Initial Application in The STS Congenital Database of Complexity Adjustment to Evaluate Surgical Case Mix and Results Jeffrey Phillip Jacobs, MD, Francois.

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Initial Application in The STS Congenital Database of Complexity Adjustment to Evaluate Surgical Case Mix and Results Jeffrey Phillip Jacobs, MD, Francois G. Lacour-Gayet, MD, Marshall Lewis Jacobs, MD, David Robinson Clarke, MD, Christo I. Tchervenkov, MD, J. William Gaynor, MD, Thomas L. Spray, MD, Bohdan Maruszewski, MD, PhD, Giovanni Stellin, MD, Jay Gould, PhD, Rachel S. Dokholyan, MPH, Eric D. Peterson, MD, MPH, Martin J. Elliott, FRCS, Constantine Mavroudis, MD The Annals of Thoracic Surgery Volume 79, Issue 5, Pages 1635-1649 (May 2005) DOI: 10.1016/j.athoracsur.2004.09.065 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 This graph shows program specific overall discharge mortality plotted against program specific mean basic complexity score for the 13 participating STS sites with greater than 95% complete discharge mortality data. Lines are shown to depict the STS mean discharge mortality (4.2%) and the total mean Aristotle Basic Complexity Score (6.8) for these 13 participating STS sites. Each diamond represents data from one of these 13 sites. (STS = The Society of Thoracic Surgeons.) The Annals of Thoracic Surgery 2005 79, 1635-1649DOI: (10.1016/j.athoracsur.2004.09.065) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 This graph shows program specific overall discharge mortality plotted against program specific mean basic complexity score plotted by annual volume of cases for the 13 participating STS sites with greater than 95% complete discharge mortality data. This figure adds to the graph in Figure 1 by plotting center annual volume as the size (area) of the circle. (STS = The Society of Thoracic Surgeons.) The Annals of Thoracic Surgery 2005 79, 1635-1649DOI: (10.1016/j.athoracsur.2004.09.065) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 This graph plots the Aristotle Basic Complexity Level against discharge mortality and demonstrates the expected relationship of increasing mortality with increasing complexity. The Annals of Thoracic Surgery 2005 79, 1635-1649DOI: (10.1016/j.athoracsur.2004.09.065) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 This graph plots Aristotle Basic Complexity Score for each procedure against discharge mortality and also demonstrates the expected relationship of increasing mortality with increasing complexity. In this graph, one can now observe one data point for each of the individual procedures studied. The Annals of Thoracic Surgery 2005 79, 1635-1649DOI: (10.1016/j.athoracsur.2004.09.065) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 This graph plots the rounded Aristotle basic complexity score for each procedure against discharge mortality and also demonstrates the expected relationship of increasing mortality with increasing complexity. In this graph, one can now observe one data bar for each rounded integer in the Aristotle basic complexity score. The Annals of Thoracic Surgery 2005 79, 1635-1649DOI: (10.1016/j.athoracsur.2004.09.065) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions