Recently there have been several high-profile articles in the national media reporting on US congenital heart surgery programs, which have led in part to closure or curtailing of surgical services of at least 5 programs. These articles stemmed from concerns raised by families and practitioners regarding program outcomes and lack of transparency, which led to news media investigations and reported findings of mortality and complication rates that exceeded national norms. These cases highlight what has been well-documented for many years, the wide variability in care delivery, practices, and outcomes across US centers performing congenital heart surgery (1).

中文翻译：

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改善先天性心脏手术的国家预后：将护理区域化的时机已经到来。

最近，全国媒体上有几篇引人注目的文章报道了美国先天性心脏病手术计划，部分原因是至少有5个计划的手术服务被关闭或缩减。这些文章源于家庭和从业人员对计划结果和缺乏透明度的关注，这导致新闻媒体进行调查，并报道了死亡率和并发症发生率超出国家标准的调查结果。这些案例凸显了多年来已被充分记录的事实，美国进行先天性心脏病手术的各中心在医疗服务，实践和结果方面的广泛差异（1）。