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Relation Between Operator and Hospital Volume and Outcomes Following Percutaneous Coronary Interventions in the Era of the Coronary Stent

Article Abstract:

Patients with severe coronary artery disease may have a better prognosis if they are treated at hospitals where the doctors are experienced in using angioplasty and stents. These are techniques to open blocked coronary arteries. This was the conclusion of a study of 167,208 patients.

Author: McGrath, Paul D., Wennberg, David E., Dickens Jr, John D., Siewers, Andrea E., Lucas, F. Lee, Malenka, David J., Kellett Jr, Mirle A., Ryan, Thomas J., Jr.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
Care and treatment, Coronary heart disease, Cardiac patients

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Surgeon volume and operative mortality in the United States

Article Abstract:

Surgery patients may be more likely to do well after an operation if their surgeon has a lot of experience performing that particular operation, according to a study of 474,108 Medicare patients who had one of eight different operations. It appears from this study that the surgeon's experience is even more important than how many operations are done at the hospital.

Author: Birkmeyer, John D., Wennberg, David E., Siewers, Andrea E., Lucas, F. Lee, Stukel, Therese A., Goodney, Philip P.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2003
Health Care and Social Assistance, Surgical Procedures, HEALTH SERVICES, Evaluation, Surgery, Surgeons

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Outcomes of percutaneous coronary interventions performed at centers without and with onsite coronary artery bypass graft surgery

Article Abstract:

A study is conducted to compare the patient outcomes following percutaneous coronary interventions at U.S. institutions performing percutaneous coronary interventions (PCIs) procedure without and with onsite cardiac surgery. PCIs in hospitals without onsite cardiac surgery are often performed for reasons other than immediate treatment of myocardial infarctions, and are associated with a higher risk of adverse outcomes.

Author: Wennberg, David E., Siewers, Andrea E., Lucas, F. Lee, Malenka, David J., Kellett, Merle A.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2004
United States, Science & research, Research, Coronary artery bypass

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Subjects list: Health aspects, Clinical competence, Patient outcomes
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