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The National Heart Failure Audit published its sixth annual report on 21 November 2013. More...
Published: Nov 21, 2013 12:00:15 AM
Acting as a 'window' into National Adult Cardiac Surgery
Audit (NACSA) data, the SCTS iData app allows users to place filters on
different types of heart surgery to generate a report showing analysis of all
heart operations in the UK between April 2008 – March 2012. Reports
provide a running total of procedures as you add each filter, with the
to generate a report at any time.
Published: Oct 29, 2013 5:41:24 PM
Another year has gone by and another MINAP Public Report has been published, providing an insight into how the NHS cares for patients with Heart Attack. More...
Published: Oct 16, 2013 11:02:43 AM
Following on from the release of patient friendly reports for Heart
Failure and MINAP, the National Adult Cardiac Surgery Audit (NACSA)
today (3 September) publishes 'UK Heart Surgery: What Patients Can Expect from their Surgeons' in partnership with the Society for Cardiothoracic Surgery (SCTS).
Published: Sep 3, 2013 8:47:16 AM
As part of the ‘Everyone Counts’ initiative, individual consultants’ results are being published, based on national clinical audit data. Two of NICOR’s national cardiac audits are amongst the 10 specialties covered, providing data in relation to adult cardiac surgery and non-surgical interventional cardiology. The work was coordinated for NHS England by the Healthcare Quality Improvement Partnership (HQIP) which commissions national clinical audit work for NHS England. More...
Published: Jun 28, 2013 10:24:28 AM
Congenital Heart Disease
Congenital heart disease refers to any defect of the heart present from birth. It includes structural defects, congenital arrhythmias, and cardiomyopathies. At least eight in every 1,000 babies are born with a heart or circulatory condition and only a quarter of these are detected by ultrasound scans.
Interpretation, analysis and presentation of clinical outcomes from cardiac surgery is complex. To ensure that patients and the public are not given misleading analyses and to ensure that the performance of organisations and individuals are not misrepresented, the following factors need to be taken into account:
- Some surgeons and some hospitals operate on patients who are at greater risk of dying. For example, an experienced surgeon who operates on more difficult cases (such as small babies with very complex heart disease) would reasonably be expected to have a higher mortality rate than the national average.
- Without taking such factors into account, it is quite possible that a surgeon classed as having a higher mortality rate may well be 'better' than a surgeon classed as having a lower mortality rate. A league table based on data that is not risk adjusted is likely to mislead patients and the public and misrepresent the performance of individuals and institutions. Taking all relevant factors into account is very complex. There is not yet a proven method for doing this for congenital heart disease treatment. For this reason the results on CCAD's website are based upon individual centres and not individual surgeons' survival rates.
- Mortality rates depend on factors other than just the skill of the individual surgeon. For children or adults with congenital heart disease, outcomes depend on the skills of the whole team involved (including the post-operative care staff) and the hospital environment. This is not taken into account when associating named surgeons with mortality rates.
- There is a natural variation in mortality rates from year to year. It is to be expected that mortality rates of individual surgeons vary from year to year. Therefore a high (or low) mortality rate in one particular year is not necessarily an accurate guide to the performance of a particular surgeon.
- The statistical uncertainty in the mortality rate of a surgeon depends on how many operations they have performed. The more operations a surgeon performs, the more confident we can be that the mortality rate they are operating at is their 'true' mortality rate. Judging a surgeon on a small number of operations may lead to incorrect conclusions.
- All congenital heart disease centres in the UK are working together to ensure provision of accurate audit data to the CCAD to enable provision of analyses which properly inform patients and the public and fairly represent clinical performance. In addition to these measures, each congenital heart disease centre holds regular multidisciplinary meetings to discuss mortality and morbidity with the aim of continuously assessing ways to improve treatment.
More information about the Congenital Heart Disease audit, and its findings, can be found on the Congenital Heart Disease Website.
Page last modified on 31 jul 13 09:32