STS Adult Cardiac Surgery Database: Update on Outcomes and Research
The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2020 Update on Outcomes and Research

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The Society of Thoracic Surgeons Adult Cardiac Surgery Database is the most mature and comprehensive database in cardiac surgery and one of the most respected clinical data registries in health care. It is widely acknowledged for accurately benchmarking risk-adjusted outcomes and serving as the foundation for quality measurement and improvement activities in cardiac surgery. In addition, the database is a valuable resource for novel research. The advent of the database’s fourth decade in operation is being heralded with major revisions to its functionality, ease of use, and value to multiple stakeholders. This report is the fifth in a series of annual reports that provides updated national outcomes, volume trends, and database-related developments, as well as a summary of research performed in the past year using data from this valuable repository on quality and performance improvement.

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The ACSD in 2020

As of December 2019, the ACSD includes 1088 participant groups comprising 3036 surgeons from all 50 states in the United States, 10 sites in Canada, and 21 international sites. There are 70 participant sites in the anesthesiology module comprising 797 anesthesiologists. The methodology used to ensure accurate data submission has been previously published.11,13,14,17 The most current complete ACSD audit (procedures performed from January 1, 2017, through June 30, 2017) demonstrated an overall

Update on Research Using the Adult Cardiac Surgery Database

As noted, the DCRI continues to serve as the primary data analytic center for the STS National Database. Several analytical pathways lead to publication of research based on the STS ACSD: the Access and Publications Research Program (https://www.sts.org/registries-research-center/sts-research-center/access-publications), the Participant User File (PUF) Program (https://www.sts.org/registries-research-center/sts-research-center/participant-user-file-research- program), the Taskforce on Funded

Summary

The STS ACSD continues to be the foundation of the STS activities in performance measurement, quality improvement, and outcomes research in adult cardiac surgery. Knowledge derived from the STS National Database will continue to advance cardiac surgical care, improve patient outcomes, and inform public policy.

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