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The purpose of this invited review is to promote understanding of fundamental health care finances, to gain acknowledgement of financial realities in our institutions, and to expand the "tool box" for cardiothoracic surgeons. Accurate preoperative risk assessment is necessary for informed decision-making for patients and surgeons. Several preoperative risk calculators are available, but few have been examined in the general thoracic surgical patient population. The Surgical Risk Preoperative Assessment System (SURPAS), a r

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