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Speed and quality in Coronary Artery Bypass Graft (CABG) surgery: is there a connection?

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Abstract

In this paper we study the connection between coronary artery bypass graft (CABG) operation time and quality. Our quality metric was the improvement in health related quality of life (HRQoL) survey score in a sample of 432 patients admitted to Kuopio University Hospital. Patients were interviewed with a structured questionnaire a day before the procedure and the follow-up questionnaires were mailed 6 and 12 months after the surgery. However, the HRQoL metric used did not have high retest reliability. Subsequently, we did not find any connection between CAGB operation times and HRQoL. Likewise, we did not find the speed of the surgeon to have any connection to HRQoL improvement.

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References

  1. Yasin M, Zimmerer L, Miller P, Zimmerer T (2002) An empirical investigation of the effectiveness of contemporary managerial philosophies in a hospital operational setting. Int J Health Care Qual Assur 15:268–276

    Article  Google Scholar 

  2. Kujala J, Lillrank P, Kronstöm V, Peltokorpi A (2006) Time based management of patient processes. Journal of Health, Organization and Management 20:512–524

    Article  Google Scholar 

  3. Buchanan D, Wilson B (1996) Re-engineering operating theatres: the perspectives assessed. J Manage Med 10(4):57–74

    Article  Google Scholar 

  4. Karvonen S, Rämö J, Leijala M, Holmström J (2004) Productivity improvement in heart surgery—a case study on care process development. Prod Plan Control 15(3):238–246

    Article  Google Scholar 

  5. Lehtonen J-M, Kujala J, Kouri J, Hippeläinen M (2007) Cardiac surgery productivity and throughput improvements. Int J Health Care Qual Assur 20:40–52

    Article  Google Scholar 

  6. Lukkarinen H, Hentinen M (2006) Treatments of coronary artery disease improve quality of life in the long term. Nurs Res 55:26–33

    Article  Google Scholar 

  7. Macario A, Dexter F (1999) Estimating the duration of a case when the surgeon has not recently scheduled the procedure at the surgical suite. Anesth Analg 89:1241–1245

    Google Scholar 

  8. May JH, Strum DP, Vargas LG (2000) Fitting the lognormal distribution to surgical procedure times. Decis Sci 31:129–148

    Article  Google Scholar 

  9. Spangler WE, Strum DP, Vargas LG, Jerrold HM (2004) Estimating procedure times for surgeries by determining location parameters for the lognormal model. Health Care Manag Sci 7:97–104

    Article  Google Scholar 

  10. Strum DP, Sampson AR, May JH, Vargas LG (2000) Surgeon and type of anesthesia predict variability in surgical procedure times. Anesthesiology 92:1454–1466

    Article  Google Scholar 

  11. Schipper H, Clinch JJ, Olweny CL (1996) Quality of life studies: definitions and conceptual issues. In: Spilker B (ed) Quality of life and pharmacoeconomics in clinical trials. 2nd edn. Lippincott-Raven, Philadelphia, pp 43–47

    Google Scholar 

  12. Bradshaw PJ, Jamrozik KD, Gilfillan IS, Thompson PL (2006) Asymptomatic long-term survivors of coronary artery bypass surgery enjoy a quality of life equal to the general population. Am Heart J 151:537–544

    Article  Google Scholar 

  13. Loponen P, Luther M, Wistbacka JO, Korpilahti K, Laurikka J, Sintonen H, Huhtala H, Tarkka MR (2007) Quality of life during 18 months after coronary artery bypass grafting. Eur J Cardio-Thorac Surg 32:77–82

    Article  Google Scholar 

  14. Kattainen E, Sintonen H, Kettunen R, Meriläinen R (2005) Health-related quality of life coronary artery bypass grafting and percutaneous transluminal coronary artery angioplasty patients: 1-year follow-up. Int J Technol Assess Health Care 21:172–179

    Google Scholar 

  15. Jokinen J, Mustonen P, Rehnberg S, Hippeläinen M, Hartikainen J (2001) Pitkäaikaisennuste ja elämänlaatu sepelvaltimoiden ohitusleikkauksen jälkeen. Duodecim 117:2037–2043

    Google Scholar 

  16. Sintonen H (2001) The 15D instrument of health-related quality of life: properties and applications. Ann Med 33:328–335

    Article  Google Scholar 

  17. Kattainen E (2004) A longitudinal research of the coronary artery bypass grafting (CABG) and percutaneous transluminal coronary artery angioplasty (PCTA) patient’s health-related quality of life. Doctoral Thesis, University of uopio

  18. Dexter F, Dexter E, Masursky D, Nussmeier N (2008) Systematic review of general thoracic surgery articles to identify predictors of operating room case durations. Anesth Analg 106:1232–1241

    Article  Google Scholar 

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Authors and Affiliations

  1. Tampere University of Technology, Korkeakoulunkatu 8, P. O. Box 541, Tampere, Finland

    Juha-Matti Lehtonen

  2. Kuopio University Hospital, Kuopio, Finland

    Mikko Hippeläinen & Juhani Kouri

  3. University of Kuopio, Kuopio, Finland

    Eija Kattainen

  4. Helsinki University of Technology, Helsinki, Finland

    Jaakko Kujala

Authors
  1. Juha-Matti Lehtonen
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  2. Mikko Hippeläinen
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  3. Eija Kattainen
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  4. Juhani Kouri
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  5. Jaakko Kujala
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Corresponding author

Correspondence to Juha-Matti Lehtonen.

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Lehtonen, JM., Hippeläinen, M., Kattainen, E. et al. Speed and quality in Coronary Artery Bypass Graft (CABG) surgery: is there a connection?. Health Care Manag Sci 12, 147–154 (2009). https://doi.org/10.1007/s10729-008-9075-6

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  • DOI: https://doi.org/10.1007/s10729-008-9075-6

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