Confusion Instead of Clarity: Publicly Reported Cardiac Surgery Ratings for Coronary Artery Bypass Grafting and Aortic Valve Replacement Anjali C. Raghuram,

Slides:

Advertisements

Similar presentations

Date of download: 9/19/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Association Between Endoscopic vs Open Vein-Graft.

Advertisements

The “occasional open heart surgeon” revisited

Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.

The Hartford Consensus: Survey of the Public and Healthcare Professionals on Active Shooter Events in Hospitals Lenworth M. Jacobs, MD, MPH, FACS, Karyl.

Richard S. D’Agostino, MD, Jeffrey P

Todd C. Crawford, MD, J. Trent Magruder, MD, Joshua C

The Passions and Actions of Our Lives: Changing the World Around Us

Rethinking the Ross Procedure in Adults

Trends in isolated coronary artery bypass grafting: An analysis of the Society of Thoracic Surgeons adult cardiac surgery database Andrew W. ElBardissi,

The American Association for Thoracic Surgery 2016 Ethics Forum: Cost-effectiveness and the ethics of left ventricular assist device therapy John W.C.

The persistent problem of new-onset postoperative atrial fibrillation: A single-institution experience over two decades Jeanne Shen, BS, Shelly Lall,

Surgical Ablation of Atrial Fibrillation in the United States: Trends and Propensity Matched Outcomes Vinay Badhwar, MD, J. Scott Rankin, MD, Niv Ad,

Are Surgeons Being Paid Fairly by Medicaid

Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery Farkas B. Vánky, MD, PhD, Erik.

Aortic valve replacement in patients with mild or moderate aortic stenosis and coronary bypass surgery Jeremy J. Pereira, MB, Krzysztof Balaban, MD,

Comparison of EuroSCORE II, Original EuroSCORE, and The Society of Thoracic Surgeons Risk Score in Cardiac Surgery Patients Niv Ad, MD, Sari D. Holmes,

Cardiac Surgery in Jehovah's Witness Patients: Ten-Year Experience

Richard S. D'Agostino, MD, Jeffrey P

G. James Avery, MD, S. Jill Ley, RN, J

The Society of Thoracic Surgeons Thoracic Surgery Practice and Access Task Force: 2014 Workforce Report John S. Ikonomidis, MD, PhD The Annals of Thoracic.

Neurologic complications after off-pump coronary artery bypass grafting with and without aortic manipulation: Meta-analysis of 11,398 cases from 8 studies

Complications After Cardiac Operations: All Are Not Created Equal

Does Prior Coronary Bypass Surgery Present a Unique Risk for Reoperative Valve Surgery? Andrew Breglio, BS, Anelechi Anyanwu, MD, Shinobu Itagaki, MD,

Why surgery won the SYNTAX trial and why it matters

Chronic Atrial Fibrillation Is Associated With Reduced Survival After Aortic and Double Valve Replacement Richard Schulenberg, MD, Polychronis Antonitsis,

Trends in Robotic-Assisted Coronary Artery Bypass Grafts: A Study of The Society of Thoracic Surgeons Adult Cardiac Surgery Database, 2006 to 2012 David.

Husain N. Alshaikh, MD, Nevin M

Multilevel data analysis: What? Why? How?

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

The Journal of Thoracic and Cardiovascular Surgery

Bicuspid aortic valve aortopathy: One size fits all?

David M. Shahian, MD, Xia He, MS, Jeffrey P. Jacobs, MD, J

Tom Kai Ming Wang, MBCHB, David H. M

Nader N. Massarweh, MD, MPH, David R. Flum, MD, MPH, FACS, Rebecca G

Association of hospital coronary artery bypass volume with processes of care, mortality, morbidity, and the Society of Thoracic Surgeons composite quality.

Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model Daniel.

Impact of Transcatheter Technology on Surgical Aortic Valve Replacement Volume, Outcomes, and Cost Robert B. Hawkins, MD, Emily A. Downs, MD, Lily E.

Optimal timing of coronary artery bypass after acute myocardial infarction: A review of California discharge data Eric S. Weiss, MD, David D. Chang,

Aortic Valve Replacement and Concomitant Coronary Artery Bypass: Assessing the Impact of Multiple Grafts Kimiyoshi J. Kobayashi, BS, Jason A. Williams,

Support Your Specialty

Transcatheter aortic valve replacement in intermediate-risk patients

Twenty-Year Experience With the CarboMedics Mechanical Valve Prosthesis Denis Bouchard, MD, Amine Mazine, MD, Louis-Mathieu Stevens, MD, Michel Pellerin,

For everything there is a season

Michele Gallo, MD, Gino Gerosa, MD

Military surgeons just want to have fun

Good at One or Good at All

Terry Shih, MD, Justin B. Dimick, MD, MPH

Use of bilateral internal thoracic artery during coronary artery bypass graft surgery in Canada: The bilateral internal thoracic artery survey Stefano.

Nonelective cardiac surgery in the elderly: Is it justified?

Guidelines should bother us, not comfort us

Replicating the success of mitral valve repair in the aortic valve

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

Influence of experience and the surgical learning curve on long-term patient outcomes in cardiac surgery Bryan M. Burt, MD, Andrew W. ElBardissi, MD,

Commentary: Bioprosthetic aortic valve replacement: A high standard of comparison for transcatheter aortic valve implantation Aaron Martin, MD, Michael.

Limitations of Hospital Volume as a Measure of Quality of Care for Coronary Artery Bypass Graft Surgery Karl F. Welke, MD, Mitchell J. Barnett, PharmD,

Shengshou Hu, MD, Xin Yuan, MD, PhD

Trends in Patient Characteristics and Outcomes of Coronary Artery Bypass Grafting in the 2000 to 2012 Medicare Population Christian McNeely, MD, Stephen.

Minimally Invasive Port Access Approach for Reoperations on the Mitral Valve Prashanth Vallabhajosyula, MD, MS, Tyler Wallen, DO, Aaron Pulsipher, BS,

Comparison of 30-day outcomes of coronary artery bypass grafting surgery verus hybrid coronary revascularization stratified by SYNTAX and euroSCORE Marzia.

Improved quality and cost-effectiveness of coronary artery bypass grafting in the United States from 1988 to 2005 Howard K. Song, MD, PhD, Brian S. Diggs,

Effect of Coronary Artery Disease Extent on Contemporary Outcomes of Combined Aortic Valve Replacement and Coronary Artery Bypass Graft Surgery Zhongmin.

Journal of the American College of Surgeons

Trauma: Still the Cornerstone of Acute Care Surgery Specialty

Racing to the Rubicon Michael J. Reardon, MD, Vinod H. Thourani, MD

Potassium and Magnesium Supplementation Do Not Protect Against Atrial Fibrillation After Cardiac Operation: A Time-Matched Analysis Timothy S. Lancaster,

National trends in utilization and in-hospital outcomes of mechanical versus bioprosthetic aortic valve replacements Abby J. Isaacs, MS, Jeffrey Shuhaiber,

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Ravi K. Ghanta, MD, Prem S. Shekar, MD, Siobhan McGurk, BS, Donna M

Association of Renal Disease and Readmission after Abdominal Aortic Aneurysm Repair in the Medicare Population Joedd H. Biggs, MD, Ryan J. Kim, MD, Viktor.

Is Surgery Always Mandatory for Type A Aortic Dissection?

Presentation transcript:

Confusion Instead of Clarity: Publicly Reported Cardiac Surgery Ratings for Coronary Artery Bypass Grafting and Aortic Valve Replacement Anjali C. Raghuram, BA, Tejasvi K. Dasari, BA, Brendan Chou, BS, Sujana Balla, MBBS, Sergio M. Navarro, BS, Rohan M. Shah, MPH, Ankur Bakshi, MD, Matthew J. Wall, MD, FACS, Todd K. Rosengart, MD, FACS, Ravi K. Ghanta, MD, FACS Journal of the American College of Surgeons Volume 228, Issue 2, Pages 180-187 (February 2019) DOI: 10.1016/j.jamcollsurg.2018.07.663 Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 1 Percent distribution of ratings assigned by each rating system: (A) coronary artery bypass grafting ratings and (B) aortic valve replacement ratings. n = the number of hospitals within our cohort rated by each system. US News & World Report (USN) had the highest proportion of hospitals rated as high performing in comparison with the other rating systems. CMS, Centers for Medicare & Medicaid Services; HG, Healthgrades; STS, Society of Thoracic Surgeons. Journal of the American College of Surgeons 2019 228, 180-187DOI: (10.1016/j.jamcollsurg.2018.07.663) Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 2 A US map of high-performing (A) coronary artery bypass grafting and (B) aortic valve replacement hospitals, across all applicable rating systems (Society of Thoracic Surgeons, US News & World Report, Healthgrades, Centers for Medicare & Medicaid Services), within each state. The cohort of hospitals evaluated in this study were distributed across all regions of the US. Journal of the American College of Surgeons 2019 228, 180-187DOI: (10.1016/j.jamcollsurg.2018.07.663) Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 3 Consistency in assigned ratings as captured by percent agreement of match vs no match in ratings: (A) coronary artery bypass grafting (CABG) ratings and (B) aortic valve replacement (AVR) ratings. Highest match rates were found between Society of Thoracic Surgeons (STS) and Centers for Medicare & Medicaid Services (CMS) for CABG and STS and Healthgrades (HG) for AVR. USN, US News & World Report. Journal of the American College of Surgeons 2019 228, 180-187DOI: (10.1016/j.jamcollsurg.2018.07.663) Copyright © 2018 American College of Surgeons Terms and Conditions