In this JAMA Forum article, Harvard's Ashish Jha discusses the pros and cons of public reporting of individual surgeon's outcomes. He uses the New York state cardiac surgery registry as an example and argues why, despite its problems, it is still the way forward. What are your thoughts!?
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Coronary disease
October 12, 2017
In this retrospective study, the long-term survival benefits of multiple arterial coronary grafting were evaluated among over 20,000 patients in British Columbia by comparing outcomes to those of L IMA + SVG.
October 12, 2017
The authors, using a decision analysis model, compared the cost-effectiveness (over one year) of three different strategies for preventing Staphylococcus aureus infections in patients undergoing CABG in the U.S. The three strategies were as follows:
October 5, 2017
Vipin Zamvar of the Royal Infirmary of Edinburgh in the UK discusses the barriers that reduce the use of bilateral internal mammary arteries in coronary artery bypass surgery.
September 28, 2017
Marc Moon of the Washington University School of Medicine in St Louis, Missouri, discusses the factors that define high risk for cardiac surgery patients and strategies to address this risk.
September 26, 2017
While it is being increasingly understood that frailty in the older adult patient undergoing cardiac surgery is associated with an increased rate of postoperative mortality, it is still unclear if the addition of frailty measures to existing risk-assessment tools contributes to an improved prediction of long-term disabilty.
September 21, 2017
John Puskas of the Icahn School of Medicine at Mount Sinai, United States, discusses the evidence for using arterial grafts in coronary bypass surgery.
September 17, 2017
In this study the authors randomized 142 patients within two separate treatment arms: (1) Patients undergoing on-pump CABG were randomized to either a single- vs.
September 14, 2017
The actor, who also starred in Goodfellas, passed away at a New Jersey hospital on Wednesday while undergoing surgery.
September 9, 2017
The STS Adult Cardiac Surgery database data that had been submitted to a regional quality initiative were compared to a hospital claims database to assess what effect, if any, would supplying missing data provided by the latter affect the reported STS 30-day mortality rates. The STS database currently counts as "alive" any patient that has unknown s