The Assault on Specialty Medicine and the Modern Surgeon

Slides:

Advertisements

Similar presentations

The additional hospital costs generated in the management of complications of pacemaker and defibrillator implantations T.Bruce Ferguson, MD, Candice Lilley.

Advertisements

The “occasional open heart surgeon” revisited

Society of Thoracic Surgeons 2008 cardiac risk models predict in-hospital mortality of heart valve surgery in a Chinese population: A multicenter study

Factors Influencing Hospital Length of Stay After Robotic Totally Endoscopic Coronary Artery Bypass Grafting Jeffrey D. Lee, MD, Nikolaos Bonaros, MD,

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Platelet-rich plasmapheresis in cardiac surgery: A meta-analysis of the effect on transfusion requirements F.D. Rubens, MDa, D. Fergusson, MHAb, P.S.

Robert Brewer, MD, MHSA, Patricia F. Theurer, BSN, Chad M

Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery Ming Liu, MS, MA, Charlotte M. Druschel,

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

Damien J. LaPar, MD, MSc, Carlos M. Mery, MD, MPH, Benjamin D

Intraoperative Conversion From Off-Pump to On-Pump Coronary Artery Bypass Is Associated With Increased 30-Day Hospital Readmission Zhongmin Li, PhD,

James Edgerton, MD, Giovanni Filardo, PhD, MPH, William H

Unprotected Left Main Coronary Artery Stenting Versus Coronary Artery Bypass Graft Surgery Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Norikazu Kawai,

Outcomes and perioperative hyperglycemia in patients with or without diabetes mellitus undergoing coronary artery bypass grafting Carlos A Estrada, MD,

Improving health care by embracing Systems Theory

Mitral valve surgery: Right lateral minithoracotomy or sternotomy

Risk factors for early hospital readmission after cardiac operations

A decade of change—risk profiles and outcomes for isolated coronary artery bypass grafting procedures, 1990–1999: a report from the STS National Database.

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

Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials Hisato Takagi, MD, PhD,

Impact of Preoperative Angiotensin-Converting Enzyme Inhibitor Use on Clinical Outcomes After Cardiac Surgery Maral Ouzounian, MD, Karen J. Buth, MS,

Precise capture of thoracic morbidity and mortality: Essential to the process and culture of quality improvement Anna L. McGuire, MD, MSc, FRCSC, John.

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Steven R. Gundry, MD, Matthew A. Romano, MD, O

Improved myocardial protection in minimally invasive aortic valve surgery with the assistance of port-access technology Shubjeet Kaur, MDa, Jorge Balaguer,

Multilevel data analysis: What? Why? How?

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

Yukinori Moriyam, Riichiro Tod, Koichi Hisatom, Akira Tair

Factors Influencing Hospital Length of Stay After Robotic Totally Endoscopic Coronary Artery Bypass Grafting Jeffrey D. Lee, MD, Nikolaos Bonaros, MD,

Mariano E. Brizzio, MD, Alex Zapolanski, MD, Richard E

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.

Editorial: The core of leadership

Support Your Specialty

T. Carrel, MD, M. Pasic, MD, U. Niederhäuser, MD, M. Turina, MD

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

Coronary Artery Bypass Revascularization Using Bilateral Internal Thoracic Arteries in Diabetic Patients: A Systematic Review and Meta-Analysis Kan Kajimoto,

Reversal of refractory hypotension with single-dose methylene blue after coronary artery bypass surgery P. Yiu, FRCSa, J. Robin, MRCPb, C.W. Pattison,

Morbidity, cost, and six-month outcome of minimally invasive direct coronary artery bypass grafting James A Magovern, MD, Daniel H Benckart, MD, Rodney.

Improved outcomes in coronary artery bypass grafting with beating-heart techniques Michael Mack, MD, Donna Bachand, RN, PhD, Tea Acuff, MD, James Edgerton,

Thoracic Surgery Workforce Report

Association between postoperative hypothermia and adverse outcome after coronary artery bypass surgery Steven R Insler, Michael S O’Connor, Marvin J.

Red Blood Cell Transfusion Is Associated With Troponin Release After Elective Off- Pump Coronary Artery Bypass Surgery Fausto Biancari, MD, PhD, Eeva-Maija.

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

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Patient recovery after intermittent disc escape and spontaneous recession of a mechanical heart valve Francis Robicsek, MD, PhD, Joseph W. Cook, MD

Kai Ihnken, MD The Journal of Thoracic and Cardiovascular Surgery

Increase in size of the pulmonary autograft after the ross operation in children: Growth or dilation? Laszlo Solymar, MD, PhD, Göran Südow, MD, Daniel.

The New York Risk Score for In-Hospital and 30-Day Mortality for Coronary Artery Bypass Graft Surgery Edward L. Hannan, PhD, Louise Szypulski Farrell,

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,

Elspeth M. Brown, MRCP, Anthony P. Salmon, FRCP, Robert K. Lamb, FRCS

Are racial differences in hospital mortality after coronary artery bypass graft surgery real? A risk-adjusted meta-analysis Umberto Benedetto, MD, PhD,

Ralph S. Mosca, MD The Journal of Thoracic and Cardiovascular Surgery

P.K. Spanos, MD, A.D. Bisbos, MD, I.I. Arditis, MD

Heart transplantation in patients with previous cardiac operations:

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

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

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,

“The more things change…”: The challenges ahead

Appropriate Use Criteria for coronary revascularization in patients with stable ischemic heart disease: What the surgeon needs to know Harold L. Lazar,

Presidential address: The second-generation vascular surgeon

Impact of Cardiothoracic Resident Turnover on Mortality After Cardiac Surgery: A Dynamic Human Factor Jeffrey H. Shuhaiber, MD, Kimberley Goldsmith,

Gianluca Torregrossa, MD, John D. Puskas, MD, MSc, FACS, FACC

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

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

Masao Takahashi, MD, Shinichiro Yamamoto, MD, Shigeki Tabata, MD

Journal changes and initiatives

Vasoplegic syndrome: A new dilemma

Mary E. Plomondon, PhD, Adrianne W. Casebeer, PhD, Lynn M

Presentation transcript:

The Assault on Specialty Medicine and the Modern Surgeon Daniel J. Ullyot, MD The Journal of Thoracic and Cardiovascular Surgery Volume 115, Issue 2, Pages 273-280 (February 1998) DOI: 10.1016/S0022-5223(98)70269-7 Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 1 Medicare physician reimbursement redistribution vocabulary. OBRA, Omnibus Budget Reconciliation Act; HCFA, Health Care Financing Administration. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 273-280DOI: (10.1016/S0022-5223(98)70269-7) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 2 Advertisement for minimally invasive heart surgery by the Columbia HCA Hospitals in the Nashville, Tennessee, region. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 273-280DOI: (10.1016/S0022-5223(98)70269-7) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 3 Hospital observed, expected, and risk-adjusted mortality rates. Coronary Artery Bypass Surgery in New York State, 1992 to 1994, New York State Department of Health, Albany, NY 12220. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 273-280DOI: (10.1016/S0022-5223(98)70269-7) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 4 Annual postoperative length of stay summary. First-operation elective coronary artery bypass (n = 355,219). CI, Confidence interval. *1996 data are for the first half of year only; patients with missing dates censored. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 273-280DOI: (10.1016/S0022-5223(98)70269-7) Copyright © 1998 Mosby, Inc. Terms and Conditions