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May 15, 2003BMJOpen Access

Heart surgeons are to be rated according to bypass surgery success

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Key result

British heart surgeons will be publicly graded on a three-star rating system based on survival rates for first-time coronary artery bypass grafts, which have a national mean mortality of 2.1%.

Population

Adults having cardiac surgery for the first time undergoing coronary artery bypass grafts without additional…

Design

Editorial

Authors

ODO. DyerTransnational Press London

Discussion

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Overview

Public surgeon ratings on CABG mortality warrant cautious clinician interpretation; leaves open effects on case selection and outcome improvement.

Structured PICO

P
Population
Adults having cardiac surgery for the first time undergoing coronary artery bypass grafts without additional procedures
I
Intervention
Public grading of surgeons on a three-star rating system based on patient survival rates
O
Outcome
Patient survival rateshard clinical

The Society of Cardiothoracic Surgeons in Britain is introducing a three-star rating system for heart surgeons based on survival rates for first-time isolated CABG to forestall government league tables.

Limitations

  • Data are not risk stratified
  • Higher mortality rates could be due to poor intensive care or sicker patients rather than surgical quality

Cite This Study

O. Dyer (2003) studied Coronary artery disease requiring bypass surgery. Public performance rating system was evaluated. British heart surgeons will be publicly graded on a three-star rating system based on survival rates for first-time coronary artery bypass grafts, which have a national mean mortality of 2.1%.

synapsesocial.com/papers/6a9798e1713b4e110fe33762https://doi.org/10.1136/bmj.326.7398.1053-a
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ranking heart surgeons has pitfalls2003 · 4 citations
  2. 2Performance of individual surgeons to be published2002 · 14 citations
  3. 3Performance indicators in cardiac surgery - time for public release2011
  4. 4Surgeon specific mortality in adult cardiac surgery: comparison between crude and risk stratified data2003 · 141 citations
  5. 5A change in opinion on surgeon's performance indicators2011 · 10 citations