Key result
VA hospital cardiac surgery shows no six-year survival difference versus an affiliated university hospital.
Why the study?
Does cardiac surgery at a Veterans Administration hospital result in similar survival compared to an affiliated university hospital?
Population
3330 open cardiac procedures from 1975 through 1984
Comparison
Open cardiac procedures at a Veterans… vs Open cardiac procedures at an affiliated…
Design
Cohort
Follow-up
six years
Authors
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Comparable survival in lower-caseload VA settings supports residency programs; leaves open generalizability beyond this paired cohort.
Cohort (n=3,330)
Yes
Does cardiac surgery at a Veterans Administration hospital result in similar survival compared to an affiliated university hospital?
p-value: p=not significant
Residency-directed cardiac surgery programs can achieve comparable operative and long-term survival at a Veterans Administration hospital as at an affiliated university hospital, despite lower caseloads.
David C. Kress (1988) conducted a cohort in Open cardiac procedures (n=3,330). Cardiac surgery at a Veterans Administration hospital vs. Cardiac surgery at an affiliated university hospital was evaluated on Six-year survival (p=not significant). Cardiac surgery at a Veterans Administration hospital showed no significant differences in six-year survival compared to an affiliated university hospital, despite a threefold difference in caseload.
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