Key result
There were large variations in cardiac surgery practices across six Veterans Affairs pilot institutions, including attending surgeon participation (0% to 100%) and use of blood cardioplegia (0% to 100%).
Why the study?
What are the variations in processes and structures of cardiac surgery practice among different institutions?
Population
Patients undergoing cardiac surgery at six pilot institutions in a Veterans Affairs cooperative study
Comparison
Various cardiac surgical practices and techniques vs Comparison among six different institutions
Design
Cross-sectional
Authors
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Observed variations in VA cardiac surgery practices merit attention; leaves open effects on risk-adjusted outcomes.
Observational
Yes
What are the variations in processes and structures of cardiac surgery practice among different institutions?
There is tremendous institutional variation in the processes and structures of cardiac surgery practice, which may influence risk-adjusted outcomes.
Tobler et al. (1995) conducted an observational in Cardiac surgery. Variations in cardiac surgery practices was evaluated on Variation in operative practices. There were large variations in cardiac surgery practices across six Veterans Affairs pilot institutions, including attending surgeon participation (0% to 100%) and use of blood cardioplegia (0% to 100%).