Health Affairs, 26, no. 1 (2007): 162-168 doi: 10.1377/hlthaff.26.1.162 © 2007 by Project HOPE	New Online   McAllen, TX & Beyond: An Expert Roundtable   Geography & Reform   Medicaid or Insurance Exchange?   Siren Song of New GME   Public Plan Option: Pro & Con

This Article Figures Only Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Wilson, C. T. Articles by Lucas, F. L. Search for Related Content PubMed PubMed Citation Articles by Wilson, C. T. Articles by Lucas, F. L. Related Collections Hospitals Business Of Health Consumer Issues Variations Cardiovascular Disease

Health Tracking

TRENDS

U.S. Trends In CABG Hospital Volume: The Effect Of Adding Cardiac Surgery Programs

Hospital coronary artery bypass graft (CABG) volume is inversely related to mortality—with low-volume hospitals having the highest mortality. Medicare data (1992–2003) show that the number of CABG procedures increased from 158,000 in 1992 to a peak of 190,000 in 1996 and then fell to 152,000 in 2003, while the number of hospitals performing CABG increased steadily. Predictably, the proportion of CABG procedures performed at low-volume hospitals increased, and the proportion in high-volume hospitals declined. An unintended consequence of starting new cardiac surgery programs is declining CABG hospital volume—a side effect that might increase mortality.

                      What's this?

This article has been cited by other articles:

				D. Chu, F. G. Bakaeen, T. K. Dao, S. A. LeMaire, J. S. Coselli, and J. Huh On-Pump Versus Off-Pump Coronary Artery Bypass Grafting in a Cohort of 63,000 Patients. Ann. Thorac. Surg., June 1, 2009; 87(6): 1820 - 1827. [Abstract] [Full Text] [PDF]

				K. Kronebusch Assessing Changes in High-Volume Hospital Use: Hospitals, Payers, and Aggregate Volume Trends Med Care Res Rev, April 1, 2009; 66(2): 197 - 218. [Abstract] [PDF]

				D. Chu, F. G. Bakaeen, X. L. Wang, J. S. Coselli, S. A. LeMaire, and J. Huh The impact of placing multiple grafts to each myocardial territory on long-term survival after coronary artery bypass grafting. J. Thorac. Cardiovasc. Surg., January 1, 2009; 137(1): 60 - 64. [Abstract] [Full Text] [PDF]