July 5, 2007Health Services ResearchOpen Access

Are High‐Quality Cardiac Surgeons Less Likely to Operate on High‐Risk Patients Compared to Low‐Quality Surgeons? Evidence from New York State

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Why the study?

Are high-risk CABG patients less likely to receive care from high-quality surgeons compared with lower-risk patients?

Population

51,750 patients undergoing coronary artery bypass graft surgery in New York State who were discharged…

Comparison

Care by high-quality surgeons vs Care by low-quality surgeons

Design

Cohort

Authors

LGLaurent G. GlanceRAND Corporation ADAndrew W. DickRAND Corporation DMDana B. MukamelUniversity of California, Irvine

Discussion

Member takes

Implication

High-risk CABG patients were associated with lower surgeon O-to-E ratios; supports risk-appropriate allocation but leaves open causal inference and generalizability.

Structured PICO

Are high-risk CABG patients less likely to receive care from high-quality surgeons compared with lower-risk patients?

Population

51,750 patients undergoing coronary artery bypass graft (CABG) surgery in New York State who were discharged between 1997 and 1999

Intervention

Care by high-quality surgeons (quantified using the observed-to-expected mortality ratio)

Comparator

Care by low-quality surgeons

Outcome

Association between surgeon quality (observed-to-expected mortality ratio) and patient risk of death

High-risk CABG patients are significantly more likely to receive care from high-quality surgeons compared with lower-risk patients, suggesting appropriate matching of surgical skill to patient complexity.

Cite This Study

Glance et al. (2007) studied this question.

synapsesocial.com/papers/6a87de5b6e1dca10b7bb617e https://doi.org/10.1111/j.1475-6773.2007.00753.x

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Implication

High-risk CABG patients were associated with lower surgeon O-to-E ratios; supports risk-appropriate allocation but leaves open causal inference and generalizability.

Are High‐Quality Cardiac Surgeons Less Likely to Operate on High‐Risk Patients Compared to Low‐Quality Surgeons? Evidence from New York State

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Are High‐Quality Cardiac Surgeons Less Likely to Operate on High‐Risk Patients Compared to Low‐Quality Surgeons? Evidence from New York State

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider