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Key PointsQuestionWhat are the differences in hospital and patient characteristics of mitral repair or replacement (MVRR) in the United States as a function of hospital procedure volume? FindingsPatient demographics and geography of centers performing 25 or more MVRRs per year or 40 or more MVRRs per year differed in race/ethnicity, rurality, and insurance status from those performing fewer cases. Centers performing 25 or more and 40 or more MVRRs per year were located in 77.3% and 55.3% of geographic hospital referral regions, respectively, and regional access exists for 92% and 82% of the US population, respectively. MeaningNinety-two percent and 82% of the US population lives in a hospital referral region with a center performing 25 or more or 40 or more MVRRs per year, respectively; disparities in patients and geography exist between these centers and those performing fewer MVRRs.
JAMA Cardiology – American Medical Association
Published: Nov 2, 2019
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