Evaluation of cardiac surgery mortality rates: 30-day mortality or longer follow-up?

European Journal of Cardio-thoracic Surgery

Volumn 44, Issue 5, 2013, Pages 875-883

  Siregara, Sabrina ^a   Groenwold, Rolf H H ^a   de Mol, Bas A J M ^b   Speekenbrink, Ron G H ^c   Versteegh, Michel I M ^d   Bruinsma, George J Brandon Bravo ^e   Bots, Michiel L ^a   van der Graaf, Yolanda ^a   van Herwerdena, Lex A ^a  

^a UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^b ACADEMIC MEDICAL CENTER   (Netherlands)

^c MEDISCH SPECTRUM TWENTE   (Netherlands)

^d LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^e Isala Klinieken ^*  (Netherlands)

Author keywords

Cardiac surgery; Database; Health policy; Outcomes; Risk analysis modelling; Statistics

Indexed keywords

ADULT; AGED; ARTICLE; CORONARY ARTERY BYPASS GRAFT; EUROSCORE; EVALUATION; FEMALE; FOLLOW UP; HEART SURGERY; HUMAN; MAJOR CLINICAL STUDY; MALE; NETHERLANDS; PRIORITY JOURNAL; SURGICAL MORTALITY; SURVIVAL RATE; SURVIVAL TIME;

CARDIAC SURGERY; DATABASE; HEALTH POLICY; OUTCOMES; RISK ANALYSIS/MODELLING; STATISTICS;

AGED; CARDIAC SURGICAL PROCEDURES; FEMALE; FOLLOW-UP STUDIES; HUMANS; KAPLAN-MEIER ESTIMATE; MALE; MIDDLE AGED; MODELS, STATISTICAL; REGRESSION ANALYSIS; TREATMENT OUTCOME;

EID: 84885730663     PISSN: 10107940     EISSN: 1873734X     Source Type: Journal    
DOI: 10.1093/ejcts/ezt119     Document Type: Article

References (22)

1. Noyez L, Verheugt FW, Peppelenbosch AG, Skotnicki SH, Brouwer MH. [Aortocoronary bypass surgery; at least 6 months follow-up required for assessment of postoperative course]. Ned Tijdschr Geneeskd 2000;144: 1874-7.
2. Osswald BR, Blackstone EH, Tochtermann U, Thomas G, Vahl CF, Hagl S. The meaning of early mortality after CABG. Eur J Cardiothorac Surg 1999;15:401-7.
3. Osswald BR, Tochtermann U, Schweiger P, Gohring D, Thomas G, Vahl CF et al. Minimal early mortality in CABG-simply a question of surgical quality?. Thorac Cardiovasc Surg 2002;50:276-80.
4. Sergeant P, Blackstone E, Meyns B. Validation and interdependence with patient-variables of the influence of procedural variables on early and late survival after CABG. K.U. Leuven Coronary Surgery Program. Eur J Cardiothorac Surg 1997;12:1-19.
5. Sergeant PT, Blackstone EH. Closing the loop: optimizing physicians' operational and strategic behavior. Ann Thorac Surg 1999;68: 362-6.
6. Likosky DS, Nugent WC, Clough RA, Weldner PW, Quinton HB, Ross CS et al. Comparison of three measurements of cardiac surgery mortality for the Northern New England Cardiovascular Disease Study Group. Ann Thorac Surg 2006;81:1393-5.
7. Garnick DW, DeLong ER, Luft HS. Measuring hospital mortality rates: are 30-day data enough? Ischemic Heart Disease Patient Outcomes Research Team. Health Serv Res 1995;29:679-95.
8. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999;16:9-13.
9. Centraal Bureau voor de Statistiek. www.cbs.nl, 2012.
10. Thomas N, Longford NT, Rolph JE. A Statistical Framework for Severity Adjustment of Hospital Mortality Rates. Santa Monica, California: Rand, 1992.
11. Lingsma HF, Steyerberg EW, Eijkemans MJ, Dippel DW, Scholte Op Reimer WJ, Van Houwelingen HC. Comparing and ranking hospitals based on outcome: results from Netherlands Stroke Survey. QJM 2010; 103:99-108.
12. Siregar S, Groenwold RH, Jansen EK, Bots ML, van der GY, van Herwerden LA. Limitations of ranking lists based on cardiac surgery mortality rates. Circ Cardiovasc Qual Outcomes 2012;5:403-9.
13. Siregar S, Groenwold RH, Versteegh MI, Noyez L, Ter Burg WJ, Bots ML, et al. Gaming in risk-adjusted mortality rates: effect of misclassification of risk factors in the benchmarking of cardiac surgery risk-adjusted mortality rates. J Thorac Cardiovasc Surg 2013;145:781-9.
14. Kaplan EL, Meier P. Nonparametric estimation from incomplete estimations. J Am Stat Assoc 1958;53:457-81.
15. Cox DR. Regression models and life-tables. J R Stat Soc 1972;34: 187-220.
16. R: A Language and Environment for Statistical Computing [computer program]. Vienna, Austria: R Foundation for Statistical Computing, 2011.
17. Edwards MB, Taylor KM. Is 30-day mortality an adequate outcome statistic for patients considering heart valve replacement?. Ann Thorac Surg 2003;76:482-5.
18. Shahian DM, Normand SL, Torchiana DF, Lewis SM, Pastore JO, Kuntz RE, et al. Cardiac surgery report cards: comprehensive review and statistical critique. Ann Thorac Surg 2001;72:2155-68.
19. Carey JS, Parker JP, Robertson JM, Misbach GA, Fisher AL. Hospital discharge to other healthcare facilities: impact on in-hospital mortality. J Am Coll Surg 2003;197:806-12.
20. Drolette ME. The effect of incomplete follow-up. Biometrics 1975;31: 135-44.
21. Blackstone EH, Naftel DC, Turner ME. The decomposition of timevarying hazard into phases, each incorporating a separate stream of concomitant information. J Am Stat Assoc 1986;81:615-24.
22. Blackstone EH. Outcome analysis using hazard function methodology. Ann Thorac Surg 1996;61:S2-7.