Article: VARYING MORTALITY RATES AFTER BYPASS SURGERY RAISES QUESTIONS

NEW ORLEANS - The chances of dying during or just after coronary bypass surgery vary significantly among hospitals and heart surgeons in northern New England, but not because some centers and some doctors take on sicker patients.

This finding, reported at the American Heart Association's scientific sessions here last week, refutes the usual explanation offered by heart surgeons for varying mortality rates.

"Typically surgeons say, 'My patients are older and sicker' if they have higher mortality rates," noted the study's director, Dr. Gerald T. O'Connor of Dartmouth Medical School.

Thus, surgeons frequently contend that surgical death rates do not mean anything unless the "case ...

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