Unwarranted Variation in the Quality of Care for Patients With Diseases of the Thoracic Aorta
Why the study?
Does care in high-volume regional cardiac units with multidisciplinary teams improve outcomes in patients with thoracic aortic disease?
Population
24,548 adult patients in the HES study, 8,058 in the NACSA study, and 103,543 from 33 studies in a…
Comparison
Care delivered by multidisciplinary teams in… vs Care in low-volume units
Design
Cohort
Follow-up
6 months
Authors
Discussion
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Member takes
Implication
Substantial regional variation in thoracic aortic care drives outcome differences; leaves open optimal standardization strategies for equitable access.
Structured PICO
Does care in high-volume regional cardiac units with multidisciplinary teams improve outcomes in patients with thoracic aortic disease?
P
Population
24,548 adult patients in the HES study, 8,058 in the NACSA study, and 103,543 from 33 studies in a systematic review with thoracic aortic disease
I
Intervention
Care delivered by multidisciplinary teams in high-volume regional cardiac units
C
Comparator
Care in low-volume units
O
Outcome
Treatment rates within 6 months of index admission and risk-adjusted 6-month mortalityhard clinical
Delivery of care for thoracic aortic disease by multidisciplinary teams in high-volume units is associated with better outcomes, highlighting the need to address regional variations in care.
Cite This Study
Bottle et al. (2017) studied this question.