Evidence map›Paper›PMID 33176461›Full record

ArticleCirculation. Cardiovascular quality and outcomes2020

Determinants of Value in Coronary Artery Bypass Grafting.

Alexander A Brescia, Joceline V Vu, Chang He, Jun Li, Steven D Harrington, Michael P Thompson, Edward C Norton, Scott E Regenbogen, John D Syrjamaki, Richard L Prager and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Alexander A BresciaDepartment of Cardiac Surgery, Michigan Medicine (A.A.B., M.P.T., R.L.P., D.S.L.), School of Public Health, University of Michigan, Ann Arbor.
Joceline V VuDepartment of Surgery (J.V.V., S.E.R., J.D.S.), School of Public Health, University of Michigan, Ann Arbor.
Chang HeMichigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative, Ann Arbor (C.H., M.P.T., R.L.P., D.S.L.).
Jun LiDepartment of Epidemiology (J.L.), School of Public Health, University of Michigan, Ann Arbor.
Steven D Harrington
Michael P ThompsonDepartment of Cardiac Surgery, Michigan Medicine (A.A.B., M.P.T., R.L.P., D.S.L.), School of Public Health, University of Michigan, Ann Arbor.
Edward C NortonCenter for Healthcare Outcomes and Policy (A.A.B., M.P.T., E.C.N., S.E.R., D.S.L.), School of Public Health, University of Michigan, Ann Arbor.
Scott E RegenbogenCenter for Healthcare Outcomes and Policy (A.A.B., M.P.T., E.C.N., S.E.R., D.S.L.), School of Public Health, University of Michigan, Ann Arbor.
John D SyrjamakiDepartment of Surgery (J.V.V., S.E.R., J.D.S.), School of Public Health, University of Michigan, Ann Arbor.
Richard L PragerDepartment of Cardiac Surgery, Michigan Medicine (A.A.B., M.P.T., R.L.P., D.S.L.), School of Public Health, University of Michigan, Ann Arbor.
Donald S LikoskyDepartment of Cardiac Surgery, Michigan Medicine (A.A.B., M.P.T., R.L.P., D.S.L.), School of Public Health, University of Michigan, Ann Arbor.
Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative (MSTCVS-QC) and the Michigan Value Collaborative (MVC)
University of Michigan · USSociety of Thoracic Surgeons · US

Funding

Novel Assessments of Technical and Non-Technical Cardiac Surgery QualityR01HL146619 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LIKOSKY, DONALD S, PAGANI, FRANCIS D · 2020 to 2024
$3.4M
Understanding and Addressing Variation in Healthcare-Associated Infections After Durable Ventricular Assist Device TherapyR01HS026003 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LIKOSKY, DONALD S · 2018 to 2022
$2.3M
Vascular Surgery: Research Training in Vascular BiologyT32HL076123 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HENKE, PETER K, WAKEFIELD, THOMAS WILLIAM · 2004 to 2019
$1.9M
NHLBI NIH HHS R01 HL146619NHLBI NIH HHS T32 HL076123
6 · The paper itself

Abstract

Background Over 180 000 coronary artery bypass grafting (CABG) procedures are performed annually, accounting for $7 to $10 billion in episode expenditures. Assessing tradeoffs between spending and quality contributing to value during 90-day episodes has not been conducted but is essential for success in bundled reimbursement models. We, therefore, identified determinants of variability in hospital 90-day episode value for CABG. Methods Medicare and private payor admissions for isolated CABG from 2014 to 2016 were retrospectively linked to clinical registry data for 33 nonfederal hospitals in Michigan. Hospital composite risk-adjusted complication rates (≥1 National Quality Forum-endorsed, Society of Thoracic Surgeons measure: deep sternal wound infection, renal failure, prolonged ventilation >24 hours, stroke, re-exploration, and operative mortality) and 90-day risk-adjusted, price-standardized episode payments were used to categorize hospitals by value by defining the intersection between complications and spending. Results Among 2573 total patients, those at low- versus high-value hospitals had a higher percentage of prolonged length of stay >14 days (9.3% versus 2.4%,

Indexed as

Health ExpendituresHospital CostsBlue Cross Blue Shield Insurance PlansCoronary Artery BypassCost-Benefit AnalysisFee-for-Service PlansHumansLength of StayMedicareOutcome and Process Assessment, Health CarePatient ReadmissionPostoperative ComplicationsQuality ImprovementQuality Indicators, Health CareRegistriesRetrospective Studiescoronary artery bypasshospitalizationinpatientlength of staypneumonia

Identifiers

PMID33176461
PMCPMC8041058
OpenAlexW3099569265

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.