable. , Yisrayl scolds mainstream religions for allowing and even ... Yisrayl shows there is great meaning in the Name, and to take that away, shows ...
Breaking Medicine Technology:
Cached News: