What does this research mean for the field?

Hospital-level risk-adjusted mortality rates for vascular surgical procedures are inter-related, such that a provider's performance on one procedure can be predicted by its aggregated performance on other vascular procedures. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2014Circulation Cardiovascular Quality and OutcomesOpen Access

Inter-Relationship of Procedural Mortality Rates in Vascular Surgery in England

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Why the study?

Are risk-adjusted postoperative mortality rates for elective and emergency vascular surgical procedures inter-related within providers?

Population

Adult patients undergoing elective or emergency vascular surgery from 2005 to 2010

Design

Cohort

Follow-up

Up to 1 year

Authors

SSSidhartha SinhaPain Clinic of India AKAlan KarthikesalingamVascular / Pulmonary Vascular JPJan PolonieckiUniversity of London

Discussion

Member takes

Implication

Provider performance consistency across procedures may inform quality metrics; hypothesis-generating for improvement strategies.

Structured PICO

Are risk-adjusted postoperative mortality rates for elective and emergency vascular surgical procedures inter-related within providers?

Population

Adult patients undergoing elective or emergency vascular surgery from 2005 to 2010 (n=116,596 procedures across 166 providers)

Intervention

10 vascular surgical procedures covering the broad spectrum of workload for a vascular surgical service

Outcome

In-hospital mortalityhard clinical

Hospital-level risk-adjusted mortality for vascular procedures varies considerably, with providers tending to be globally high or low performers across different procedures.

Cite This Study

Sinha et al. (2014) studied this question.

synapsesocial.com/papers/6a1d2a181e7099f69104fe02 https://doi.org/10.1161/circoutcomes.113.000579

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Inter-Relationship of Procedural Mortality Rates in Vascular Surgery in England

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Inter-Relationship of Procedural Mortality Rates in Vascular Surgery in England

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider