Key result
Hospitals performing congenital heart surgery exhibit significant variation in both costs and clinical outcomes despite overall improvements for children.
There remains significant variation in cost and outcomes across centers performing congenital heart surgery, highlighting the need for efforts to reduce this variation.
Persistent variation warrants cautious center selection for referrals; leaves open identification of modifiable factors through prospective studies.
Although overall outcomes for children undergoing heart surgery have improved, there is a significant variation in outcomes across hospitals. This review discusses the variation in cost and outcomes across centres performing congenital heart surgery, potential underlying mechanisms, and efforts to reduce variation and improve outcome.
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Pasquali et al. (2012) studied this question. Hospitals performing congenital heart surgery exhibit significant variation in both costs and clinical outcomes despite overall improvements for children.
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