Matthew A Kirkman, Julia Day, Karin Gehring, Karolis Zienius, David Grosshans, Martin Taphoorn, Jing Li, Paul D Brown
Interventions for preventing and ameliorating cognitive deficits in adults treated with cranial irradiation
The Cochrane database of systematic reviews
lower institutional volume associated inferior pediatric cardiac surgery outcomes study explored variation mortality rates among low mid highvolume hospitals performing pediatric cardiac surgery united states kids inpatient database explored years 2016 2019 hospitals performing offbypass coarctation ventricular septal defect repair omitted hospitals divided 3 groups annual case volume multivariable logistic regression models fit obtain riskadjusted inhospital mortality rates total 25749 operations performed 235 hospitals included study riskadjusted mortality rate entire sample 19 140 hospitals lowvolume group 64 hospitals midvolume group 31 highvolume group groups lowmortality mortality 19 highmortality mortality 19 hospitals among lowvolume hospitals 53 lowmortality n 74 47 highmortality n 66 hospitals among midvolume hospitals 58 lowmortality n 37 42 highmortality n 27 hospitals among highvolume hospitals 68 lowmortality n 21 32 highmortality n 10 hospitals statistically significant difference riskadjusted inhospital mortality comparing low mid highvolume centers 7 society thoracic surgeons benchmark procedures national realworld riskadjusted volume outcome analysis highlights volume alone may sole arbiter predict quality pediatric cardiac surgery outcomes using case volume alone surrogate quality may unfairly asperse highperforming lowvolume programs