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Dartmouth Atlas of Vascular Health Care review: Impact of hospital volume, surgeon volume, and training on outcome  Thomas S. Huber, MD, PhD, James M.

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Presentation on theme: "Dartmouth Atlas of Vascular Health Care review: Impact of hospital volume, surgeon volume, and training on outcome  Thomas S. Huber, MD, PhD, James M."— Presentation transcript:

1 Dartmouth Atlas of Vascular Health Care review: Impact of hospital volume, surgeon volume, and training on outcome  Thomas S. Huber, MD, PhD, James M. Seeger, MD  Journal of Vascular Surgery  Volume 34, Issue 4, Pages (October 2001) DOI: /mva Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 Relationship between hospital volume and 30-day mortality rate after carotid endarterectomy from 1992 to 1993 among Medicare patients is shown. Hospitals are broken down by procedural volume (low, medium, high) or participation in carotid endarterectomy trials (North American Symptomatic Carotid Endarterectomy Trial or Asymptomatic Carotid Atherosclerosis Study). (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; p. 49. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 Relationship between annual surgeon procedural volume and 30-day mortality rate after CEA during 1996 among Medicare patients is shown. Note that annual number of procedures per surgeon includes only those performed on Medicare patients. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; p. 50. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 Relationship between annual surgeon procedural volume and 30-day mortality rate after CEA during 1996 among Medicare patients is shown for various subspecialties. Note that annual number of procedures per surgeon includes only those performed on Medicare patients. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; p. 55. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 Fig. 4 Relationship between annual surgeon procedural volume and 30-day mortality rate after elective AAA repair during 1996 among Medicare patients is shown. Note that annual number of procedures per surgeon includes only those performed on Medicare patients. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; p. 73. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

6 Fig. 5 Relationship between annual surgeon procedural volume and 30-day mortality rate after elective AAA repair during 1996 among Medicare patients is shown for the various subspecialties. Note that annual number of procedures per surgeon includes only those performed on Medicare patients. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; p. 79. Copyright 2000, Trustees College.) Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

7 Fig. 6 Rates of lower-extremity angioplasty, surgical bypass grafting, and major amputation from 1993 to 1996 among Medicare patients are shown and expressed per 1000 Medicare enrollees. (Reprinted with permission from Cronenwett JL, Birkmeyer JD. The Dartmouth atlas of vascular health care. Chicago: AHA Press; p. 91. Copyright 2000, Trustees of Dartmouth College.) Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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