HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): David M. Shahian Fred H. Edwards Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Shahian, D. M. Articles by Edwards, F. H. Search for Related Content PubMed PubMed Citation Articles by Shahian, D. M. Articles by Edwards, F. H. Related Collections Education

---

Key References

Statistical Risk Modeling and Outcomes Analysis

^a Department of Surgery, Center for Quality and Safety, and Institute for Health Policy, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
^b Division of Cardiothoracic Surgery, University of Florida College of Medicine, Jacksonville, Florida

^_* Address correspondence to Dr Shahian, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114 (Email: dshahian@partners.org).

The first 300 words of the full text of this article appear below.

	General

 
These references provide a general overview of the statistical, clinical, and practical issues associated with risk-adjusted outcomes analysis and profiling.

1 Normand S-LT, Shahian DM. Statistical and clinical aspects of hospital outcomes profiling. Stat Sci 2007;22:206–26.

2 Shahian DM, Blackstone EH, Edwards FH, et al. Cardiac surgery risk models: a position article. Ann Thorac Surg 2004;78:1868–77.

3 Shahian DM, Normand SL, Torchiana DF, et al. Cardiac surgery report cards: comprehensive review and statistical critique. Ann Thorac Surg 2001;72:2155–68.

4 Krumholz HM, Brindis RG, Brush JE, et al. Standards for statistical models used for public reporting of health outcomes: an American Heart Association Scientific Statement from the Quality of Care and Outcomes Research Interdisciplinary Writing Group. Circulation 200624;113:456–62.

5 Iezzoni LI. Risk adjustment for measuring health care outcomes, 3rd ed. Chicago: Health Administration Press, 2003.

6 Naftel DC. Do different investigators sometimes produce different multivariable equations from the same data? J Thorac Cardiovasc Surg 1994;107:1528–9.

	Data Source for CABG Outcomes Profiling: Administrative Versus Clinical

 
Regardless of the sophistication of a statistical risk model, the accuracy of outcomes profiling will ultimately be limited by the quality of data used.

7 Shahian DM, Silverstein T, Lovett AF, Wolf RE, Normand SL. Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards. Circulation 2007;115:1518–27.

8 Mack MJ, Herbert M, Prince S, Dewey TM, Magee MJ, Edgerton JR. Does reporting of coronary artery bypass grafting from administrative databases accurately reflect actual clinical outcomes? J Thorac Cardiovasc Surg 2005;129:1309–17.

9 Torchiana DF, Meyer GS. Use of administrative data for clinical quality measurement. J Thorac Cardiovasc Surg 2005;129:1223–5.

10 Hannan EL, Racz MJ, Jollis JG, Peterson ED. Using Medicare claims data to assess provider quality for CABG surgery: does it work well enough? Health Serv Res 1997;31:659–78.

11 Hannan EL, Kilburn H Jr, Lindsey ML, Lewis R. Clinical versus administrative . . . [Full Text of this Article]

This article has been cited by other articles:

				T. Trauer The Public Reporting of Organizational Performance in Mental Health: Coming Soon to a Mental Health Service Near You Australian and New Zealand Journal of Psychiatry, June 1, 2011; 45(6): 432 - 443. [Full Text] [PDF]