Navigation Links
Study Challenges New Benchmark for High-Volume Heart Transplant Hospitals

Johns Hopkins researchers question government decision to lower requirements for designation

WEDNESDAY, Jan. 30 (HealthDay News) -- Challenging a recent U.S. government decision to lower the benchmark for designation as a high-volume heart transplant hospital, a new Johns Hopkins Medical Institutions study reports the benchmark should instead increase, from 10 transplants to 14 transplants a year.

The Centers for Medicare and Medicaid Services, which qualifies medical centers for federal reimbursement, recently lowered the high-volume standard from 12 to 10 heart transplants per year.

"Our results clearly demonstrate that current standards have been arbitrarily set too low," senior investigator Dr. John Conte, director of heart and lung transplantation at The Johns Hopkins Hospital, said in a prepared statement. "There is a certain threshold, a minimum numbers of surgeries needed to maintain the expertise of the entire transplant team."

Each year, more than 2,000 people have a heart transplant in the United States.

In their study, the Hopkins team noted that high-volume centers consistently show higher survival and lower complication rates. They analyzed the records of 14,401 people who had heart transplants in the United States between 1999 and 2006, and found that death rates one month and one year after transplant increased steadily at hospitals that did fewer than 14 transplants per year.

The overall average death rate one year after heart transplant was 12.6 percent. But patients had a 16 percent greater risk of dying in a hospital that did fewer than five heart transplants per year. Patients who had a transplant at hospitals that did more than 40 heart transplants a year had the best chance of surviving.

Patients at hospitals that did less than 10 heart transplants a year had an 80 percent increased risk of dying within a month, compared to less than 1 percent for patients at hospitals that did more than 40 heart transplants per year.

Death rates flattened for the majority of patients in hospitals that did 14 or more heart transplants per year, the researchers found.

Roughly a dozen hospitals in the United States, including Johns Hopkins, perform at least 20 heart transplants a year, the researchers noted.

The study was presented Tuesday at the Society of Thoracic Surgeons annual meeting, in Fort Lauderdale, Fla.

More information

The U.S. National Heart, Lung, and Blood Institute has more about heart transplantation.

-- Robert Preidt

SOURCE: Johns Hopkins Medical Institutions, news release, Jan. 28, 2008

Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Samarion(SM) Announces Formation of Outcome Based Study Team for Industrys Only Enterprise Quality Improvement System
2. Study Finds Both Coated Stents Perform the Same
3. Pancreatic cancer: The smaller the tumor, the better your chances, study shows
4. Study Links Snoring to Chronic Bronchitis
5. Study finds genetic link to human herpes susceptibility
6. Researchers at Peoria Pulmonary Associates to study airway bypass procedure for emphysema
7. New study finds resistant organisms at core of soft contact lens corneal infections
8. Feds fund study of drug that may prevent radiation injury
9. Study examines self-expanding plastic stents in the treatment of benign esophageal conditions
10. Amalgam Fillings Dont Affect Childrens Brain Development, Says Study in ADA Journal
11. Amalgam fillings dont affect childrens brain development, says study in ADA Journal
Post Your Comments:
Related Image:
Study Challenges New Benchmark for High-Volume Heart Transplant Hospitals
(Date:11/30/2015)... , ... November 30, 2015 , ... ... (ASI) as their exclusive channel partner for the Nutraceutical Specialties products into oral ... the US, effective immediately. , “We are pleased to announce our expanded ...
(Date:11/30/2015)... ... 2015 , ... Medicalis, a leading developer of enterprise-scale Imaging ... (RSNA) annual meeting, being held November 29 – December 3, 2015, that its ... company has completed installations for Integrated Delivery Network (IDN) customers such as WellSpan, ...
(Date:11/30/2015)... ... November 30, 2015 , ... Holcomb – Kreithen Plastic ... surgery practices in Florida, is proud to announce that Dr. Joshua Kreithen, one ... Ethicon Inc., a Johnson & Johnson Company. , Ethicon is a global medical ...
(Date:11/30/2015)... ... November 30, 2015 , ... Insightra Medical, Inc. and ... Mesh technology for soft tissue repair in the US via Insightra’s national direct ... surgical mesh intended to support and reinforce soft tissue for 6-9 months before ...
(Date:11/30/2015)... ... ... TransPack Volume 6 features 30 customizable transitions created exclusively for use within ... with blur & drop shadow options. Utilize the controls in the inspector window ... the next with TransPack's easily customizable styles. , TransPack Volume 6 features ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... , Nov. 30, 2015  Hanger, Inc. (NYSE: ... restatement of the terms of its previously announced consent ... to its $200,000,000 aggregate principal amount 7⅛% Senior Notes ... (i) the consent fees payable pursuant to the Consent ... Notes and (iii) the expiration date of the Consent ...
(Date:11/30/2015)...  Precision Image Analysis Inc. (PIA), a leading ... a dramatic expansion of its capabilities as a ... ISO-9001:2008 certification for its Quality Management System, PIA ... and procedures. This expansion enables PIA to support ... Lab services include design and optimization of protocols, ...
(Date:11/30/2015)... and REHOVOT, Israel , Nov. 30, ... company focused on acquiring and developing innovative therapies for ... appointment of Keith A. Katkin as chairman ... J. Flesher , chief executive officer for OticPharma, Ltd.  ... organizations.  As chairman, he will be able to share ...
Breaking Medicine Technology: