Operative outcomes in mitral valve surgery: Combined effect of surgeon and hospital volume in a population-based analysis Arman Kilic, MD, Ashish S.

Slides:

Advertisements

Similar presentations

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Of mice and men and surgical transcatheter aortic valve insertion

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

A cherry blossom moment in the history of heart valve replacement

Can papillary muscle interventions improve mitral valve repair durability for ischemic mitral regurgitation? Christos G. Mihos, DO, Orlando Santana,

What Predicts Long-Term Survival After Heart Transplantation

A complexity scoring system for degenerative mitral valve repair

Endoscopic Robotic Mitral Valve Surgery

It is not just about surgery versus stereotactic ablative radiotherapy, it is about curing as many patients with lung cancer as possible Alessandro Brunelli,

The effect of center volume on the incidence of postoperative complications and their impact on survival after lung transplantation Arman Kilic, MD,

Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: Changes in risks, valve types, and outcomes in the Society.

Historical perspectives of The American Association for Thoracic Surgery: Julian Johnson (1906–1987) J. William Gaynor, MD The Journal of Thoracic and.

Amine Mazine, MD, MSc, Subodh Verma, MD, PhD, Bobby Yanagawa, MD, PhD

Centers for Disease Control “increased-risk” organ donor: Not so risky? Francis D. Pagani, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

Marc R. Moon, MD The Journal of Thoracic and Cardiovascular Surgery

Form ever follows function

Victor van Berkel, MD, PhD

William M. DeCampli, MD, PhD

A new approach: Ischemic mitral regurgitation guidelines by and for surgeons Patrick M. McCarthy, MD The Journal of Thoracic and Cardiovascular Surgery

Functional mitral stenosis after mitral valve repair is a true anatomic problem that originates from the time of surgery Vincent Chan, MD, MPH, Thierry.

It is still mostly about the mitral valve

Bicuspid aortic valve aortopathy: One size fits all?

Surgeons, valve repair in severely unbalanced atrioventricular septal defect, and the emperor's new clothes David M. Overman, MD The Journal of Thoracic.

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

The lord of the rings Antonio Miceli, MD, PhD

In type A aortic dissection repair, an effective team approach and relational coordination are more important for patients' outcomes than surgeon volume

Arman Kilic, MD, Pavan Atluri, MD

The variability of the mitral valve anatomy and terminology

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.

Quality of mitral valve surgery at the United States Department of Veterans Affairs Juan A. Crestanello, MD The Journal of Thoracic and Cardiovascular.

Transcatheter aortic valve replacement in intermediate-risk patients

Innovation and science: The future of valve design

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

Fixing the supply problem

Military surgeons just want to have fun

Arman Kilic, MD, Eric S. Weiss, MD, MPH, Jeremiah G

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

The Journal of Thoracic and Cardiovascular Surgery

A cherry blossom moment in the history of heart valve replacement

Jeevanantham Rajeswaran, PhD, Eugene H. Blackstone, MD

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Replicating the success of mitral valve repair in the aortic valve

Frank C. Spencer, MD, FACS, pioneering cardiothoracic surgeon

Commentary: Do the right thing! Ethical versus legal

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Who is your plastic surgeon

Warfarin or aspirin after mitral valve repair: Why work harder?

Hans-Joachim Schäfers, MD

Transcatheter aortic valve replacement for prime time unrestricted distribution? Not so fast, my friend G. Michael Deeb, MD, John Carroll, MD The Journal.

Concomitant replacement of the ascending aorta is free—for some

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

The future of cardiac surgery training: A survival guide

Damien J. LaPar, MD, MSc, Gorav Ailawadi, MD, James M

Another case of underprovision of mitral valve repair surgery: Lessons from the Veterans Affairs health system Anelechi C. Anyanwu, MD, David H. Adams,

The continuing challenge of congenital heart disease in China

Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement Todd M. Dewey,

Commentary: Have mitral valve simulators made it to reality?

Building a clinical program in a single institution

“The more things change…”: The challenges ahead

Why arch curvature affects arch resistance

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

Preoperative PFTs: The answer is blowing in the wind

Did you like Terminator 3 better than Terminator 2

Michael T. Ingram, MS, David H. Wisner, MD, David T. Cooke, MD

Journal changes and initiatives

Intraoperative endocardial ultrasonography: Improving safety in mitral valve surgery Juan A. Crestanello, MD The Journal of Thoracic and Cardiovascular.

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Presentation transcript:

Operative outcomes in mitral valve surgery: Combined effect of surgeon and hospital volume in a population-based analysis Arman Kilic, MD, Ashish S. Shah, MD, John V. Conte, MD, William A. Baumgartner, MD, David D. Yuh, MD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 3, Pages 638-646 (September 2013) DOI: 10.1016/j.jtcvs.2012.07.070 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Trends in operative mortality, stratified by surgeon and hospital volume and mitral valve repair versus replacement. ∗P value < .05 for trend in decreasing mortality with increasing volume. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 638-646DOI: (10.1016/j.jtcvs.2012.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Operative mortality for various combinations of surgeon and hospital volume. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 638-646DOI: (10.1016/j.jtcvs.2012.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Operative mortality rates examined at (A) individual surgeon or (B) center level. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 638-646DOI: (10.1016/j.jtcvs.2012.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Relative contributions of hospital and surgeon volume to increased operative mortality risk for lower volume centers and surgeons. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 638-646DOI: (10.1016/j.jtcvs.2012.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Mitral valve repair rates examined at (A) individual surgeon or (B) center level. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 638-646DOI: (10.1016/j.jtcvs.2012.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Trends in inpatient hospital costs stratified by various (A) hospital and (B) surgeon volume combinations. ∗P < .05. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 638-646DOI: (10.1016/j.jtcvs.2012.07.070) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions