Public release of cardiac surgery outcomes data in New York: what do New York state cardiologists think of it?

American Heart Journal
Edward L HannanB A DeBuono

Abstract

Since 1990, risk-adjusted outcomes for patients undergoing coronary artery bypass graft surgery in New York state have been released to the public. The purpose of this study was to assess the extent to which referring cardiologists share these data with patients and use these data to make referrals. A survey questionnaire was sent to all cardiologists in New York in the New York State Chapter of the American College of Cardiology. Four hundred fifty cardiologists responded to the survey. Most (94%) found the report "easy to read." A majority (67%) found the report to be "very accurate" or "somewhat accurate" in capturing differences in the performance of cardiac surgeons, whereas 33% found it to be "not at all accurate." Twenty-two percent reported that they "routinely discuss the reports with their patients," and 38% responded that the information has affected their referrals to surgeons "very much" or "somewhat." A majority of cardiologists has not generally changed their well-established referral patterns as a result of the New York coronary artery bypass graft surgery reports. However, there has been a modest impact on referrals resulting from the distribution of these reports. The findings also suggest that increased dialo...Continue Reading

References

Dec 5, 1990·JAMA : the Journal of the American Medical Association·E L HannanE P Shields
May 4, 1995·The New England Journal of Medicine·J Green, N Wintfeld
Dec 1, 1994·The Annals of Thoracic Surgery·E L HannanM R Chassin
Dec 1, 1994·The Annals of Thoracic Surgery·S W DziubanR H Dal Col
Mar 9, 1994·JAMA : the Journal of the American Medical Association·E L HannanM R Chassin
Jan 1, 1994·Annals of Internal Medicine·E J Topol, R M Califf
Feb 8, 1996·The New England Journal of Medicine·M R ChassinB A DeBuono
Feb 5, 1997·JAMA : the Journal of the American Medical Association·W A GhaliM A Moskowitz

❮ Previous
Next ❯

Citations

Jun 14, 2003·BMJ : British Medical Journal·Daniel Stryer, Carolyn Clancy
Sep 30, 2005·BMJ : British Medical Journal·Lisa M SchwartzJohn D Birkmeyer
Jul 3, 2013·Journal of the American College of Surgeons·Stephanie G YiCarol M Ashton
Aug 2, 2011·Social Science & Medicine·Amanda H Goodall
Jan 17, 2009·The Canadian Journal of Cardiology·Veena GuruJack V Tu
Mar 23, 2011·Journal of Health Economics·Yijuan Chen
Jul 6, 2010·Journal of Health Economics·Andrew J Epstein
Mar 2, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Elizabeth MorsiMichael B Rothberg
Nov 13, 2010·Journal of Cardiac Surgery·David M Shahian
Jan 11, 2007·Journal of Vascular Surgery·James W Jones, Laurence B McCullough
Jun 16, 2012·Journal of the American College of Cardiology·David L BrownJustin Oakley
Dec 17, 2014·International Journal of Surgery·P D RadfordUNKNOWN Council of the Association of Surgeons in Training
Oct 30, 1999·The Annals of Thoracic Surgery·J H BurackJ N Cunningham
Mar 10, 2001·The Journal of Thoracic and Cardiovascular Surgery·B J Harlan
Oct 24, 2000·The Journal of Thoracic and Cardiovascular Surgery·D M ShahianJ Jacobson
Sep 20, 2007·Medical Care Research and Review : MCRR·William B Weeks, Elliott S Fisher
Oct 17, 2008·Medical Care Research and Review : MCRR·Meghna RanganathanDana Gelb Safran
Jul 19, 2006·Medical Care Research and Review : MCRR·Andrew J Epstein
Nov 26, 2008·Medical Care Research and Review : MCRR·Jonathan T Kolstad, Michael E Chernew
Apr 13, 2004·Medical Care·Patrick S Romano, Hong Zhou
Jan 29, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Ingrid Philibert
Jun 23, 2019·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Susan ChimonasAllison Lipitz-Snyderman
Jul 3, 2018·Annals of the Royal College of Surgeons of England·M P WilliamsF Keeley
Nov 13, 2018·The Annals of Thoracic Surgery·Dachuan GuZhe Zheng

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.