FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2019418983> ?p ?o ?g. }

• W2019418983 endingPage "2735.e1" @default.
• W2019418983 startingPage "2729" @default.
• W2019418983 abstract "ObjectivePay-for-performance measures, part of the Affordable Care Act, aim to reduce health care costs by linking value with Medicare payments, but until now the concept of value has not been applied to specific procedures. We sought to define value in coronary artery bypass grafting (CABG) and provide a framework to identify high-value centers.MethodsIn a multiinstitutional statewide database, clinical patient-level data from 42,839 patients undergoing CABG were matched with cost data. Hierarchical models adjusting for relevant preoperative patient characteristics and comorbidities were used to estimate center-specific risk-adjusted costs and risk-adjusted postoperative length of stay. Variation in value across centers was assessed by the correlation between risk-adjusted measures of quality (mortality, morbidity/mortality) and resource use (costs and length of stay).ResultsThere were no significant correlations between risk-adjusted costs and risk-adjusted mortality (r = 0.20, P = .45) or morbidity/mortality (r = 0.15, P = .57) across centers. Risk-adjusted costs and length of stay were not significantly associated (r = 0.23, P = .37) because of cost accounting differences across centers. This may explain the lack of correlation between risk-adjusted quality and risk-adjusted cost measures. When risk-adjusted length of stay and morbidity/mortality were used for the framework, there was a strong positive correlation (r = 0.67, P = .003), indicating that higher risk-adjusted quality is associated with shorter risk-adjusted length of stay.ConclusionsRisk-adjusted length of stay and risk-adjusted combined morbidity/mortality are important outcome measures for assessing value in cardiac surgery. The proposed framework can be used to define value in CABG and identify high-value centers, thereby providing information for quality improvement and pay-for-performance initiatives. Pay-for-performance measures, part of the Affordable Care Act, aim to reduce health care costs by linking value with Medicare payments, but until now the concept of value has not been applied to specific procedures. We sought to define value in coronary artery bypass grafting (CABG) and provide a framework to identify high-value centers. In a multiinstitutional statewide database, clinical patient-level data from 42,839 patients undergoing CABG were matched with cost data. Hierarchical models adjusting for relevant preoperative patient characteristics and comorbidities were used to estimate center-specific risk-adjusted costs and risk-adjusted postoperative length of stay. Variation in value across centers was assessed by the correlation between risk-adjusted measures of quality (mortality, morbidity/mortality) and resource use (costs and length of stay). There were no significant correlations between risk-adjusted costs and risk-adjusted mortality (r = 0.20, P = .45) or morbidity/mortality (r = 0.15, P = .57) across centers. Risk-adjusted costs and length of stay were not significantly associated (r = 0.23, P = .37) because of cost accounting differences across centers. This may explain the lack of correlation between risk-adjusted quality and risk-adjusted cost measures. When risk-adjusted length of stay and morbidity/mortality were used for the framework, there was a strong positive correlation (r = 0.67, P = .003), indicating that higher risk-adjusted quality is associated with shorter risk-adjusted length of stay. Risk-adjusted length of stay and risk-adjusted combined morbidity/mortality are important outcome measures for assessing value in cardiac surgery. The proposed framework can be used to define value in CABG and identify high-value centers, thereby providing information for quality improvement and pay-for-performance initiatives." @default.
• W2019418983 created "2016-06-24" @default.
• W2019418983 creator A5014149576 @default.
• W2019418983 creator A5016707931 @default.
• W2019418983 creator A5025299164 @default.
• W2019418983 creator A5034367622 @default.
• W2019418983 creator A5040801769 @default.
• W2019418983 creator A5043486486 @default.
• W2019418983 creator A5052559358 @default.
• W2019418983 creator A5064935946 @default.
• W2019418983 creator A5082758922 @default.
• W2019418983 date "2014-12-01" @default.
• W2019418983 modified "2023-10-03" @default.
• W2019418983 title "Cost, quality, and value in coronary artery bypass grafting" @default.
• W2019418983 cites W1975733327 @default.
• W2019418983 cites W1983651981 @default.
• W2019418983 cites W1991222704 @default.
• W2019418983 cites W2000949542 @default.
• W2019418983 cites W2002895077 @default.
• W2019418983 cites W2034440069 @default.
• W2019418983 cites W2037003816 @default.
• W2019418983 cites W2042654064 @default.
• W2019418983 cites W2043779347 @default.
• W2019418983 cites W2043951092 @default.
• W2019418983 cites W2045057490 @default.
• W2019418983 cites W2053882481 @default.
• W2019418983 cites W2061839586 @default.
• W2019418983 cites W2064851614 @default.
• W2019418983 cites W2071430880 @default.
• W2019418983 cites W2075093006 @default.
• W2019418983 cites W2081321678 @default.
• W2019418983 cites W2083936804 @default.
• W2019418983 cites W2130519069 @default.
• W2019418983 cites W2132068236 @default.
• W2019418983 cites W2136830424 @default.
• W2019418983 cites W2432724843 @default.
• W2019418983 cites W3104922491 @default.
• W2019418983 doi "https://doi.org/10.1016/j.jtcvs.2014.07.089" @default.
• W2019418983 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25238884" @default.
• W2019418983 hasPublicationYear "2014" @default.
• W2019418983 type Work @default.
• W2019418983 sameAs 2019418983 @default.
• W2019418983 citedByCount "19" @default.
• W2019418983 countsByYear W20194189832016 @default.
• W2019418983 countsByYear W20194189832017 @default.
• W2019418983 countsByYear W20194189832018 @default.
• W2019418983 countsByYear W20194189832019 @default.
• W2019418983 countsByYear W20194189832020 @default.
• W2019418983 countsByYear W20194189832022 @default.
• W2019418983 countsByYear W20194189832023 @default.
• W2019418983 crossrefType "journal-article" @default.
• W2019418983 hasAuthorship W2019418983A5014149576 @default.
• W2019418983 hasAuthorship W2019418983A5016707931 @default.
• W2019418983 hasAuthorship W2019418983A5025299164 @default.
• W2019418983 hasAuthorship W2019418983A5034367622 @default.
• W2019418983 hasAuthorship W2019418983A5040801769 @default.
• W2019418983 hasAuthorship W2019418983A5043486486 @default.
• W2019418983 hasAuthorship W2019418983A5052559358 @default.
• W2019418983 hasAuthorship W2019418983A5064935946 @default.
• W2019418983 hasAuthorship W2019418983A5082758922 @default.
• W2019418983 hasBestOaLocation W20194189831 @default.
• W2019418983 hasConcept C12174686 @default.
• W2019418983 hasConcept C141071460 @default.
• W2019418983 hasConcept C179755657 @default.
• W2019418983 hasConcept C194828623 @default.
• W2019418983 hasConcept C2776820930 @default.
• W2019418983 hasConcept C3017915907 @default.
• W2019418983 hasConcept C38652104 @default.
• W2019418983 hasConcept C41008148 @default.
• W2019418983 hasConcept C71924100 @default.
• W2019418983 hasConceptScore W2019418983C12174686 @default.
• W2019418983 hasConceptScore W2019418983C141071460 @default.
• W2019418983 hasConceptScore W2019418983C179755657 @default.
• W2019418983 hasConceptScore W2019418983C194828623 @default.
• W2019418983 hasConceptScore W2019418983C2776820930 @default.
• W2019418983 hasConceptScore W2019418983C3017915907 @default.
• W2019418983 hasConceptScore W2019418983C38652104 @default.
• W2019418983 hasConceptScore W2019418983C41008148 @default.
• W2019418983 hasConceptScore W2019418983C71924100 @default.
• W2019418983 hasIssue "6" @default.
• W2019418983 hasLocation W20194189831 @default.
• W2019418983 hasLocation W20194189832 @default.
• W2019418983 hasOpenAccess W2019418983 @default.
• W2019418983 hasPrimaryLocation W20194189831 @default.
• W2019418983 hasRelatedWork W1580905093 @default.
• W2019418983 hasRelatedWork W1836553849 @default.
• W2019418983 hasRelatedWork W2001708017 @default.
• W2019418983 hasRelatedWork W2071632420 @default.
• W2019418983 hasRelatedWork W2075409372 @default.
• W2019418983 hasRelatedWork W2356860550 @default.
• W2019418983 hasRelatedWork W2383282828 @default.
• W2019418983 hasRelatedWork W2392407047 @default.
• W2019418983 hasRelatedWork W2410449720 @default.
• W2019418983 hasRelatedWork W4282045743 @default.
• W2019418983 hasVolume "148" @default.
• W2019418983 isParatext "false" @default.
• W2019418983 isRetracted "false" @default.
• W2019418983 magId "2019418983" @default.

• next