The Society of Thoracic Surgeons Composite Measure of Individual Surgeon Performance for Adult Cardiac Surgery: A Report of The Society of Thoracic Surgeons Quality Measurement Task Force

The Annals of Thoracic Surgery
David M ShahianSean M O'Brien

Abstract

Previous composite performance measures of The Society of Thoracic Surgeons (STS) were estimated at the STS participant level, typically a hospital or group practice. The STS Quality Measurement Task Force has now developed a multiprocedural, multidimensional composite measure suitable for estimating the performance of individual surgeons. The development sample from the STS National Database included 621,489 isolated coronary artery bypass grafting procedures, isolated aortic valve replacement, aortic valve replacement plus coronary artery bypass grafting, mitral, or mitral plus coronary artery bypass grafting procedures performed by 2,286 surgeons between July 1, 2011, and June 30, 2014. Each surgeon's composite score combined their aggregate risk-adjusted mortality and major morbidity rates (each weighted inversely by their standard deviations) and reflected the proportion of case types they performed. Model parameters were estimated in a Bayesian framework. Composite star ratings were examined using 90%, 95%, or 98% Bayesian credible intervals. Measure reliability was estimated using various 3-year case thresholds. The final composite measure was defined as 0.81 × (1 minus risk-standardized mortality rate) + 0.19 × (1 minus...Continue Reading

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Citations

Feb 22, 2016·The Annals of Thoracic Surgery·David M Shahian
Dec 1, 2015·The Annals of Thoracic Surgery·Richard S D'AgostinoDavid M Shahian
Sep 4, 2015·The Annals of Thoracic Surgery·Richard L Prager
Jun 15, 2016·American Heart Journal·Julio G PegueroGervasio A Lamas
Jun 6, 2016·The Annals of Thoracic Surgery·Vinay BadhwarFred H Edwards
Apr 27, 2017·European Heart Journal·Stuart J HeadA Pieter Kappetein
Jun 16, 2018·Anesthesia and Analgesia·Laurent G GlanceAndrew W Dick
Jul 14, 2016·Circulation. Cardiovascular Quality and Outcomes·Omar A JarralUNKNOWN United Kingdom and Republic of Ireland Consultant Cardiothoracic Surgeons
Apr 13, 2018·Minerva cardioangiologica·Vincenzo De MarzoItalo Porto
Aug 12, 2016·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Niv Ad, Lisa Fornaresio
Apr 23, 2016·Anesthesia and Analgesia·Laurent G GlanceAndrew W Dick
May 17, 2019·Anesthesiology·Laurent G GlanceAndrew W Dick
Jul 18, 2020·Medical Hypotheses·Michael Poullis
Aug 31, 2020·The Journal of Thoracic and Cardiovascular Surgery·David M Shahian
Nov 3, 2020·Advances in Orthopedics·Kelsey A RankinDaniel H Wiznia
Mar 11, 2021·Seminars in Thoracic and Cardiovascular Surgery·Evan P RotarNicholas R Teman
Nov 13, 2018·The Annals of Thoracic Surgery·Dachuan GuZhe Zheng
Aug 4, 2020·The Journal of Thoracic and Cardiovascular Surgery·Paul Kurlansky
Dec 24, 2018·The Journal of Thoracic and Cardiovascular Surgery·Elizabeth D KrebsGorav Ailawadi
Apr 2, 2021·The Annals of Thoracic Surgery·Michael E BowdishVinay Badhwar
May 5, 2021·Texas Heart Institute Journal·Vikas SharmaCraig H Selzman
Jul 17, 2021·EFORT Open Reviews·Reinier FeitzUNKNOWN Hand–Wrist Study Group
Apr 13, 2021·The Annals of Thoracic Surgery·Jeffrey P JacobsSean M O'Brien
Jul 10, 2021·The Annals of Thoracic Surgery·Paul A KurlanskyDavid M Shahian
Aug 10, 2021·The Annals of Thoracic Surgery·David M ShahianSean M O'Brien

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