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- G L Early and S R Roberts.
- Heartland Regional Medical Center, St. Joseph, Missouri, USA.
- Ann. Thorac. Surg. 2000 Jan 1; 69 (1): 146-50.
BackgroundHealth care reform, public disclosure of hospital and surgeon-specific results, plus changes in reimbursement patterns have raised the specter of volume-based credentialing.MethodsUsing The Society of Thoracic Surgeons Cardiac Database, we examined the data for all coronary artery bypass graft-only patients (n = 615) operated on by us from July 1991 to June 1997.ResultsThe observed mortality was 0.33% and the observed-to-expected ratio was 0.12 (p<0.005). Morbidity was low as well.ConclusionsExcellent results can be obtained for patients undergoing coronary artery bypass grafting in the presence of both low surgeon and low hospital case volume.
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