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Ann Thorac Surg 2002;73:489-490
© 2002 The Society of Thoracic Surgeons

Invited commentary

Shahbudin H. Rahimtoola, MBa

a Keck School of Medicine, University of Southern California, 2025 Zonal Ave, GNH 7131, Los Angeles, CA 90033, USA

This manuscript has many features:

  1. The Excellent: It has data from more than 1 million patients from 522 hospitals in the United States and Canada (2 Nations) from The Society of Thoracic Surgeons (STS) Database. It is, therefore, of great interest, is extremely valuable and documents that patient’s risks (from cardiac disease and comorbidities) have increased from 1990 to 1999 but the observed and risk-adjusted mortality have decreased. These data are essential for monitoring the operative mortality of CABG surgery.
  2. The Problems: (A) The actual mortality in each year is not listed; (B) A large amount of baseline data are missing. For example, excluding the data from a site with more than 20% data missing for any variable, results in 65% of sites being excluded in . . . [Full Text of this Article]


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