Christopher W. Seder, MD, Cameron D. Wright, MD, Andrew C

Slides:

Advertisements

Similar presentations

Pulmonary Resection of Metastatic Sarcoma: Prognostic Factors Associated With Improved Outcomes Samuel Kim, MD, Harald C. Ott, MD, Cameron D. Wright, MD,

Advertisements

Jeffrey M. Griffin, MD, MS, Carolyn E. Reed, MD, Chadrick E

Richard S. D’Agostino, MD, Jeffrey P

Daniel C. Thomas, MD, MPH, Brian N. Arnold, MD, Jessica R

The STS National Database

Complete Thoracic Mediastinal Lymphadenectomy Leads to a Higher Rate of Pathologically Proven N2 Disease in Patients With Non-Small Cell Lung Cancer

Prediction of Long-Term Survival After Lung Cancer Surgery for Elderly Patients in The Society of Thoracic Surgeons General Thoracic Surgery Database

Melanie Subramanian, MD, Timothy McMurry, PhD, Bryan F

The Society of Thoracic Surgeons Lung Cancer Resection Risk Model: Higher Quality Data and Superior Outcomes Felix G. Fernandez, MD, MS, Andrzej S. Kosinski,

Video-Assisted Thoracoscopic Lobectomy for Lung Cancer: Current Practice Patterns and Predictors of Adoption Justin D. Blasberg, MD, Christopher W. Seder,

Andrew C. Chang, MD, Andrzej S. Kosinski, PhD, Daniel P

Lily E. Johnston, MD, MPH, Jennifer L. Kirby, MD, PhD, Emily A

Trevor Williams, MD, MPH, Brian C

International Participation in The Society of Thoracic Surgeons Adult Cardiac Surgery Database: From Institutional to National Oz M. Shapira, MD, Orit.

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD

Introduction to the STS National Database Series

Data from The Society of Thoracic Surgeons General Thoracic Surgery database: The surgical management of primary lung tumors Daniel J. Boffa, MD, Mark.

Benjamin E. Lee, MD, Mark Shapiro, MD, John R. Rutledge, MAS, Robert J

Andrew D. Shaw, MB, Ara A. Vaporciyan, MD, Xifeng Wu, MD, Terri M

Richard S. D'Agostino, MD, Jeffrey P

Castigliano M. Bhamidipati, DO, MS, George J

Accounting for outcomes: Lies, damned lies, and statistics

Mitchell J. Magee, MD, Cameron D

Michelle C. Ellis, MD, Brian S. Diggs, PhD, John T. Vetto, MD, Paul H

Philip W. Smith, MD, Hongkun Wang, PhD, Leo M. Gazoni, MD, K

The Society of Thoracic Surgeons Mitral Valve Repair/Replacement Plus Coronary Artery Bypass Grafting Composite Score: A Report of The Society of Thoracic.

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

Trevor Williams, MD, MPH, Brian C

The Society of Thoracic Surgeons General Thoracic Surgery Database: Establishing Generalizability to National Lung Cancer Resection Outcomes Damien J.

Who Do You Say You Are? The Annals of Thoracic Surgery

Characteristics Associated With the Use of Nonanatomic Resections Among Medicare Patients Undergoing Resections of Early-Stage Lung Cancer Anthony W.

Use of Amiodarone After Major Lung Resection

Elliot Wakeam, MD, MPH, James P. Byrne, MD, Gail E

Outcomes for Thoracoscopy Versus Thoracotomy Not Just Technique Dependent: A Study of 9,787 Patients Andrea Wolf, MD, MPH, Bian Liu, PhD, Emanuele Leoncini,

Number of Lymph Nodes Associated With Maximal Reduction of Long-Term Mortality Risk in Pathologic Node-Negative Non–Small Cell Lung Cancer Raymond U.

Andrew P. Dhanasopon, MD, Michelle C. Salazar, MD, Jessica R

Risk Factors for Atrial Fibrillation After Lung Cancer Surgery: Analysis of The Society of Thoracic Surgeons General Thoracic Surgery Database Mark Onaitis,

Daniel C. Thomas, MD, MPH, Justin D. Blasberg, MD, Brian N

Surgically Managed Clinical Stage IIIA–Clinical N2 Lung Cancer in The Society of Thoracic Surgeons Database Daniel Boffa, MD, Felix G. Fernandez, MD,

Eric S. Weiss, MD, MPH, Jeremiah G. Allen, MD, Christian A

The Society of Thoracic Surgeons National Database 2016 Annual Report

Gerald G.R. Sng, Cameron D. Wright, MD The Annals of Thoracic Surgery

Lymph Node Assessment and Impact on Survival in Video-Assisted Thoracoscopic Lobectomy or Segmentectomy Haiyu Zhou, MD, Luis F. Tapias, MD, Henning A.

Editorial Board, January 2010

Understanding Mortality as a Quality Indicator After Esophagectomy

An Unusual Cause of Hemoptysis in a Young Woman

The Annals of Thoracic Surgery

Esophageal Leiomyoma: A 40-Year Experience

Specialty Training and Mortality After Esophageal Cancer Resection

Sara K. Pasquali, MD, Matthew Hall, PhD, Jennifer S

Rachel L. Medbery, MD, Sebastian D. Perez, MSPH, Seth D

Is There a Benefit to Prolonging the Interval Between Neoadjuvant Chemoradiation and Esophagectomy in Esophageal Cancer? Anna Lee, MD, MPH, Andrew T.

Shared Decision Making and Effective Risk Communication in the High-Risk Patient With Operable Stage I Non-Small Cell Lung Cancer Pamela Samson, MD,

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

The American Board of Thoracic Surgery: Update

The Society of Thoracic Surgeons General Thoracic Surgery Database 2017 Update on Outcomes and Quality Christopher W. Seder, MD, Daniel P. Raymond, MD,

Christoph P. Hornik, MD, Xia He, MS, Jeffrey P. Jacobs, MD, Jennifer S

Sagar U. Nigwekar, MD, Praveen Kandula, MD, MPH

Yinin Hu, MD, Timothy L. McMurry, PhD, Kristen M. Wells, PhD, James M

The Society of Thoracic Surgeons Composite Score for Rating Program Performance for Lobectomy for Lung Cancer Benjamin D. Kozower, MD, MPH, Sean M. O’Brien,

Mark I. Block, MD The Annals of Thoracic Surgery

Lobectomy Versus Limited Resection in T1N0 Lung Cancer

The Impact of New Technology on Cardiothoracic Surgical Practice

Defining Proficiency for The Society of Thoracic Surgeons Participants Performing Thoracoscopic Lobectomy Varun Puri, MD, MSCI, Henning A. Gaissert,

John R. Handy, MD, HonD, Kelly Denniston, RHIT, Gary L

Predictors of Major Morbidity or Mortality After Resection for Esophageal Cancer: A Society of Thoracic Surgeons General Thoracic Surgery Database Risk.

Heart Transplant Program Volume Is Not a Measure of Quality

Benjamin D. Kozower, MD, MPH, Shubin Sheng, PhD, Sean M

J. Alberto Lopez, MD The Annals of Thoracic Surgery

Michelle C. Wallace, MD, James Jaggers, MD, Jennifer S

Presentation transcript:

The Society of Thoracic Surgeons General Thoracic Surgery Database Update on Outcomes and Quality Christopher W. Seder, MD, Cameron D. Wright, MD, Andrew C. Chang, MD, Jane M. Han, MSW, Donna McDonald, MPH, RN, Benjamin D. Kozower, MD, MPH The Annals of Thoracic Surgery Volume 101, Issue 5, Pages 1646-1654 (May 2016) DOI: 10.1016/j.athoracsur.2016.02.099 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The Society of Thoracic Surgeons General Thoracic Surgery Database (STS-GTSD) participation, 2002 to 2015. The Annals of Thoracic Surgery 2016 101, 1646-1654DOI: (10.1016/j.athoracsur.2016.02.099) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Number of records included in The Society of Thoracic Surgeons General Thoracic Surgery Database (STS-GTSD), 2002 to 2015. The Annals of Thoracic Surgery 2016 101, 1646-1654DOI: (10.1016/j.athoracsur.2016.02.099) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Distribution of participants’ composite scores for lobectomy. Participating programs are sorted in order of increasing composite score. Participants on the right of the figure, with higher composite scores and credible intervals that do not cross the average, are high-performing (three-star) programs with fewer deaths and major complications. Modeling was performed using 20,657 records from 231 participants, resulting in 4.7% of programs (8 of 172) being assigned a one-star rating, 88.3% (152 of 172) a two-star rating, and 7.0% (12 of 172) a three-star rating. (Adapted from Kozower et al [10].) The Annals of Thoracic Surgery 2016 101, 1646-1654DOI: (10.1016/j.athoracsur.2016.02.099) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Hospital performance variability for lung resection for cancer. The standardized incidence ratios with 95% Bayesian probability intervals are shown for the composite measure of mortality and major morbidity after lung cancer resection among The Society of Thoracic Surgeons database participating centers. Modeling was performed using 28,473 records from 231 participants, identifying 3.9% of programs (9 of 231) of programs as high performers (Bayesian intervals do not cross 1) and 6.9% (16 of 231) as low performers. (Adapted from Fernandez et al [19].) The Annals of Thoracic Surgery 2016 101, 1646-1654DOI: (10.1016/j.athoracsur.2016.02.099) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Hospital performance variability for esophageal resection for cancer. The standardized incidence ratios with 95% Bayesian probability intervals are shown for the composite measure of mortality and major morbidity after lung cancer resection among The Society of Thoracic Surgeons database participating centers. Modeling was performed using 4,321 records from 164 participants, identifying 3.0% of programs (5 of 164) as high performers (Bayesian intervals do not cross 1) and 1.2% (2 of 164) as low performers. (Adapted from Raymond et al [20]). The Annals of Thoracic Surgery 2016 101, 1646-1654DOI: (10.1016/j.athoracsur.2016.02.099) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions