Henning A. Gaissert, MD, Felix G. Fernandez, MD, Mark S

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Presentation transcript:

The Society of Thoracic Surgeons General Thoracic Surgery Database: 2016 Update on Research Henning A. Gaissert, MD, Felix G. Fernandez, MD, Mark S. Allen, MD, William R. Burfeind, MD, Mark I. Block, MD, James M. Donahue, MD, John D. Mitchell, MD, Paul H. Schipper, MD, Mark W. Onaitis, MD, Andrzej S. Kosinski, PhD, Jeffrey P. Jacobs, MD, David M. Shahian, MD, Benjamin D. Kozower, MD, Fred H. Edwards, MD, Emily A. Conrad, MS, G. Alexander Patterson, MD The Annals of Thoracic Surgery Volume 102, Issue 5, Pages 1444-1451 (November 2016) DOI: 10.1016/j.athoracsur.2016.09.014 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Analytic framework of longitudinal follow-up using linkage of The Society of Thoracic Surgeons (STS) and Centers for Medicare and Medicaid Services databases. The bold arrows represent causal effects of explanatory factors on treatment selection (A and C) and outcomes (B and D). (VATS = video-assisted thoracic surgery.) The Annals of Thoracic Surgery 2016 102, 1444-1451DOI: (10.1016/j.athoracsur.2016.09.014) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Number of (A) pleural decortications (PD) and (B) extrapleural pneumonectomies (EPP) performed for malignant pleural mesothelioma during the 3-year study period at each of 48 participating centers. Three centers in panel A and 2 centers in panel B had high volumes, defined as five or more procedures per year. (Reprinted from The Journal of Thoracic and Cardiovascular Surgery, 148;1, Burt BM, Cameron RB, Mollberg NM, et al, Malignant pleural mesothelioma and The Society Of Thoracic Surgeons Database: an analysis of surgical morbidity and mortality, pp. 30–5, 2014, with permission from the American Association for Thoracic Surgery.) The Annals of Thoracic Surgery 2016 102, 1444-1451DOI: (10.1016/j.athoracsur.2016.09.014) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Comparison of hospital mortality rates in patients with complications among hospitals ranked in quintiles according to mortality rank. Acute death after complication shows far greater variation between the lowest and highest quintile than overall hospital deaths. (Reprinted from The Journal of Thoracic and Cardiovascular Surgery, 149;5, Farjah F, Backhus L, Cheng A, et al. Failure to rescue and pulmonary resection for lung cancer, pp. 1365–71, 2015, with permission from the American Association for Thoracic Surgery.) The Annals of Thoracic Surgery 2016 102, 1444-1451DOI: (10.1016/j.athoracsur.2016.09.014) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions