Parents' Preferences Regarding Public Reporting of Outcomes in Congenital Heart Surgery.

TitleParents' Preferences Regarding Public Reporting of Outcomes in Congenital Heart Surgery.
Publication TypeJournal Article
Year of Publication2018
AuthorsIrons ML, J Gaynor W, Spray TL, Feudtner C
JournalAnn Thorac Surg
Volume105
Start Page606
Issue2
Pagination606-11
Date Published2018 Feb
ISSN1552-6259
Abstract

BACKGROUND: Calls for public reporting of outcomes in congenital heart surgery have led to several different reporting schemes, including a star rating system and benchmark procedure-specific mortality data tables. Important unanswered questions remain about the optimal format and content of public reporting of congenital heart surgery outcomes.

METHODS: In conjunction with three parent advocacy groups, we developed a questionnaire to gauge parents' attitudes regarding the format and content of an "optimal" public reporting scheme. Parents were solicited for participation through email lists of members of parent advocacy groups and from a cohort of parents whose children had undergone an STS benchmark procedure of the Society of Thoracic Surgeons at the Children's Hospital of Philadelphia after January 1, 2007.

RESULTS: The 1,297 responses received provided complete data for analysis. Nearly all the participants were mothers of children with congenital heart disease, and most were white. About half of the children were diagnosed prenatally, and 63% underwent initial repair of the defect in the neonatal period. Parents identified survival statistics, surgeon-specific experience, and complication rates as most important. Presented with three display formats for mortality rates, most parents (89%) identified a numeric procedure-based approach as the best format, and more than half identified the hospital star rating system as the worst format.

CONCLUSIONS: Parents of children with congenital heart disease identify survival statistics, surgeon-specific experience, and complication rates as the most important outcome measures to report publicly. Additionally, parents preferred mortality data to be presented in a procedure-specific format using a numeric procedure-based approach, as opposed to the star rating system.

DOI10.1016/j.athoracsur.2017.05.043
Alternate JournalAnn. Thorac. Surg.
PubMed ID28826991