In this issue of THE JOURNAL, Peterson and colleagues1 use
data from the Society of Thoracic Surgeons National Cardiac Database (STS
NCD), the largest clinical cardiac surgery database in the world, to enhance
current understanding of the volume-outcome relationship for coronary artery
bypass graft (CABG) surgery. This large national study also will contribute
to the ongoing debate regarding the relative merits of volume-based referral
strategies, outcome reporting, and process-improvement initiatives to promote
cardiac surgery quality.2- 5
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