Jeffrey P Jacobs1, David M Shahian2, Xia He3, Sean M O'Brien3, Vinay Badhwar4, Joseph C Cleveland5, Anthony P Furnary6, Mitchell J Magee7, Paul A Kurlansky8, J Scott Rankin9, Karl F Welke10, Giovanni Filardo11, Rachel S Dokholyan3, Eric D Peterson3, J Matthew Brennan3, Jane M Han12, Donna McDonald12, DeLaine Schmitz12, Fred H Edwards13, Richard L Prager14, Frederick L Grover5. 1. Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland; Division of Cardiovascular Surgery, Department of Surgery, Johns Hopkins All Children's Heart Institute, All Children's Hospital and Florida Hospital for Children, Saint Petersburg, Tampa, and Orlando, Florida. Electronic address: jeffjacobs@msn.com. 2. Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. 3. Duke Clinical Research Institute (DCRI), Duke University, Durham, North Carolina. 4. University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania. 5. University of Colorado Denver, School of Medicine, Aurora, Colorado. 6. Starr-Wood Cardiac Group, Portland, Oregon. 7. Medical City Dallas Hospital, Baylor University Medical Center Dallas, Dallas, Texas. 8. Columbia University, New York, New York. 9. Vanderbilt University, Nashville, Tennessee. 10. Section of Congenital Cardiovascular Surgery, University of Illinois College of Medicine at Peoria, Children's Hospital of Illinois, Peoria, Illinois. 11. Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas. 12. The Society of Thoracic Surgeons (STS), Chicago, Illinois. 13. University of Florida College of Medicine, Jacksonville, Florida. 14. University of Michigan, Ann Arbor, Michigan.
Abstract
BACKGROUND: The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) has been successfully linked to the Centers for Medicare and Medicaid (CMS) Medicare database, thereby facilitating comparative effectiveness research and providing information about long-term follow-up and cost. The present study uses this link to determine contemporary completeness, penetration, and representativeness of the STS ACSD. METHODS: Using variables common to both STS and CMS databases, STS operations were linked to CMS data for all CMS coronary artery bypass graft (CABG) surgery hospitalizations discharged between 2000 and 2012, inclusive. For each CMS CABG hospitalization, it was determined whether a matching STS record existed. RESULTS: Center-level penetration (number of CMS sites with at least one matched STS participant divided by the total number of CMS CABG sites) increased from 45% in 2000 to 90% in 2012. In 2012, 973 of 1,081 CMS CABG sites (90%) were linked to an STS site. Patient-level penetration (number of CMS CABG hospitalizations done at STS sites divided by the total number of CMS CABG hospitalizations) increased from 51% in 2000 to 94% in 2012. In 2012, 71,634 of 76,072 CMS CABG hospitalizations (94%) occurred at an STS site. Completeness of case inclusion at STS sites (number of CMS CABG cases at STS sites linked to STS records divided by the total number of CMS CABG cases at STS sites) increased from 88% in 2000 to 98% in 2012. In 2012, 69,213 of 70,932 CMS CABG hospitalizations at STS sites (98%) were linked to an STS record. CONCLUSIONS: Linkage of STS and CMS databases demonstrates high and increasing penetration and completeness of the STS database. Linking STS and CMS data facilitates studying long-term outcomes and costs of cardiothoracic surgery.
BACKGROUND: The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) has been successfully linked to the Centers for Medicare and Medicaid (CMS) Medicare database, thereby facilitating comparative effectiveness research and providing information about long-term follow-up and cost. The present study uses this link to determine contemporary completeness, penetration, and representativeness of the STS ACSD. METHODS: Using variables common to both STS and CMS databases, STS operations were linked to CMS data for all CMS coronary artery bypass graft (CABG) surgery hospitalizations discharged between 2000 and 2012, inclusive. For each CMS CABG hospitalization, it was determined whether a matching STS record existed. RESULTS: Center-level penetration (number of CMS sites with at least one matched STS participant divided by the total number of CMS CABG sites) increased from 45% in 2000 to 90% in 2012. In 2012, 973 of 1,081 CMS CABG sites (90%) were linked to an STS site. Patient-level penetration (number of CMS CABG hospitalizations done at STS sites divided by the total number of CMS CABG hospitalizations) increased from 51% in 2000 to 94% in 2012. In 2012, 71,634 of 76,072 CMS CABG hospitalizations (94%) occurred at an STS site. Completeness of case inclusion at STS sites (number of CMS CABG cases at STS sites linked to STS records divided by the total number of CMS CABG cases at STS sites) increased from 88% in 2000 to 98% in 2012. In 2012, 69,213 of 70,932 CMS CABG hospitalizations at STS sites (98%) were linked to an STS record. CONCLUSIONS: Linkage of STS and CMS databases demonstrates high and increasing penetration and completeness of the STS database. Linking STS and CMS data facilitates studying long-term outcomes and costs of cardiothoracic surgery.
Authors: Daniel J Friedman; Jonathan P Piccini; Tongrong Wang; Jiayin Zheng; S Chris Malaisrie; David R Holmes; Rakesh M Suri; Michael J Mack; Vinay Badhwar; Jeffrey P Jacobs; Jeffrey G Gaca; Shein-Chung Chow; Eric D Peterson; J Matthew Brennan Journal: JAMA Date: 2018-01-23 Impact factor: 56.272
Authors: Arnar Geirsson; Asher Schranz; Oliver Jawitz; Makoto Mori; Liqi Feng; Brittany A Zwischenberger; Alexander Iribarne; Joseph Dearani; Gregory Rushing; Vinay Badhwar; Juan A Crestanello Journal: Ann Thorac Surg Date: 2020-05-06 Impact factor: 4.330
Authors: Giovanni Filardo; Benjamin D Pollock; Briget da Graca; Danielle M Sass; Teresa K Phan; Debbie E Montenegro; Gorav Ailawadi; Vinod H Thourani; Ralph J Damiano Journal: Mayo Clin Proc Innov Qual Outcomes Date: 2020-12-10
Authors: Makoto Mori; Thomas J S Durant; Chenxi Huang; Bobak J Mortazavi; Andreas Coppi; Raymond A Jean; Arnar Geirsson; Wade L Schulz; Harlan M Krumholz Journal: Circ Cardiovasc Qual Outcomes Date: 2021-06-03