Excellence and low case volume: an example of the inapplicability of volume-based credentialing.
| Autor: | Early GL; Heartland Regional Medical Center, St. Joseph, Missouri, USA., Roberts SR |
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| Jazyk: | angličtina |
| Zdroj: | The Annals of thoracic surgery [Ann Thorac Surg] 2000 Jan; Vol. 69 (1), pp. 146-50. |
| DOI: | 10.1016/s0003-4975(99)01260-6 |
| Abstrakt: | Background: Health care reform, public disclosure of hospital and surgeon-specific results, plus changes in reimbursement patterns have raised the specter of volume-based credentialing. Methods: Using The Society of Thoracic Surgeons Cardiac Database, we examined the data for all coronary artery bypass graft-only patients (n = 615) operated on by us from July 1991 to June 1997. Results: The observed mortality was 0.33% and the observed-to-expected ratio was 0.12 (p<0.005). Morbidity was low as well. Conclusions: Excellent results can be obtained for patients undergoing coronary artery bypass grafting in the presence of both low surgeon and low hospital case volume. |
| Databáze: | MEDLINE |
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