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Cardiac surgery audit raises concern over equity of access

BMJ 1999; 319 doi: (Published 31 July 1999) Cite this as: BMJ 1999;319:277
  1. Richard Woodman
  1. London

    Concern over equity of access to cardiac surgery has been raised following the first comprehensive audit ever carried out in the United Kingdom by the Society of Cardiothoracic Surgeons. Data provided by nearly three quarters of units undertaking adult cardiac surgery show that the “urgent” operation rate varied from 10% to 60% between units.

    Twenty per cent of patients undergoing surgery in some units were over 70 years old compared with only 10% in others. In one unit 30% of the patients had a good ejection fraction, in another, 80% Similarly, …

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