Research Topics
| David M ShahianSummaryAffiliation: Massachusetts General Hospital Country: USA Publications
| Collaborators
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Detail Information
Publications
Hospital-wide mortality as a quality metric: conceptual and methodological challengesDavid M Shahian
Center for Quality and Safety and Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA
Am J Med Qual 27:112-23. 2012....- The Society of Thoracic Surgeons Isolated Aortic Valve Replacement (AVR) Composite Score: a report of the STS Quality Measurement Task ForceDavid M Shahian
Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA
Ann Thorac Surg 94:2166-71. 2012..The current study creates a similar composite measure for isolated aortic valve replacement (AVR)... - Contemporary performance of U.S. teaching and nonteaching hospitalsDavid M Shahian
Center for Quality and Safety, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
Acad Med 87:701-8. 2012..To compare the performance of U.S. teaching and nonteaching hospitals using a portfolio of contemporary, publicly reported metrics... 
Predictors of long-term survival after coronary artery bypass grafting surgery: results from the Society of Thoracic Surgeons Adult Cardiac Surgery Database (the ASCERT study)David M Shahian
Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
Circulation 125:1491-500. 2012..We estimate a long-term survival model using data from the Society of Thoracic Surgeons Adult Cardiac Surgery Database and Centers for Medicare and Medicaid Services...- Association of National Hospital Quality Measure adherence with long-term mortality and readmissionsDavid M Shahian
Center for Quality and Safety and Department of Surgery, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
BMJ Qual Saf 21:325-36. 2012..Our investigation addresses methodological concerns with previous studies to better clarify the process-outcomes association for three common conditions... - Variability in the measurement of hospital-wide mortality ratesDavid M Shahian
Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
N Engl J Med 363:2530-9. 2010..Massachusetts policymakers recently requested an assessment of methods to calculate this aggregate mortality metric for use as a measure of hospital quality... - Association of hospital coronary artery bypass volume with processes of care, mortality, morbidity, and the Society of Thoracic Surgeons composite quality scoreDavid M Shahian
Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Harvard Medical School, Boston, Mass 02114, USA
J Thorac Cardiovasc Surg 139:273-82. 2010..This study examines the association of hospital coronary artery bypass procedural volume with mortality, morbidity, evidence-based care processes, and Society of Thoracic Surgeons composite score... 
Low-volume coronary artery bypass surgery: measuring and optimizing performanceDavid 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- The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 3--valve plus coronary artery bypass grafting surgeryDavid M Shahian
Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Ann Thorac Surg 88:S43-62. 2009..These models specifically address both perioperative morbidity and mitral valve repair, and they are based on contemporary data... - Predictors of nonadherence to national hospital quality measures for heart failure and pneumoniaDavid M Shahian
Massachusetts General Hospital, Center for Quality and Safety, Department of Surgery, Harvard Medical School, Boston, 02114, USA
Am J Med 124:636-46. 2011..Understanding factors associated with process measure nonadherence may improve both patient care and future measure design... - Public reporting of cardiac surgery performance: Part 2--implementationDavid M Shahian
Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Ann Thorac Surg 92:S12-23. 2011..This may also help to mitigate risk aversion, the avoidance of high-risk patients... - Public reporting of cardiac surgery performance: Part 1--history, rationale, consequencesDavid M Shahian
Department of Surgery and Center for Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Ann Thorac Surg 92:S2-11. 2011..Finally, the potential unintended adverse consequences of public reporting must be monitored, particularly to assure that hospitals and surgeons remain willing to care for high-risk patients... - The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgeryDavid M Shahian
Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Ann Thorac Surg 88:S2-22. 2009..To adjust for these and other changes, all STS risk models have undergone periodic revisions. This report provides a detailed description of the 2008 STS risk model for coronary artery bypass grafting surgery (CABG)... - Quality measurement in adult cardiac surgery: part 1--Conceptual framework and measure selectionDavid M Shahian
Tufts University School of Medicine, Boston, Massachusetts, USA
Ann Thorac Surg 83:S3-12. 2007 - Comparison of clinical and administrative data sources for hospital coronary artery bypass graft surgery report cardsDavid 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... - Aortic sclerosis is associated with mortality and major morbidity in patients undergoing coronary artery bypass surgeryAidan W Flynn
Cardiac Ultrasound Laboratory, Division of Cardiology, Massachusetts General Hospital, Harvard University, 55 Fruit Street, Boston, MA 02114, USA
Heart 99:247-52. 2013..In this study, we aim to investigate the association between aortic sclerosis and mortality and major morbidity in patients with established coronary artery disease undergoing coronary artery bypass grafting (CABG)... - Comparison of "risk-adjusted" hospital outcomesDavid 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... - STS database risk models: predictors of mortality and major morbidity for lung cancer resectionBenjamin D Kozower
Department of Surgery, University of Virginia Health System, Charlottesville, Virginia 22908 0679, USA
Ann Thorac Surg 90:875-81; discussion 881-3. 2010..The aim of this study is to create models for perioperative risk of lung cancer resection using the STS GTDB (Society of Thoracic Surgeons General Thoracic Database)... - Massachusetts cardiac surgery report card: implications of statistical methodologyDavid 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... - Incremental value of the preoperative echocardiogram to predict mortality and major morbidity in coronary artery bypass surgeryJonathan Afilalo
Cardiac Ultrasound Laboratory, Division of Cardiology, Massachusetts General Hospital, Harvard University, Boston, MA 02114, USA
Circulation 127:356-64. 2013..Although echocardiography is commonly performed before coronary artery bypass surgery, there has yet to be a study examining the incremental prognostic value of a complete echocardiogram... - Implementation of a cardiac surgery report card: lessons from the Massachusetts experienceDavid 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... - Guidelines for reporting mortality and morbidity after cardiac valve interventionsCary W Akins
The American Association for Thoracic Surgery, Beverly, Massachusetts, USA
Ann Thorac Surg 85:1490-5. 2008 - Guidelines for reporting mortality and morbidity after cardiac valve interventionsCary W Akins
Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA
J Thorac Cardiovasc Surg 135:732-8. 2008 - Blueprint for a new American College of Surgeons: National Surgical Quality Improvement ProgramJohn D Birkmeyer
Department of Surgery, University of Michigan, Ann Arbor, MI, USA
J Am Coll Surg 207:777-82. 2008 - The Society of Thoracic Surgeons practice guideline series: transmyocardial laser revascularizationCharles R Bridges
Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA
Ann Thorac Surg 77:1494-502. 2004.... - Cardiac surgery risk models: a position articleDavid 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... - Improving cardiac surgery quality--volume, outcome, process?David M Shahian
JAMA 291:246-8. 2004 - 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 - Gender-specific practice guidelines for coronary artery bypass surgery: perioperative managementFred H Edwards
Division of Cardiothoracic Surgery, University of Florida, Jacksonville, Florida 32209, USA
Ann Thorac Surg 79:2189-94. 2005..As with all practice guidelines, our goal is to gather the most important information, analyze the information in a logical and unbiased fashion, and make recommendations based solely on the available evidence... - The Society of Thoracic Surgeons Practice Guideline Series: Antibiotic Prophylaxis in Cardiac Surgery, Part I: DurationFred H Edwards
Division of Cardiothoracic Surgery, University of Florida, Jacksonville, Florida 32209, USA
Ann Thorac Surg 81:397-404. 2006 - Measuring performance for treating heart attacks and heart failure: the case for outcomes measurementHarlan M Krumholz
Yale University School of Medicine, New Haven, Connecticut, USA
Health Aff (Millwood) 26:75-85. 2007..Recent developments in the methodology and standards for outcomes measurement have laid the groundwork for incorporating outcomes into performance monitoring efforts for these conditions... - Guidelines for reporting mortality and morbidity after cardiac valve interventionsCary W Akins
Eur J Cardiothorac Surg 33:523-8. 2008 - Transparency: a mandatory requirement for risk modelsDavid M Shahian
J Am Coll Surg 206:1240-2; author reply 1242-5. 2008 - The volume-outcome relationship: from Luft to LeapfrogDavid 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...