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Ann Thorac Surg 2007;84:1546-1547. doi:10.1016/j.athoracsur.2007.07.053
© 2007 The Society of Thoracic Surgeons
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Original Articles: Cardiovascular

Invited commentary

A. Laurie W. Shroyer, PhD

Division of Cardiac Research, Eastern Colorado Health Care System, Denver Veterans Affairs Medical Center, 820 Clermont St, No. 112R, Denver, CO 80220

(Email: laurie.shroyer@va.gov).

The first 20% of the full text of this article appears below.

In this timely and policy-relevant article, Welke and colleagues [1] compare the surgical volumes and mortality rates between the voluntary Society of Thoracic Surgeons (STS) National Cardiac Database (NCD) and the Medicare administrative claims database (MEDPAR). Although the authors find that the STS NCD volumes were generally reported to be higher as compared with the MEDPAR data, this difference was partially attributed to Medicare managed care in which administrative claims data are not available for 8% to 15% of the services provided in any given year. In addition, the STS NCD mortality rates were reported to be somewhat lower for the hospitals that participate in the STS NCD as compared with non-STS NCD participating hospitals providing Medicare cardiac surgery procedures. The authors conclude that under-reporting to the STS NCD does not seem to be a significant barrier in that the STS NCD may be the most representative viewpoint of the "current practice of cardiac surgery" within the United States [1].

. . . [Full Text of this Article]


Related Article

Comparison of Cardiac Surgery Volumes and Mortality Rates Between The Society of Thoracic Surgeons and Medicare Databases From 1993 Through 2001
Karl F. Welke, Eric D. Peterson, Mary S. Vaughan-Sarrazin, Sean M. O’Brien, Gary E. Rosenthal, Gregory J. Shook, Rachel S. Dokholyan, Constance K. Haan, and T. Bruce Ferguson, Jr
Ann. Thorac. Surg. 2007 84: 1538-1546. [Abstract] [Full Text] [PDF]





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Copyright © 2007 by The Society of Thoracic Surgeons.