Hospital volume, mitral repair rates, and mortality in mitral valve surgery in the elderly: An analysis of US hospitals treating Medicare fee-for-service patients
Abstract Background The volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the elderly because of their greater burden of comorbidities and higher perioperative risk. Methods and Results The study included 1239 hospitals p...
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Published in | The Journal of thoracic and cardiovascular surgery Vol. 149; no. 3; pp. 762 - 768.e1 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
01.03.2015
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Abstract | Abstract Background The volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the elderly because of their greater burden of comorbidities and higher perioperative risk. Methods and Results The study included 1239 hospitals performing mitral valve surgery on Medicare beneficiaries from 2000 through 2009. Only 9% of hospitals performed more than 40 mitral operations per year, 29% performed 5 or less, and 51% performed 10 or less. Mitral repair rates were low; 22.7% of hospitals performed 1 or less, 65.1% performed 5 or less, and only 5.6% performed more than 20 mitral repairs per year in those aged 65 years or more. Repair rates increased with increasing volume of mitral operations per year: 5 or less, 30.5%; 6 to 10, 32.9%; 11 to 20, 34.9%; 21 to 40, 38.8%; and more than 40, 42.0% ( P = .0001). Hospitals with lower volume had significantly higher adjusted operative mortality compared with hospitals performing more than 40 cases per year: 5 or less cases per year, odds ratio (OR) 1.58 (95% confidence interval [CI], 1.40-1.78); 6 to 10 cases per year, OR 1.29 (95% CI, 1.17-1.43); 11 to 20 cases per year, OR 1.17 (95% CI, 1.07-1.28); 21 to 40 cases per year, OR 1.15 (95% CI, 1.05-1.26). Hospitals with lower mitral repair rates had an increased likelihood of operative mortality relative to the top quartile: lowest quartile, OR 1.31 (95% CI, 1.20-1.44); second quartile, OR 1.18 (95% CI, 1.09-1.29); and third quartile, OR 1.14 (95% CI, 1.05-1.24). Long-term mortality beyond 6 months was also higher in low-volume hospitals: 5 or less cases year, hazard ratio (HR) 1.11 (95% CI, 1.06-1.18); 6 to 10 cases per year, OR 1.06 (95% CI, 1.02-1.10) compared with hospitals performing more than 40 cases per year. Conclusions Most hospitals perform few mitral valve operations on elderly patients. Greater volume of mitral procedures was associated with higher repair rates. Both greater volume of mitral procedures and increasing mitral repair rates were associated with decreased mortality. |
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AbstractList | BACKGROUNDThe volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the elderly because of their greater burden of comorbidities and higher perioperative risk.METHODS AND RESULTSThe study included 1239 hospitals performing mitral valve surgery on Medicare beneficiaries from 2000 through 2009. Only 9% of hospitals performed more than 40 mitral operations per year, 29% performed 5 or less, and 51% performed 10 or less. Mitral repair rates were low; 22.7% of hospitals performed 1 or less, 65.1% performed 5 or less, and only 5.6% performed more than 20 mitral repairs per year in those aged 65 years or more. Repair rates increased with increasing volume of mitral operations per year: 5 or less, 30.5%; 6 to 10, 32.9%; 11 to 20, 34.9%; 21 to 40, 38.8%; and more than 40, 42.0% (P = .0001). Hospitals with lower volume had significantly higher adjusted operative mortality compared with hospitals performing more than 40 cases per year: 5 or less cases per year, odds ratio (OR) 1.58 (95% confidence interval [CI], 1.40-1.78); 6 to 10 cases per year, OR 1.29 (95% CI, 1.17-1.43); 11 to 20 cases per year, OR 1.17 (95% CI, 1.07-1.28); 21 to 40 cases per year, OR 1.15 (95% CI, 1.05-1.26). Hospitals with lower mitral repair rates had an increased likelihood of operative mortality relative to the top quartile: lowest quartile, OR 1.31 (95% CI, 1.20-1.44); second quartile, OR 1.18 (95% CI, 1.09-1.29); and third quartile, OR 1.14 (95% CI, 1.05-1.24). Long-term mortality beyond 6 months was also higher in low-volume hospitals: 5 or less cases year, hazard ratio (HR) 1.11 (95% CI, 1.06-1.18); 6 to 10 cases per year, OR 1.06 (95% CI, 1.02-1.10) compared with hospitals performing more than 40 cases per year.CONCLUSIONSMost hospitals perform few mitral valve operations on elderly patients. Greater volume of mitral procedures was associated with higher repair rates. Both greater volume of mitral procedures and increasing mitral repair rates were associated with decreased mortality. The volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the elderly because of their greater burden of comorbidities and higher perioperative risk. The study included 1239 hospitals performing mitral valve surgery on Medicare beneficiaries from 2000 through 2009. Only 9% of hospitals performed more than 40 mitral operations per year, 29% performed 5 or less, and 51% performed 10 or less. Mitral repair rates were low; 22.7% of hospitals performed 1 or less, 65.1% performed 5 or less, and only 5.6% performed more than 20 mitral repairs per year in those aged 65 years or more. Repair rates increased with increasing volume of mitral operations per year: 5 or less, 30.5%; 6 to 10, 32.9%; 11 to 20, 34.9%; 21 to 40, 38.8%; and more than 40, 42.0% (P = .0001). Hospitals with lower volume had significantly higher adjusted operative mortality compared with hospitals performing more than 40 cases per year: 5 or less cases per year, odds ratio (OR) 1.58 (95% confidence interval [CI], 1.40-1.78); 6 to 10 cases per year, OR 1.29 (95% CI, 1.17-1.43); 11 to 20 cases per year, OR 1.17 (95% CI, 1.07-1.28); 21 to 40 cases per year, OR 1.15 (95% CI, 1.05-1.26). Hospitals with lower mitral repair rates had an increased likelihood of operative mortality relative to the top quartile: lowest quartile, OR 1.31 (95% CI, 1.20-1.44); second quartile, OR 1.18 (95% CI, 1.09-1.29); and third quartile, OR 1.14 (95% CI, 1.05-1.24). Long-term mortality beyond 6 months was also higher in low-volume hospitals: 5 or less cases year, hazard ratio (HR) 1.11 (95% CI, 1.06-1.18); 6 to 10 cases per year, OR 1.06 (95% CI, 1.02-1.10) compared with hospitals performing more than 40 cases per year. Most hospitals perform few mitral valve operations on elderly patients. Greater volume of mitral procedures was associated with higher repair rates. Both greater volume of mitral procedures and increasing mitral repair rates were associated with decreased mortality. Abstract Background The volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the elderly because of their greater burden of comorbidities and higher perioperative risk. Methods and Results The study included 1239 hospitals performing mitral valve surgery on Medicare beneficiaries from 2000 through 2009. Only 9% of hospitals performed more than 40 mitral operations per year, 29% performed 5 or less, and 51% performed 10 or less. Mitral repair rates were low; 22.7% of hospitals performed 1 or less, 65.1% performed 5 or less, and only 5.6% performed more than 20 mitral repairs per year in those aged 65 years or more. Repair rates increased with increasing volume of mitral operations per year: 5 or less, 30.5%; 6 to 10, 32.9%; 11 to 20, 34.9%; 21 to 40, 38.8%; and more than 40, 42.0% ( P = .0001). Hospitals with lower volume had significantly higher adjusted operative mortality compared with hospitals performing more than 40 cases per year: 5 or less cases per year, odds ratio (OR) 1.58 (95% confidence interval [CI], 1.40-1.78); 6 to 10 cases per year, OR 1.29 (95% CI, 1.17-1.43); 11 to 20 cases per year, OR 1.17 (95% CI, 1.07-1.28); 21 to 40 cases per year, OR 1.15 (95% CI, 1.05-1.26). Hospitals with lower mitral repair rates had an increased likelihood of operative mortality relative to the top quartile: lowest quartile, OR 1.31 (95% CI, 1.20-1.44); second quartile, OR 1.18 (95% CI, 1.09-1.29); and third quartile, OR 1.14 (95% CI, 1.05-1.24). Long-term mortality beyond 6 months was also higher in low-volume hospitals: 5 or less cases year, hazard ratio (HR) 1.11 (95% CI, 1.06-1.18); 6 to 10 cases per year, OR 1.06 (95% CI, 1.02-1.10) compared with hospitals performing more than 40 cases per year. Conclusions Most hospitals perform few mitral valve operations on elderly patients. Greater volume of mitral procedures was associated with higher repair rates. Both greater volume of mitral procedures and increasing mitral repair rates were associated with decreased mortality. The volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the elderly because of their greater burden of comorbidities and higher perioperative risk. The study included 1239 hospitals performing mitral valve surgery on Medicare beneficiaries from 2000 through 2009. Only 9% of hospitals performed more than 40 mitral operations per year, 29% performed 5 or less, and 51% performed 10 or less. Mitral repair rates were low; 22.7% of hospitals performed 1 or less, 65.1% performed 5 or less, and only 5.6% performed more than 20 mitral repairs per year in those aged 65 years or more. Repair rates increased with increasing volume of mitral operations per year: 5 or less, 30.5%; 6 to 10, 32.9%; 11 to 20, 34.9%; 21 to 40, 38.8%; and more than 40, 42.0% (P = .0001). Hospitals with lower volume had significantly higher adjusted operative mortality compared with hospitals performing more than 40 cases per year: 5 or less cases per year, odds ratio (OR) 1.58 (95% confidence interval [CI], 1.40-1.78); 6 to 10 cases per year, OR 1.29 (95% CI, 1.17-1.43); 11 to 20 cases per year, OR 1.17 (95% CI, 1.07-1.28); 21 to 40 cases per year, OR 1.15 (95% CI, 1.05-1.26). Hospitals with lower mitral repair rates had an increased likelihood of operative mortality relative to the top quartile: lowest quartile, OR 1.31 (95% CI, 1.20-1.44); second quartile, OR 1.18 (95% CI, 1.09-1.29); and third quartile, OR 1.14 (95% CI, 1.05-1.24). Long-term mortality beyond 6 months was also higher in low-volume hospitals: 5 or less cases year, hazard ratio (HR) 1.11 (95% CI, 1.06-1.18); 6 to 10 cases per year, OR 1.06 (95% CI, 1.02-1.10) compared with hospitals performing more than 40 cases per year. Most hospitals perform few mitral valve operations on elderly patients. Greater volume of mitral procedures was associated with higher repair rates. Both greater volume of mitral procedures and increasing mitral repair rates were associated with decreased mortality. |
Author | Spertus, John, MD Vassileva, Christina M., MD Hazelrigg, Stephen, MD McNeely, Christian, BS Markwell, Stephen, MA |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25439776$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1136/hrt.2005.076109 10.1016/j.athoracsur.2010.07.062 10.1532/HSF98.20101124 10.1002/hec.1606 10.1016/S0140-6736(06)69208-8 10.1001/jama.281.14.1298 10.1056/NEJMsa012337 10.1016/j.jtcvs.2013.08.006 10.1016/j.athoracsur.2009.01.064 10.1161/CIRCULATIONAHA.106.634436 10.1532/HSF98.20111030 10.1161/CIRCULATIONAHA.113.002200 10.1111/j.1540-8191.2011.01393.x 10.1016/j.athoracsur.2013.04.055 |
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Keywords | OR MEDPAR Nationwide Inpatient Sample CI CMS HR 35.4.2 odds ratio 35.4.1 BASF Centers for Medicare and Medicaid Services STS hospital volume Medicare Provider Analysis and Review Beneficiary Annual Summary Files hazard ratio Society of Thoracic Surgeons NIS mitral valve confidence interval outcome research 35.4 surgery |
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References | Birkmeyer, Siewers, Finlayson, Stukel, Lucas, Batista (bib4) 2002; 346 Bolling, Li, O'Brien, Brennan, Prager, Gammie (bib12) 2010; 90 Gammie, Sheng, Griffith, Peterson, Rankin, O'Brien (bib2) 2009; 87 Vassileva, Swong, Boley, Markwell, Hazelrigg (bib10) 2012; 27 Bridgewater, Hooper, Munsch, Hunter, von Oppell, Livesey (bib5) 2006; 92 Vassileva, Stelle, Markwell, Boley, Hazelrigg (bib13) 2011; 14 Barker, Rosenthal, Cram (bib16) 2011; 20 Nkomo, Gardin, Skelton, Gottdiener, Scott, Enriquez-Sarano (bib7) 2006; 368 Vassileva, McNeely, Mishkel, Boley, Markwell, Hazelrigg (bib15) 2013; 96 Gammie, O’Brien, Griffith, Ferguson, Peterson (bib3) 2007; 115 Vassileva, Kwedar, Boley, Markwell, Hazelrigg (bib9) 2013; 22 Rumsfeld, MaWhinney, McCarthy, Shroyer, VillaNueva, O'Brien (bib11) 1999; 281 Vassileva, Brennan, Gammie, Sheng, Boley, Saha-Chaudhuri (bib8) 2014; 148 Vassileva, Mishkel, McNeely, Boley, Markwell, Scaife (bib1) 2013; 127 Vassileva, Markwell, Boley, Hazelrigg (bib14) 2011; 14 Vassileva, Boley, Markwell, Hazelrigg (bib6) 2012; 21 25623905 - J Thorac Cardiovasc Surg. 2015 Mar;149(3):769-70 Vassileva (10.1016/j.jtcvs.2014.08.084_bib9) 2013; 22 Vassileva (10.1016/j.jtcvs.2014.08.084_bib10) 2012; 27 Vassileva (10.1016/j.jtcvs.2014.08.084_bib13) 2011; 14 Birkmeyer (10.1016/j.jtcvs.2014.08.084_bib4) 2002; 346 Gammie (10.1016/j.jtcvs.2014.08.084_bib2) 2009; 87 Vassileva (10.1016/j.jtcvs.2014.08.084_bib6) 2012; 21 Bolling (10.1016/j.jtcvs.2014.08.084_bib12) 2010; 90 Rumsfeld (10.1016/j.jtcvs.2014.08.084_bib11) 1999; 281 Barker (10.1016/j.jtcvs.2014.08.084_bib16) 2011; 20 Vassileva (10.1016/j.jtcvs.2014.08.084_bib8) 2014; 148 Nkomo (10.1016/j.jtcvs.2014.08.084_bib7) 2006; 368 Vassileva (10.1016/j.jtcvs.2014.08.084_bib14) 2011; 14 Bridgewater (10.1016/j.jtcvs.2014.08.084_bib5) 2006; 92 Vassileva (10.1016/j.jtcvs.2014.08.084_bib1) 2013; 127 Gammie (10.1016/j.jtcvs.2014.08.084_bib3) 2007; 115 Vassileva (10.1016/j.jtcvs.2014.08.084_bib15) 2013; 96 |
References_xml | – volume: 115 start-page: 881 year: 2007 end-page: 887 ident: bib3 article-title: Influence of hospital procedural volume on care process and mortality for patients undergoing elective surgery for mitral regurgitation publication-title: Circulation contributor: fullname: Peterson – volume: 87 start-page: 1431 year: 2009 end-page: 1437 ident: bib2 article-title: Trends in mitral valve surgery in the United States: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database publication-title: Ann Thorac Surg contributor: fullname: O'Brien – volume: 27 start-page: 29 year: 2012 end-page: 33 ident: bib10 article-title: Influence of systemic lupus erythematosus on procedure selection and outcomes of patients undergoing isolated mitral valve surgery publication-title: J Card Surg contributor: fullname: Hazelrigg – volume: 22 start-page: 14 year: 2013 end-page: 19 ident: bib9 article-title: Mitral valve procedure selection in paitents with rheumatoid arthritis publication-title: J Heart Valve Dis contributor: fullname: Hazelrigg – volume: 96 start-page: 1367 year: 2013 end-page: 1373 ident: bib15 article-title: Gender differences in long-term survival of Medicare beneficiaries undergoing mitral valve surgery publication-title: Ann Thorac Surg contributor: fullname: Hazelrigg – volume: 92 start-page: 939 year: 2006 end-page: 944 ident: bib5 article-title: Mitral repair best practice: proposed standards publication-title: Heart contributor: fullname: Livesey – volume: 90 start-page: 1904 year: 2010 end-page: 1911 ident: bib12 article-title: Predictors of mitral valve repair: clinical and surgeon factors publication-title: Ann Thorac Surg contributor: fullname: Gammie – volume: 14 start-page: E221 year: 2011 end-page: E226 ident: bib14 article-title: Impact of race on mitral procedure selection and short-term outcomes of patients undergoing mitral valve surgery publication-title: Heart Surg Forum contributor: fullname: Hazelrigg – volume: 127 start-page: 1870 year: 2013 end-page: 1876 ident: bib1 article-title: Long term survival of patients undergoing mitral valve repair and replacement: a longitudinal analysis of Medicare fee-for-service beneficiaries publication-title: Circulation contributor: fullname: Scaife – volume: 346 start-page: 1128 year: 2002 end-page: 1137 ident: bib4 article-title: Hospital volume and surgical mortality in the United States publication-title: N Engl J Med contributor: fullname: Batista – volume: 21 start-page: 41 year: 2012 end-page: 47 ident: bib6 article-title: Impact of hospital annual mitral procedural volume on mitral valve repair rates and mortality publication-title: J Heart Valve Dis contributor: fullname: Hazelrigg – volume: 148 start-page: 144 year: 2014 end-page: 150 ident: bib8 article-title: Mitral procedure selection in patients on dialysis: does mitral repair influence outcomes? publication-title: J Thorac Cardiovasc Surg contributor: fullname: Saha-Chaudhuri – volume: 20 start-page: 505 year: 2011 end-page: 518 ident: bib16 article-title: Simultaneous relationships between procedure volume and mortality: do they bias studies of mortality at specialty hospitals? publication-title: Health Econ contributor: fullname: Cram – volume: 368 start-page: 1005 year: 2006 end-page: 1011 ident: bib7 article-title: Burden of valvular heart diseases: a population-based study publication-title: Lancet contributor: fullname: Enriquez-Sarano – volume: 281 start-page: 1298 year: 1999 end-page: 1303 ident: bib11 article-title: Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the Department of Veterans Affairs Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery publication-title: JAMA contributor: fullname: O'Brien – volume: 14 start-page: E276 year: 2011 end-page: E282 ident: bib13 article-title: Sex differences in procedure selection and outcomes of patients undergoing mitral valve surgery publication-title: Heart Surg Forum contributor: fullname: Hazelrigg – volume: 92 start-page: 939 year: 2006 ident: 10.1016/j.jtcvs.2014.08.084_bib5 article-title: Mitral repair best practice: proposed standards publication-title: Heart doi: 10.1136/hrt.2005.076109 contributor: fullname: Bridgewater – volume: 90 start-page: 1904 year: 2010 ident: 10.1016/j.jtcvs.2014.08.084_bib12 article-title: Predictors of mitral valve repair: clinical and surgeon factors publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2010.07.062 contributor: fullname: Bolling – volume: 14 start-page: E221 year: 2011 ident: 10.1016/j.jtcvs.2014.08.084_bib14 article-title: Impact of race on mitral procedure selection and short-term outcomes of patients undergoing mitral valve surgery publication-title: Heart Surg Forum doi: 10.1532/HSF98.20101124 contributor: fullname: Vassileva – volume: 20 start-page: 505 year: 2011 ident: 10.1016/j.jtcvs.2014.08.084_bib16 article-title: Simultaneous relationships between procedure volume and mortality: do they bias studies of mortality at specialty hospitals? publication-title: Health Econ doi: 10.1002/hec.1606 contributor: fullname: Barker – volume: 368 start-page: 1005 year: 2006 ident: 10.1016/j.jtcvs.2014.08.084_bib7 article-title: Burden of valvular heart diseases: a population-based study publication-title: Lancet doi: 10.1016/S0140-6736(06)69208-8 contributor: fullname: Nkomo – volume: 281 start-page: 1298 year: 1999 ident: 10.1016/j.jtcvs.2014.08.084_bib11 article-title: Health-related quality of life as a predictor of mortality following coronary artery bypass graft surgery. Participants of the Department of Veterans Affairs Cooperative Study Group on Processes, Structures, and Outcomes of Care in Cardiac Surgery publication-title: JAMA doi: 10.1001/jama.281.14.1298 contributor: fullname: Rumsfeld – volume: 346 start-page: 1128 year: 2002 ident: 10.1016/j.jtcvs.2014.08.084_bib4 article-title: Hospital volume and surgical mortality in the United States publication-title: N Engl J Med doi: 10.1056/NEJMsa012337 contributor: fullname: Birkmeyer – volume: 148 start-page: 144 year: 2014 ident: 10.1016/j.jtcvs.2014.08.084_bib8 article-title: Mitral procedure selection in patients on dialysis: does mitral repair influence outcomes? publication-title: J Thorac Cardiovasc Surg doi: 10.1016/j.jtcvs.2013.08.006 contributor: fullname: Vassileva – volume: 87 start-page: 1431 year: 2009 ident: 10.1016/j.jtcvs.2014.08.084_bib2 article-title: Trends in mitral valve surgery in the United States: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2009.01.064 contributor: fullname: Gammie – volume: 115 start-page: 881 year: 2007 ident: 10.1016/j.jtcvs.2014.08.084_bib3 article-title: Influence of hospital procedural volume on care process and mortality for patients undergoing elective surgery for mitral regurgitation publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.106.634436 contributor: fullname: Gammie – volume: 14 start-page: E276 year: 2011 ident: 10.1016/j.jtcvs.2014.08.084_bib13 article-title: Sex differences in procedure selection and outcomes of patients undergoing mitral valve surgery publication-title: Heart Surg Forum doi: 10.1532/HSF98.20111030 contributor: fullname: Vassileva – volume: 127 start-page: 1870 year: 2013 ident: 10.1016/j.jtcvs.2014.08.084_bib1 article-title: Long term survival of patients undergoing mitral valve repair and replacement: a longitudinal analysis of Medicare fee-for-service beneficiaries publication-title: Circulation doi: 10.1161/CIRCULATIONAHA.113.002200 contributor: fullname: Vassileva – volume: 22 start-page: 14 year: 2013 ident: 10.1016/j.jtcvs.2014.08.084_bib9 article-title: Mitral valve procedure selection in paitents with rheumatoid arthritis publication-title: J Heart Valve Dis contributor: fullname: Vassileva – volume: 21 start-page: 41 year: 2012 ident: 10.1016/j.jtcvs.2014.08.084_bib6 article-title: Impact of hospital annual mitral procedural volume on mitral valve repair rates and mortality publication-title: J Heart Valve Dis contributor: fullname: Vassileva – volume: 27 start-page: 29 year: 2012 ident: 10.1016/j.jtcvs.2014.08.084_bib10 article-title: Influence of systemic lupus erythematosus on procedure selection and outcomes of patients undergoing isolated mitral valve surgery publication-title: J Card Surg doi: 10.1111/j.1540-8191.2011.01393.x contributor: fullname: Vassileva – volume: 96 start-page: 1367 year: 2013 ident: 10.1016/j.jtcvs.2014.08.084_bib15 article-title: Gender differences in long-term survival of Medicare beneficiaries undergoing mitral valve surgery publication-title: Ann Thorac Surg doi: 10.1016/j.athoracsur.2013.04.055 contributor: fullname: Vassileva |
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Snippet | Abstract Background The volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the... The volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the elderly because of... BACKGROUNDThe volume-outcome relationship has been suggested as a quality metric in mitral valve surgery and would be particularly relevant in the elderly... |
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SubjectTerms | Age Factors Aged Cardiac Surgical Procedures - adverse effects Cardiac Surgical Procedures - mortality Cardiac Surgical Procedures - trends Cardiothoracic Surgery Chi-Square Distribution Comorbidity Fee-for-Service Plans - trends Female Heart Valve Diseases - diagnosis Heart Valve Diseases - mortality Heart Valve Diseases - physiopathology Heart Valve Diseases - surgery Hospital Mortality hospital volume Hospitals, High-Volume - trends Hospitals, Low-Volume - trends Humans Logistic Models Male Medicare - trends mitral valve Mitral Valve - physiopathology Mitral Valve - surgery Odds Ratio outcome research Proportional Hazards Models Quality Indicators, Health Care - trends Risk Assessment Risk Factors surgery Time Factors Treatment Outcome United States |
Title | Hospital volume, mitral repair rates, and mortality in mitral valve surgery in the elderly: An analysis of US hospitals treating Medicare fee-for-service patients |
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