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Previous Volume 332:1229-1233 May 4, 1995 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Publication of "report cards" on hospitals and surgeons is an important new trend.¹ The New York State Department of Health pioneered this practice by developing the Cardiac Surgery Reporting System (CSRS), which generated the first physician-specific mortality report ever published.² This controversial report and its annual updates have received intense publicity, because the results indicated that the percentage of patients who died after heart surgery differed widely among surgeons, even after adjustment for differences in the patients' attributes.^3,4 In addition, risk-adjusted death rates for coronary-artery bypass grafting (CABG) reportedly declined in New York after CSRS had been implemented, leading some . . . [Full Text of this Article]

Controversial Data

Predictive Accuracy

Definition of the Outcome

Quality of the Data

A Questionable Decline in Mortality

Improving Csrs

Conclusions

References

Related Letters:

Report Cards on Cardiac Surgeons
Silber J. H., Hartz A. J., Kuhn E. M., Kayser K. L., Green J., Wintfeld N.
Extract | Full Text  
N Engl J Med 1995; 333:938-939, Oct 5, 1995. Correspondence

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