Surgeon and Hospital Factors Associated With Outcomes in the New York State Database.
Publication/Presentation Date
8-1-2024
Abstract
INTRODUCTION: We sought to explore the relationship between various surgeon-related and hospital-level characteristics and clinical outcomes among patients requiring cardiac surgery.
METHODS: We searched the New York State Cardiac Data Reporting System for all coronary artery bypass grafting (CABG) and valve cases between 2015 and 2017. The data were analyzed without dichotomization.
RESULTS: Among CABG/valve surgeons, case volume was positively correlated with years in practice (P = 0.002) and negatively correlated with risk-adjusted mortality ratio (P = 0.014). For CABG and CABG/valve surgeons, our results showed a negative association between teaching status and case volume (P = 0.002, P = 0.018). Among CABG surgeons, hospital teaching status and presence of cardiothoracic surgery residency were inversely associated with risk-adjusted mortality ratio (P = 0.006, P = 0.029).
CONCLUSIONS: There is a complex relationship between case volume, teaching status, and surgical outcomes suggesting that balance between academics and volume is needed.
Volume
300
First Page
402
Last Page
408
ISSN
1095-8673
Published In/Presented At
Chen, J. R., Tatum, R., Sanders, V. L., Ahmad, D., Morris, R. J., & Tchantchaleishvili, V. (2024). Surgeon and Hospital Factors Associated With Outcomes in the New York State Database. The Journal of surgical research, 300, 402–408. https://doi.org/10.1016/j.jss.2024.05.014
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
38848640
Department(s)
Administration and Leadership
Document Type
Article