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Original Articles: Pediatric Cardiac

Invited Commentary

Cardiothoracic Surgery, Columbia University/Morgan-Stanley Children's Hospital of New York-Presbyterian, 3959 Broadway, CHN 274, New York, NY 10032

(Email: eb2709@columbia.edu).

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

This study by Hornik and colleagues [1] demonstrates that for the Norwood procedure, both surgeon and center volume are important determinants of hospital survival, with center volume being slightly more important. A low-volume surgeon's outcomes were worse regardless of center volume, but were mitigated by a large center volume.

These results make intuitive sense. Every well-executed Norwood operation is a triumph of dexterity. As Malcolm Gladwell repeatedly mentions in "Outliers: The Story . . . [Full Text of this Article]

Related Article

Relative Impact of Surgeon and Center Volume on Early Mortality After the Norwood Operation

Christoph P. Hornik, Xia He, Jeffrey P. Jacobs, Jennifer S. Li, Robert D.B. Jaquiss, Marshall L. Jacobs, Sean M. O'Brien, Karl Welke, Eric D. Peterson, and Sara K. Pasquali
Ann. Thorac. Surg. 2012 93: 1992-1997. [Abstract] [Full Text] [PDF]