Factors Influencing Cardiac Surgeons' Decisions to Operate
Author Information
Author(s): Paul D Waterworth, Sing Y Soon, Rohith Govindraj, Rajesh Sivaprakasam, Mark Jackson, Antony D Grayson
Primary Institution: Wythenshawe Hospital, University of South Manchester NHS Foundation Trust
Hypothesis
What proportion of patients referred for cardiac surgery are turned down and why?
Conclusion
12.8% of patients referred for cardiac surgery did not undergo an operation, primarily due to being considered too high risk.
Supporting Evidence
- 333 out of 382 patients underwent surgery, while 49 were turned down.
- 68% of patients turned down were considered too high-risk.
- Patients turned down had significantly higher EuroSCORE values compared to those who underwent surgery.
- Freedom from death was significantly lower in patients turned down for surgery.
Takeaway
Some patients who need heart surgery can't get it because doctors think it's too risky for them. This study looked at why that happens.
Methodology
The study included 382 elective patients referred for cardiac surgery, with data collected on those who underwent surgery and those who did not, including reasons for not operating.
Potential Biases
Surgeons' personal assessments may introduce bias in determining surgical risk.
Limitations
The study is based on a single institution and may not represent broader trends.
Participant Demographics
Patients referred for cardiac surgery, with a mean age of 69 for those turned down.
Statistical Information
P-Value
p = 0.006
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website