Doctor 'report cards' may keep some heart patients from getting angioplasties

ANN ARBOR, Mich. -- No one likes to have a bad mark on a report card. But a new study suggests that heart doctors who are publicly "graded" on their angioplasty results may be shying away from performing the procedure on the high-risk patients who are most likely to drag down their averages.

The study is the first ever to compare data from a state that requires public reporting of angioplasty results -- New York -- with data from a state without public reporting -- Michigan. It reveals some striking differences, though it can't show a direct cause-and-effect relationship between public reporting and doctors' selection of patients.

The study, which is being published in the June 7 issue of the Journal of the American College of Cardiology, was performed by University of Michigan Cardiovascular Center researchers in collaboration with researchers from the State University of New York at Stony Brook.

Overall, the New York patients who received angioplasties to open clogged heart arteries were far less likely than Michigan patients to have underlying or acute conditions that raised their risk of dying before they left the hospital. And Michigan angioplasty patients were twice as likely as New York patients to die in the hospital.

But when the researchers corrected for the fact that Michigan patients were much sicker on average than the New York patients before their angioplasties, they found that there was no difference in overall death risk between the two states. Because the states have similar heart disease patterns, the team concluded that the difference in patient selection might be due to the presence of public reporting in New York.

The study team was led by Mauro Moscucci, M.D., FACC, who directs interventional cardiology at U-M and for nearly a decade has led an angioplasty quality-improvement project funded by Blue Cross Blue Shield of Michigan.

The grant and data from that project, called the BCBSM Cardiovascu

Contact: Kara Gavin
University of Michigan Health System

Page: 1 2 3 4

Related medicine news :

1. Doctors have key role in preventing and detecting child neglect and abuse
2. Doctors conclude temsirolimus is effective new treatment for advanced renal cell carcinoma
3. Doctors, engineers develop new wireless system to detect esophageal reflux
4. Doctors ill equipped to confront parent smoking
5. Gerontological Society of America awards new Hartford Doctoral Fellowships
6. Doctors test effort that helps people understand health risk information
7. Doctors neglect insomnia in older patients
8. Doctors extended duration work shifts are associated with medical errors and adverse events
9. Doctors working overseas face having licenses removed
10. Doctor urges health-care workers to be alert to suicide risk amongst cancer patients
11. The Gerontological Society of America awards new Hartford Doctoral Fellowships

Post Your Comments:

(Date:9/22/2018)... ... ... Liz Dudek, Director of Health Care Affairs for global law firm Greenberg ... Florida Assisted Living Association (FALA) at 10:00 a.m. at Tessera of Brandon located at ... of the success of the first five years of Florida’s Statewide Medicaid Managed Care ...
(Date:9/22/2018)... ... 22, 2018 , ... The Lymphoma Research Foundation (LRF) – ... serving the lymphoma community through a comprehensive series of education programs, outreach initiatives ... cycling event held each year during Blood Cancer Awareness Month. , This year’s ...
(Date:9/13/2018)... ... ... The Kelly Foundation awarded $83,000 to Saint John’s Program ... children experiencing homelessness in the Sacramento region. The donation will go towards the ... Saint John’s open after the County of Sacramento decided not to renew its 15-year ...
(Date:9/12/2018)... (PRWEB) , ... September 13, 2018 , ... Donaldson Plastic ... companies, as well as Columbus Business First's Fast 50 list of central Ohio's fastest ... with a 3-year growth rate of 81 percent. It is the only medical practice ...
(Date:9/7/2018)... ... 07, 2018 , ... The Ramsey Keller Memorial , a non-profit organization ... moms who are living without a child. “ The Retreat ” is designed to ... and 28 at Fairmont Hot Springs Resort near Butte, Montana. The registration ...
Breaking Medicine News(10 mins):
(Date:9/12/2018)... ... September 12, 2018 , ... Patient experience and population ... of its Population Engage patient experience suite. Express Surveys are short, streamlined ... provider organization a wealth of strategic and tactical knowledge in order to take ...
(Date:9/12/2018)... ... September 13, 2018 , ... Safety Reporting in ... 2018 — 1:30 p.m. – 3:00 p.m. ET, http://info.fdanews.com/safety-reporting-in-global-clinical-trials , Clinical ... much as fifty percent. , This can be due to a lack ...
(Date:9/7/2018)... ... ... This year, the California Society of Plastic Surgeons (CSPS) awarded Dr. Terry ... Seven-Year Clinical Trial Results at the 68th CSPS Annual Meeting. Dr. Zimmerman has ... of Plastic Surgeons) meeting in Chicago this fall. , “I am honored to receive ...
Breaking Medicine Technology:
Cached News: