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Centre variation in cost and outcomes for congenital heart surgery*

Published online by Cambridge University Press:  18 January 2013

Sara K. Pasquali ,
Michael G. Gaies ,
Jeffrey P. Jacobs ,
J. William Gaynor  and
Marshall L. Jacobs
Sara K. Pasquali*
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children's Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Michael G. Gaies
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children's Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Jeffrey P. Jacobs
Affiliation:
Division of Thoracic and Cardiovascular Surgery, All Children's Hospital, Saint Petersburg, Florida, United States of America
J. William Gaynor
Affiliation:
Department of Surgery, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America
Marshall L. Jacobs
Affiliation:
Department of Pediatric and Congenital Heart Surgery, Cleveland Clinic, Cleveland, Ohio, United States of America
*
Correspondence to: Dr S. K. Pasquali, MD, MHS, Department of Pediatrics and Communicable Diseases, C. S. Mott Children's Hospital, University of Michigan Congenital Heart Center, 1540 E. Hospital Drive 11-715Z, Ann Arbor, MI 48109-4204, United States of America. Tel: 734 936 7418; Fax: 734-936-9470; E-mail: pasquali@med.umich.edu
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Abstract

Although overall outcomes for children undergoing heart surgery have improved, there is a significant variation in outcomes across hospitals. This review discusses the variation in cost and outcomes across centres performing congenital heart surgery, potential underlying mechanisms, and efforts to reduce variation and improve outcome.

Type
Original Article
Information
Cardiology in the Young , Volume 22 , Issue 6: A Lifelong Interdisciplinary Approach to Common Arterial Trunk, Transposition of the Great Arteries, and Other Evolving Challenges in Paediatric and Congenital Cardiac Disease , December 2012 , pp. 796 - 799
Copyright
Copyright © Cambridge University Press 2012

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Footnotes

*

Presented at: The Children's Hospital of Philadelphia Cardiology 2012, 16th Annual Update on Pediatric and Congenital Cardiovascular Disease, Orlando, Florida, February 22–26, 2012.

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