D M Shahian

Summary

Affiliation: Lahey Clinic
Country: USA

Publications

  1. ncbi request reprint Relationship of hospital size, case volume, and cost for coronary artery bypass surgery: analysis of 12,774 patients operated on in Massachusetts during fiscal years 1995 and 1996
    D M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, MA 01805, USA
    J Thorac Cardiovasc Surg 122:53-64. 2001
  2. ncbi request reprint Cardiac surgery report cards: comprehensive review and statistical critique
    D M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA
    Ann Thorac Surg 72:2155-68. 2001
  3. ncbi request reprint The volume-outcome relationship: from Luft to Leapfrog
    David M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA
    Ann Thorac Surg 75:1048-58. 2003
  4. ncbi request reprint Contemporary management of superior pulmonary sulcus (Pancoast) lung tumors
    David M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA
    Curr Opin Pulm Med 9:327-31. 2003
  5. ncbi request reprint Cardiac surgery risk models: a position article
    David M Shahian
    Lahey Clinic, Burlington, Massachusetts 01805, USA
    Ann Thorac Surg 78:1868-77. 2004
  6. ncbi request reprint Anti-Jkb delayed hemolytic transfusion reaction after coronary bypass surgery
    D M Shahian
    Department of Cardiothoracic Surgery, Lahey Clinic, Burlington, MA 01805, USA
    Panminerva Med 37:95-7. 1995
  7. ncbi request reprint Readmission after cardiac operations: prevalence, patterns, and predisposing factors
    R S D'Agostino
    Departments of Cardiothoracic Surgery and Biostatistics, Lahey Clinic Medical Center, Burlington, MA 01805, USA
    J Thorac Cardiovasc Surg 118:823-32. 1999
  8. doi request reprint Comparison of "risk-adjusted" hospital outcomes
    David M Shahian
    Center for Quality and Safety, Department of Surgery, and Institute for Health Policy, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02115, USA
    Circulation 117:1955-63. 2008
  9. ncbi request reprint Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards
    David M Shahian
    Tufts University School of Medicine, Boston, Mass, USA
    Circulation 115:1518-27. 2007
  10. doi request reprint Low-volume coronary artery bypass surgery: measuring and optimizing performance
    David M Shahian
    Department of Surgery, Center for Quality and Safety, and Institute for Health Policy, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
    J Thorac Cardiovasc Surg 135:1202-9. 2008

Detail Information

Publications21

  1. ncbi request reprint Relationship of hospital size, case volume, and cost for coronary artery bypass surgery: analysis of 12,774 patients operated on in Massachusetts during fiscal years 1995 and 1996
    D M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, MA 01805, USA
    J Thorac Cardiovasc Surg 122:53-64. 2001
    ..This study investigates the relationship between the cost of coronary artery bypass graft surgery and both hospital size and case volume...
  2. ncbi request reprint Cardiac surgery report cards: comprehensive review and statistical critique
    D M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA
    Ann Thorac Surg 72:2155-68. 2001
    ..We advocate the use of hierarchical or multilevel statistical models to address these concerns, as well as report formats that emphasize the statistical uncertainty of the results...
  3. ncbi request reprint The volume-outcome relationship: from Luft to Leapfrog
    David M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA
    Ann Thorac Surg 75:1048-58. 2003
    ..The Leapfrog Group has established a minimum volume requirement of 500 procedures for coronary artery bypass grafting. In view of the questionable basis for this recommendation, we suggest that it be reevaluated...
  4. ncbi request reprint Contemporary management of superior pulmonary sulcus (Pancoast) lung tumors
    David M Shahian
    Department of Thoracic and Cardiovascular Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA
    Curr Opin Pulm Med 9:327-31. 2003
    ..Arguably the most important advance in the treatment of Pancoast tumors has been the recognition that induction chemoradiation substantially improves both the rate of complete resection and medium-term survival...
  5. ncbi request reprint Cardiac surgery risk models: a position article
    David M Shahian
    Lahey Clinic, Burlington, Massachusetts 01805, USA
    Ann Thorac Surg 78:1868-77. 2004
    ..Risk models may be used to assess the impact of specific predictors on outcome, to aid in patient counseling and treatment selection, to profile provider quality, and to serve as the basis of continuous quality improvement activities...
  6. ncbi request reprint Anti-Jkb delayed hemolytic transfusion reaction after coronary bypass surgery
    D M Shahian
    Department of Cardiothoracic Surgery, Lahey Clinic, Burlington, MA 01805, USA
    Panminerva Med 37:95-7. 1995
    ..The incidence, pathophysiology, clinical presentation, diagnosis, and management of this syndrome are discussed...
  7. ncbi request reprint Readmission after cardiac operations: prevalence, patterns, and predisposing factors
    R S D'Agostino
    Departments of Cardiothoracic Surgery and Biostatistics, Lahey Clinic Medical Center, Burlington, MA 01805, USA
    J Thorac Cardiovasc Surg 118:823-32. 1999
    ....
  8. doi request reprint Comparison of "risk-adjusted" hospital outcomes
    David M Shahian
    Center for Quality and Safety, Department of Surgery, and Institute for Health Policy, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02115, USA
    Circulation 117:1955-63. 2008
    ..The concept of "risk-adjusted" outcomes is frequently misunderstood, particularly when it is used to justify the direct comparison of performance at 2 specific institutions...
  9. ncbi request reprint Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cards
    David M Shahian
    Tufts University School of Medicine, Boston, Mass, USA
    Circulation 115:1518-27. 2007
    ..Using logistic regression and hierarchical models, we compared hospital cardiac surgery profiling results based on clinical data with those derived from contemporaneous administrative data...
  10. doi request reprint Low-volume coronary artery bypass surgery: measuring and optimizing performance
    David M Shahian
    Department of Surgery, Center for Quality and Safety, and Institute for Health Policy, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
    J Thorac Cardiovasc Surg 135:1202-9. 2008
  11. doi request reprint Guidelines for reporting mortality and morbidity after cardiac valve interventions
    Cary W Akins
    Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
    J Thorac Cardiovasc Surg 135:732-8. 2008
  12. doi request reprint Guidelines for reporting mortality and morbidity after cardiac valve interventions
    Cary W Akins
    The American Association for Thoracic Surgery, Beverly, Massachusetts, USA
    Ann Thorac Surg 85:1490-5. 2008
  13. ncbi request reprint Quality measurement in adult cardiac surgery: part 1--Conceptual framework and measure selection
    David M Shahian
    Tufts University School of Medicine, Boston, Massachusetts, USA
    Ann Thorac Surg 83:S3-12. 2007
  14. doi request reprint Transparency: a mandatory requirement for risk models
    David M Shahian
    J Am Coll Surg 206:1240-2; author reply 1242-5. 2008
  15. ncbi request reprint The Society of Thoracic Surgeons Practice Guideline Series: Antibiotic Prophylaxis in Cardiac Surgery, Part I: Duration
    Fred H Edwards
    Division of Cardiothoracic Surgery, University of Florida, Jacksonville, Florida 32209, USA
    Ann Thorac Surg 81:397-404. 2006
  16. ncbi request reprint Massachusetts cardiac surgery report card: implications of statistical methodology
    David M Shahian
    Department of Surgery, Caritas St Elizabeth s Medical Center, Boston, Massachusetts 02135, USA
    Ann Thorac Surg 80:2106-13. 2005
    ..Theoretically, the use of hierarchical models should result in more accurate representation of provider performance...
  17. ncbi request reprint Implementation of a cardiac surgery report card: lessons from the Massachusetts experience
    David M Shahian
    Department of Surgery, Caritas St Elizabeth s Medical Center, Boston, MA 02135, USA
    Ann Thorac Surg 80:1146-50. 2005
    ..These include the choice of a statistical model and analytical technique, national versus regional reference population, and whether individual surgeon profiling is required...
  18. ncbi request reprint The Society of Thoracic Surgeons practice guideline series: aspirin and other antiplatelet agents during operative coronary revascularization (executive summary)
    Victor A Ferraris
    University of Kentucky Chandler Medical Center, Lexington, Kentucky 40536, USA
    Ann Thorac Surg 79:1454-61. 2005
  19. ncbi request reprint The Society of Thoracic Surgeons practice guideline series: transmyocardial laser revascularization
    Charles R Bridges
    Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA
    Ann Thorac Surg 77:1494-502. 2004
    ....
  20. ncbi request reprint Improving cardiac surgery quality--volume, outcome, process?
    David M Shahian
    JAMA 291:246-8. 2004
  21. doi request reprint Blueprint for a new American College of Surgeons: National Surgical Quality Improvement Program
    John D Birkmeyer
    Department of Surgery, University of Michigan, Ann Arbor, MI, USA
    J Am Coll Surg 207:777-82. 2008