Author + information
- Received September 9, 2011
- Revision received November 8, 2011
- Accepted November 25, 2011
- Published online June 19, 2012.
- ↵⁎Reprint requests and correspondence:
Dr. David L. Brown, Department of Medicine, Division of Cardiovascular Medicine, Health Sciences Center, T16-080, Stony Brook, New York 11794-8160
Public reporting of clinical outcomes data is but one response to calls for increasing transparency in health care. Cardiac surgical operations are among the most commonly performed complex operative procedures. Risk-adjusted cardiac surgery mortality rate data for individual cardiac surgeons are currently available for >25% of the U.S. population as well as for Great Britain and Ireland. Although cardiologists are the primary source of referral of patients for cardiac surgery, surveys of cardiologists and analysis of market share data indicate this information is not being used to refer to cardiac surgeons with the lowest mortality rates. We review the ethical principles that should obligate cardiologists to discuss and use outcomes data, when available, in selecting cardiac surgeons to whom they refer their patients.
All authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received September 9, 2011.
- Revision received November 8, 2011.
- Accepted November 25, 2011.
- American College of Cardiology Foundation