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,

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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, PhD, Andrzej S. Kosinski, PhD, Mitchell J. Magee, MD, Rachel Dokholyan, MPH, Jeffery P. Jacobs, MD, David M. Shahian, MD, Cameron D. Wright, MD, Felix G. Fernandez, MD The Annals of Thoracic Surgery Volume 101, Issue 4, Pages 1379-1387 (April 2016) DOI: 10.1016/j.athoracsur.2015.10.081 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Distribution of participant’s composite score for lobectomy. Participating programs are sorted in order of increasing composite score. The average composite score was 96.8. Participants to the right on the figure, with higher composite scores and credible intervals that do not cross the average, are high-performing (three-star) programs with fewer mortalities and major complications. The Annals of Thoracic Surgery 2016 101, 1379-1387DOI: (10.1016/j.athoracsur.2015.10.081) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Distribution of participant’s use of minimally invasive resection for stage I lung cancer, demonstrating significant variation in the use of minimally invasive resection (video-assisted thoracic surgery or robotic) for stage I lung cancer among participants of The Society of Thoracic Surgeons General Thoracic Surgery Database. The Annals of Thoracic Surgery 2016 101, 1379-1387DOI: (10.1016/j.athoracsur.2015.10.081) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions