Published by Consumers Union, the report on CABG procedures includes a three-star rating system that is based on risk-adjusted CABG surgery outcomes data from the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database. More than 90% of the 1100 US heart surgery programs participate in this registry, which began in 1989.
In addition, participating hospitals are given zero-to-100-point scores for 30-day survival, complications, use of appropriate medications, and surgical technique.
While the report offers greater healthcare transparency and accountability, Ferris and Torchiana have pointed out the following limitations:
Potential for selection bias – the 221 programs that have volunteered to have their results published represent only about 20% of those in the US.
Lack of long-term outcomes
Lack of physician-specific ratings.
The ratings are available in the October issue of Consumer Reports and online at the Consumer Reports website.
- Ferris TG, Torchiana DF. Public release of clinical outcomes data – online CABG report cards. N Engl J Med [Internet] 2010;363(17):1593–5. Available from: http://dx.doi.org/10.1056/NEJMp1009423