MedicalResearch.com Interview with:
Daniel J. Boffa, MD
Associate Professor of Thoracic Surgery
Yale School of Medicine
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Prominent cancer hospitals have been sharing their brands with smaller hospitals in the community. We conducted a series of nationally representative surveys and found that a significant proportion of the U.S. public assumes that the safety of care is the same at all hospitals that share the same respected brand. In an effort to determine if safety was in fact the same, we examined complex surgical procedures in the Medicare database.
We compared the chance of dying within 90 days of surgery between top-ranked hospitals, and the affiliate hospitals that share their brands. When taking into account differences in patient age, health, and type of procedure, Medicare patients were 1.4 times more likely to die after surgery at the affiliate hospitals, compared to those having surgery at the top-ranked cancer hospitals.