U.S. trends in CABG hospital volume: the effect of adding cardiac surgery programs
- PMID: 17211025
- DOI: 10.1377/hlthaff.26.1.162
U.S. trends in CABG hospital volume: the effect of adding cardiac surgery programs
Abstract
Hospital coronary artery bypass graft (CABG) volume is inversely related to mortality--with low-volume hospitals having the highest mortality. Medicare data (1992-2003) show that the number of CABG procedures increased from 158,000 in 1992 to a peak of 190,000 in 1996 and then fell to 152,000 in 2003, while the number of hospitals performing CABG increased steadily. Predictably, the proportion of CABG procedures performed at low-volume hospitals increased, and the proportion in high-volume hospitals declined. An unintended consequence of starting new cardiac surgery programs is declining CABG hospital volume--a side effect that might increase mortality.
Comment in
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Selective use of references?Health Aff (Millwood). 2007 Jul-Aug;26(4):1198. doi: 10.1377/hlthaff.26.4.1198. Health Aff (Millwood). 2007. PMID: 17630469 No abstract available.
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