FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2530813200> ?p ?o ?g. }

• W2530813200 endingPage "438" @default.
• W2530813200 startingPage "435" @default.
• W2530813200 abstract "With a rising emphasis on public reporting, we hypothesized that select hospitals are becoming increasingly risk-averse by avoiding high-risk operations. Further, we evaluated the association between risk-averse practices, outcomes, and publicly reported quality measures.Clinical data from 78,417 patients undergoing cardiac surgery (2002-2016) from a regional consortium was paired with publicly available reimbursement and quality data. High-risk surgery was defined as predicted risk of mortality ≥5%. Hospital risk aversion was defined as a significant decrease in both high-risk volume and proportion, with cases stratified by hospital risk aversion status for univariate analysis.The rate of high-risk cases decreased from 17.9% in 2002 to 12.6% in 2016. Significant risk aversion was seen in 39% of hospitals, which had a 59% decrease in high-risk volume vs a 16% decrease at non-risk-averse hospitals. In the last 5 years, declining high-risk cases at risk-averse hospitals were driven by fewer cases from transfers (19.2% vs 28.1%, P < .001) and the emergency department (17.6% vs 19.2%, P = .001). Only non-risk-averse hospitals had mortality rates lower than expected (risk-averse: 0.97 [95% confidence interval, 0.91-1.03], P = .30; non-risk-averse: 0.88 [95% confidence interval, 0.83-0.94], P = .001). There were no differences by risk aversion status in reported ratings or financial incentives (all P > .05).Over 60% of hospitals continue to operate on high-risk patients, with concentration of care driven by transfer patterns. These non-risk-averse hospitals are high-performing with better-than-expected outcomes, particularly in high-risk cases. Transparency and objectivity in reporting are essential to ensure continued access for these high-risk patients." @default.
• W2530813200 created "2016-10-21" @default.
• W2530813200 creator A5010533335 @default.
• W2530813200 creator A5032807955 @default.
• W2530813200 creator A5035248149 @default.
• W2530813200 date "2016-10-01" @default.
• W2530813200 modified "2023-10-16" @default.
• W2530813200 title "The Quality Measurement Crisis: An Urgent Need for Methodological Standards and Transparency" @default.
• W2530813200 cites W163729822 @default.
• W2530813200 cites W1975733327 @default.
• W2530813200 cites W1986937492 @default.
• W2530813200 cites W2011676249 @default.
• W2530813200 cites W2024862564 @default.
• W2530813200 cites W2056473202 @default.
• W2530813200 cites W2059098680 @default.
• W2530813200 cites W2064951857 @default.
• W2530813200 cites W2075093006 @default.
• W2530813200 cites W2079789032 @default.
• W2530813200 cites W2091694909 @default.
• W2530813200 cites W2121947900 @default.
• W2530813200 cites W2132068236 @default.
• W2530813200 cites W2135157036 @default.
• W2530813200 cites W2135214392 @default.
• W2530813200 cites W2144170835 @default.
• W2530813200 cites W2150982097 @default.
• W2530813200 cites W2152177460 @default.
• W2530813200 cites W2152789132 @default.
• W2530813200 cites W2236072160 @default.
• W2530813200 cites W2297749009 @default.
• W2530813200 cites W2481265382 @default.
• W2530813200 cites W2530905354 @default.
• W2530813200 cites W4249611253 @default.
• W2530813200 doi "https://doi.org/10.1016/s1553-7250(16)42057-x" @default.
• W2530813200 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27712601" @default.
• W2530813200 hasPublicationYear "2016" @default.
• W2530813200 type Work @default.
• W2530813200 sameAs 2530813200 @default.
• W2530813200 citedByCount "10" @default.
• W2530813200 countsByYear W25308132002017 @default.
• W2530813200 countsByYear W25308132002018 @default.
• W2530813200 countsByYear W25308132002019 @default.
• W2530813200 countsByYear W25308132002020 @default.
• W2530813200 crossrefType "journal-article" @default.
• W2530813200 hasAuthorship W2530813200A5010533335 @default.
• W2530813200 hasAuthorship W2530813200A5032807955 @default.
• W2530813200 hasAuthorship W2530813200A5035248149 @default.
• W2530813200 hasConcept C105795698 @default.
• W2530813200 hasConcept C12174686 @default.
• W2530813200 hasConcept C126322002 @default.
• W2530813200 hasConcept C129915516 @default.
• W2530813200 hasConcept C144133560 @default.
• W2530813200 hasConcept C144301174 @default.
• W2530813200 hasConcept C160735492 @default.
• W2530813200 hasConcept C161584116 @default.
• W2530813200 hasConcept C162118730 @default.
• W2530813200 hasConcept C162324750 @default.
• W2530813200 hasConcept C187736073 @default.
• W2530813200 hasConcept C194828623 @default.
• W2530813200 hasConcept C199163554 @default.
• W2530813200 hasConcept C205706631 @default.
• W2530813200 hasConcept C2779703844 @default.
• W2530813200 hasConcept C33923547 @default.
• W2530813200 hasConcept C38180746 @default.
• W2530813200 hasConcept C44249647 @default.
• W2530813200 hasConcept C50522688 @default.
• W2530813200 hasConcept C71924100 @default.
• W2530813200 hasConcept C82789193 @default.
• W2530813200 hasConceptScore W2530813200C105795698 @default.
• W2530813200 hasConceptScore W2530813200C12174686 @default.
• W2530813200 hasConceptScore W2530813200C126322002 @default.
• W2530813200 hasConceptScore W2530813200C129915516 @default.
• W2530813200 hasConceptScore W2530813200C144133560 @default.
• W2530813200 hasConceptScore W2530813200C144301174 @default.
• W2530813200 hasConceptScore W2530813200C160735492 @default.
• W2530813200 hasConceptScore W2530813200C161584116 @default.
• W2530813200 hasConceptScore W2530813200C162118730 @default.
• W2530813200 hasConceptScore W2530813200C162324750 @default.
• W2530813200 hasConceptScore W2530813200C187736073 @default.
• W2530813200 hasConceptScore W2530813200C194828623 @default.
• W2530813200 hasConceptScore W2530813200C199163554 @default.
• W2530813200 hasConceptScore W2530813200C205706631 @default.
• W2530813200 hasConceptScore W2530813200C2779703844 @default.
• W2530813200 hasConceptScore W2530813200C33923547 @default.
• W2530813200 hasConceptScore W2530813200C38180746 @default.
• W2530813200 hasConceptScore W2530813200C44249647 @default.
• W2530813200 hasConceptScore W2530813200C50522688 @default.
• W2530813200 hasConceptScore W2530813200C71924100 @default.
• W2530813200 hasConceptScore W2530813200C82789193 @default.
• W2530813200 hasIssue "10" @default.
• W2530813200 hasLocation W25308132001 @default.
• W2530813200 hasLocation W25308132002 @default.
• W2530813200 hasOpenAccess W2530813200 @default.
• W2530813200 hasPrimaryLocation W25308132001 @default.
• W2530813200 hasRelatedWork W1828158523 @default.
• W2530813200 hasRelatedWork W2066329988 @default.
• W2530813200 hasRelatedWork W2082153206 @default.
• W2530813200 hasRelatedWork W2160813944 @default.
• W2530813200 hasRelatedWork W2314512117 @default.

• next