A technical review of the United Kingdom National Adult Cardiac Surgery Governance Analysis 2008-11

Eur J Cardiothorac Surg. 2014 Feb;45(2):225-33. doi: 10.1093/ejcts/ezt476. Epub 2013 Sep 26.

Abstract

The Society for Cardiothoracic Surgery in Great Britain and Ireland (SCTS) has published named mortality data since 2001. The importance of accurate and robust clinical outcome reporting has been emphasized by a number of high-profile cases in England. In this article, we give a technical review of the United Kingdom National Adult Cardiac Surgery Governance Analysis 2008-11. The statistical and analytical assumptions and methods are discussed in order to add an additional layer of transparency to the clinical governance process and precipitate scrutiny with the aim of optimizing future analyses.

Keywords: Healthcare regulation; Outliers; Performance indicators; Registry data; Risk-adjustment.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiac Surgical Procedures / legislation & jurisprudence*
  • Cardiac Surgical Procedures / statistics & numerical data*
  • Humans
  • Prospective Studies
  • Registries
  • Risk Adjustment
  • Risk Factors
  • Treatment Outcome
  • United Kingdom