In this JAMA Forum article, Harvard's Ashish Jha discusses the pros and cons of public reporting of individual surgeon's outcomes. He uses the New York state cardiac surgery registry as an example and argues why, despite its problems, it is still the way forward. What are your thoughts!?
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Coronary Disease
October 12, 2017
In this retrospective study, the long-term survival benefits of multiple arterial coronary grafting were evaluated among over 20,000 patients in British Columbia by comparing outcomes to those of L IMA + SVG.
October 12, 2017
The authors, using a decision analysis model, compared the cost-effectiveness (over one year) of three different strategies for preventing Staphylococcus aureus infections in patients undergoing CABG in the U.S. The three strategies were as follows:
September 17, 2017
In this study the authors randomized 142 patients within two separate treatment arms: (1) Patients undergoing on-pump CABG were randomized to either a single- vs.
September 9, 2017
The STS Adult Cardiac Surgery database data that had been submitted to a regional quality initiative were compared to a hospital claims database to assess what effect, if any, would supplying missing data provided by the latter affect the reported STS 30-day mortality rates. The STS database currently counts as "alive" any patient that has unknown s
August 23, 2017
This CCF retrospective study compared outcomes for diabetic patients undergoing CABG who received either (1) bilateral internal thoracic artery (BITA) grafts or (2) single internal thoracic artery (SITA) plus radial artery (RA) grafts during CABG.
July 18, 2017
Aortic arch atresia is a rare entity among adults and may coexist with other cardiovascular surgical diseases. Single-stage extra-anatomic ascending-to-descending aortic bypass graft surgery is a safe and less invasive technique for correction of this complex congenital disease with other concomitant surgical cardiovascular disorders.
July 12, 2017
Preoperative Inspiratory Muscle Training (IMT) with the Powerbreathe device was assessed with regard to whether A-a gradients and inspiratory muscle power would be improved after CABG. A group of 40 male patients were randomized to receiving (20) or not receiving (20) preop IMT.
July 5, 2017
In this excellent review article, the authors review the practice and evidence for fractional flow reserve (FFR) in patients undergoing CABG.
May 22, 2017
A surprisingly readable Australasian manuscript on risk prediction models for cardiac surgery. Interesting that the class of dyspnoea was not captured in 5.28% of the operated patients.