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January 14, 2004

Improving Cardiac Surgery Quality—Volume, Outcome, Process?

Author Affiliations

Author Affiliation: Lahey Clinic, Burlington, Mass.

JAMA. 2004;291(2):246-248. doi:10.1001/jama.291.2.246

In this issue of THE JOURNAL, Peterson and colleagues1 use data from the Society of Thoracic Surgeons National Cardiac Database (STS NCD), the largest clinical cardiac surgery database in the world, to enhance current understanding of the volume-outcome relationship for coronary artery bypass graft (CABG) surgery. This large national study also will contribute to the ongoing debate regarding the relative merits of volume-based referral strategies, outcome reporting, and process-improvement initiatives to promote cardiac surgery quality.25

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