D . C . Fitzgerald et al .: J Extra Corpor Technol 2024 , 56 , 55 – 64 63
Several study-related limitations are worthy of discussion . While a large , multicenter experience , practice patterns noted in this report from 42 hospitals may have limited generalizability to other adult cardiac surgical programs . Although the degree of missing data is relatively low across most fields and data are audited across hospitals , inferences derived from this report should be framed within the context of data quality . Last , this report intended to describe emerging trends in practice patterns ; nonetheless , one cannot rule out the impact of unmeasured confounding given the observational nature of this study .
This first annual report of the PERForm registry seeks to provide important benchmarking information specific to the conduct of adult CPB . While the dissemination of this information is important , advancements in the delivery and outcomes of perfusion practices require local engagement through multidisciplinary work groups .
Acknowledgements
The authors acknowledge Dr . Francis D . Pagani , MD , PhD for his contributions to this manuscript . Although BCBSM and MSTCVS-QC work collaboratively , the opinions , beliefs , and viewpoints expressed by the author do not necessarily reflect the opinions , beliefs , and viewpoints of BCBSM or any of its employees .
Funding
The authors also acknowledge the support of the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative ( MSTCVS-QC ). The support for the MSTCVS-QC is provided by Blue Cross Blue Shield of Michigan ( BCBSM ) as part of its Value Partnerships program .
Conflicts of Interest
The authors have no relevant conflicts of interest to disclose . Outside of this work , Dr . Donald S . Likosky receives additional research funding from the Agency for Healthcare Research and Quality and the National Institutes of Health and serves as a consultant for the American Society of Extracorporeal Technology . Dr . Likosky receives partial salary support from BCBSM to advance quality in Michigan .
Data availability statement
Data use agreements restrict the distribution of raw study-related data files . Requests for summary statistics will be shared upon review and approval by the study team .
Author contribution statement
Design ( Fitzgerald , Dickinson , Likosky ), Data Collection ( Nieter , Likosky ), Analyses ( Wu , Ling ), Writing ( Fitzgerald , Dickinson , Likosky ), Administration ( Nieter , Theurer , Likosky ), Manuscript Editing / Review ( Harris , Curtis , Mauntel , Crosby , Paone , Goldberg , DeLucia , Mandal , Chores ).
Ethics approval
This study was approved by the University of Michigan ’ sIRB ( HUM00164136 , “ Notice of Not Regulated Determination ”, 7 / 24 / 2019 ).
Supplementary material
The supplementary material of this article is available at https :// ject . edpsciences . org / 10.1051 / ject / 2024006 / olm
Supplementary Table 1 : Society of Thoracic Surgeons Adult Cardiac Surgery Registry procedure . Supplementary Table 2 : Prime Constituents . Supplementary Table 3 : Anticoagulation Management Supplementary Table 4 : Glucose and Temperature Management . Supplementary Table 5 : Data Elements Associated with AmSECT Evidence Based Clinical Guidelines and / or AmSECT Standards and Guidelines .
Supplementary Figure 1 : Trends in procedural count and hospital participation in the PERForm registry .
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