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Published on: April 18, 2013

The UK cardiac surgical register, 1977-82

T A English, A R Bailey, J F Dark

    British Medical Journal (Clinical Research Ed.)
    |November 3, 1984
    PubMed

    Insights

    Cardiac surgery in the UK saw declining mortality rates between 1977-1982. Coronary bypass graft operations significantly increased, though the UK

    Area of Science:

    • Cardiovascular Surgery
    • Public Health
    • Health Services Research

    Background:

    • The Society of Thoracic and Cardiovascular Surgeons of Great Britain and Northern Ireland established the UK Cardiac Surgical Register in 1977.
    • Analysis of data from 1977-1982 provides insights into cardiac surgery trends in the United Kingdom.

    Purpose of the Study:

    • To analyze trends in the incidence and mortality of cardiac surgery.
    • To assess regional workload variations in cardiac surgical services within the UK.
    • To compare UK cardiac surgery rates with international benchmarks.

    Main Methods:

    • Utilized data from the UK Cardiac Surgical Register spanning 1977 to 1982.
    • Examined operative mortality rates for various cardiac operations.
    • Analyzed the number of procedures for valvular, congenital, and coronary bypass graft surgeries.
    • Investigated regional disparities in service provision.

    Main Results:

    • Operative mortality generally declined across most cardiac operations.
    • The number of coronary bypass graft operations surged from 2,297 in 1977 to 6,008 in 1982.
    • The 1982 rate of 107 coronary bypass graft operations per million population lagged behind Australia (410) and the US (750).
    • Significant regional variations in cardiac surgical service provision were observed, particularly for coronary bypass grafting (10-fold difference).

    Conclusions:

    • The UK Cardiac Surgical Register is a valuable resource for tracking trends in cardiac surgery.
    • There is a need to address regional inequalities in the provision of coronary bypass graft surgery.
    • International comparisons highlight potential areas for growth in UK cardiac surgical procedures.

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