Shortage of Cardiothoracic Surgeons Is Likely by 2020
- 11 August 2009
- journal article
- research article
- Published by Wolters Kluwer Health in Circulation
- Vol. 120 (6) , 488-494
- https://doi.org/10.1161/circulationaha.108.776278
Abstract
Background— Even as the burden of cardiovascular disease in the United States is increasing as the population grows and ages, the number of active cardiothoracic surgeons has fallen for the first time in 20 years. Meanwhile, the treatment of patients with coronary artery disease continues to evolve amid uncertain changes in technology. This study evaluates current and future requirements for cardiothoracic surgeons in light of decreasing rates of coronary artery bypass grafting procedures. Methods and Results— Projections of supply and demand for cardiothoracic surgeons are based on analysis of population, physician office, hospital, and physician data sets to estimate current patterns of healthcare use and delivery. Using a simulation model, we project the future supply of cardiothoracic surgeons under alternative assumptions about the number of new fellows trained each year. Future demand is modeled, taking into account patient demographics, under current and alternative use rates that include the elimination of open revascularization. By 2025, the demand for cardiothoracic surgeons could increase by 46% on the basis of population growth and aging if current healthcare use and service delivery patterns continue. Even with complete elimination of coronary artery bypass grafting, there is a projected shortfall of cardiothoracic surgeons because the active supply is projected to decrease 21% over the same time period as a result of retirement and declining entrants. Conclusion— The United States is facing a shortage of cardiothoracic surgeons within the next 10 years, which could diminish quality of care if non–board-certified physicians expand their role in cardiothoracic surgery or if patients must delay appropriate care because of a shortage of well-trained surgeons.Keywords
This publication has 24 references indexed in Scilit:
- Increased Risk of Cardiovascular Disease in Young Women Following Gestational Diabetes MellitusDiabetes Care, 2008
- U.S. Trends In CABG Hospital Volume: The Effect Of Adding Cardiac Surgery ProgramsHealth Affairs, 2007
- Report of the 2005 STS Congenital Heart Surgery Practice and Manpower SurveyThe Annals of Thoracic Surgery, 2006
- Cardiothoracic Surgery Resident Education: Update on Resident Recruitment and Job PlacementThe Annals of Thoracic Surgery, 2006
- Trends in the Prevalence, Awareness, Treatment, and Control of Cardiovascular Disease Risk Factors among Noninstitutionalized Patients with a History of Myocardial Infarction and StrokeAmerican Journal of Epidemiology, 2006
- CT Screening for Lung Cancer: Five-year Prospective ExperienceRadiology, 2005
- Cardiology’s Workforce ShortageCirculation, 2004
- Five-Year Follow-Up After Intracoronary Gamma Radiation Therapy for In-Stent RestenosisCirculation, 2004
- Myocardial infarction: redefined or reinvented?Heart, 2002
- Thoracic surgery in a crisisBMJ, 2002