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The Annals of Thoracic Surgery, Vol 57, 20-26, Copyright © 1994 by The Society of Thoracic Surgeons
RE Clark
This report describes the development of the first known national surgical
database designed for the practicing community cardiothoracic surgeon.
Acceptance by members of The Society of Thoracic Surgeons has been
gratifying. The number of patients on the system has grown from 116,109 at
the end of 1991 to an anticipated 350,000 to 450,000 by the end of 1993. At
the time of this report, 842 surgeons were participating, and more than
1,200 will be on the system by the end of 1993. A risk stratification
system has been incorporated into the software, which predicts each
patient's risk based on the individual surgeon's past experience. Trend
analyses demonstrate a substantial increase in the number of patients at
increased risk for perioperative death for coronary artery bypass
operations over the past 5 years, while observed mortality has remained
relatively constant. Programs are available for adult and congenital heart
disease, lung cancer, and esophageal cancer, and modules for mediastinal
tumors, pleural disorders, and benign pulmonary disease will soon be added.
We anticipate that growth will continue as the need for practice profile
data increases because of reimbursement issues.
ARTICLES
The Society of Thoracic Surgeons National Database status report
Cardiovascular and Pulmonary Research Center, Allegheny-Singer Research Institute, Pittsburgh, PA 15212-9986.
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