Does selecting a high-volume hospital reduce operative death in Medicare patients undergoing selected cardiovascular or cancer procedures?
Medicare patients undergoing selected cardiovascular or cancer procedures in the United States
Surgery at a high-volume hospital
Surgery at other/nearby hospitals (implied lower volume)
Operative deathhard clinical
Selecting a high-volume hospital significantly reduces the risk of operative death for Medicare patients undergoing cardiovascular or cancer procedures.
In the absence of other information about the quality of surgery at the hospitals near them, Medicare patients undergoing selected cardiovascular or cancer procedures can significantly reduce their risk of operative death by selecting a high-volume hospital.
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John D. Birkmeyer
Andrea E. Siewers
Emily Finlayson
New England Journal of Medicine
University of California, San Francisco
United States Department of Veterans Affairs
Maine Medical Center
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Birkmeyer et al. (Thu,) studied this question.
www.synapsesocial.com/papers/69d5720e75589c71d767e44e — DOI: https://doi.org/10.1056/nejmsa012337