%0 Journal Article
%T Surgeon and Hospital Factors Associated With Outcomes in the New York State Database.
%A Chen JR
%A Tatum R
%A Sanders VL
%A Ahmad D
%A Morris RJ
%A Tchantchaleishvili V
%J J Surg Res
%V 300
%N 0
%D 2024 Aug 6
%M 38848640
%F 2.417
%R 10.1016/j.jss.2024.05.014
%X <B>BACKGROUND: </B>We sought to explore the relationship between various surgeon-related and hospital-level characteristics and clinical outcomes among patients requiring cardiac surgery.<BR><B>METHODS: </B>We searched the New York State Cardiac Data Reporting System for all coronary artery bypass grafting (CABG) and valve cases between 2015 and 2017. The data were analyzed without dichotomization.<BR><B>RESULTS: </B>Among CABG/valve surgeons, case volume was positively correlated with years in practice (P = 0.002) and negatively correlated with risk-adjusted mortality ratio (P = 0.014). For CABG and CABG/valve surgeons, our results showed a negative association between teaching status and case volume (P = 0.002, P = 0.018). Among CABG surgeons, hospital teaching status and presence of cardiothoracic surgery residency were inversely associated with risk-adjusted mortality ratio (P = 0.006, P = 0.029).<BR><B>CONCLUSIONS: </B>There is a complex relationship between case volume, teaching status, and surgical outcomes suggesting that balance between academics and volume is needed.