Online citations, reference lists, and bibliographies.
← Back to Search

Variation In Pulmonary Resection Practices Between The Society Of Thoracic Surgeons And The European Society Of Thoracic Surgeons General Thoracic Surgery Databases.

C. Seder, M. Salati, B. Kozower, C. Wright, P. Falcoz, A. Brunelli, F. Fernandez
Published 2016 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
BACKGROUND Clinical guidelines are created to reduce variation in care practices, with the goal of improving patient outcomes. There is currently no international consensus on best practices for pulmonary resection. Our aim was to evaluate variation in treatment patterns and outcomes for pulmonary resection by comparing The Society of Thoracic Surgeons (STS) and the European Society of Thoracic Surgery (ESTS) general thoracic surgery databases (GTSDs). METHODS An international collaboration was established between the STS and ESTS GTSD task forces. Patients who underwent pulmonary resection between 2010 and 2013 were identified from the 2 databases. Data on patient demographics, disease characteristics, treatment strategies, morbidity, and mortality were compared. RESULTS There were 78,212 lung resections captured in the STS (n = 47,539) and ESTS databases (n = 30,673). Patients from the STS database were more likely to be of the female sex, have no pathologic N2 disease, have had previous cardiothoracic operations, and have received preoperative thoracic irradiation compared with patients from the ESTS database. In addition, patients from the STS database were more likely to have undergone a thoracoscopic operation and have received a sublobar resection. Although there was an increased risk of reintubation, atrial arrhythmias, and return to the operating room in the STS patients, the mean hospital length of stay was shorter than in patients from the ESTS database, regardless of operation performed. Thirty-day mortality was higher in the STS patients for wedge resection (p < 0.001) but lower for lobectomy (p < 0.001) and pneumonectomy (p < 0.001) compared with the ESTS patients. CONCLUSIONS Differences exists in patient population, procedures performed, and outcomes for pulmonary resections between the STS and ESTS databases, suggesting an opportunity for quality improvement initiatives.
This paper references
Impact of introducing stereotactic lung radiotherapy for elderly patients with stage I non-small-cell lung cancer: a population-based time-trend analysis.
D. Palma (2010)
Revised ESTS guidelines for preoperative mediastinal lymph node staging for non-small-cell lung cancer.
P. D. De Leyn (2014)
The Society of Thoracic Surgeons General Thoracic Surgery Database: establishing generalizability to national lung cancer resection outcomes.
D. LaPar (2012)
Predictors of prolonged length of stay after lobectomy for lung cancer: a Society of Thoracic Surgeons General Thoracic Surgery Database risk-adjustment model.
C. Wright (2008)
The European Thoracic Surgery Database project: modelling the risk of in-hospital death following lung resection.
R. Berrisford (2005)
Executive Summary: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines.
F. Detterbeck (2013)
Cancer statistics, 2012
R. Siegel (2012)
ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy)
A. Brunelli (2009)
US lung cancer trends by histologic type
D. Lewis (2014)
Consensus definitions to promote an evidence-based approach to management of the pleural space. A collaborative proposal by ESTS, AATS, STS, and GTSC.
A. Brunelli (2011)
Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines
F. Detterbeck (2017)
Prevalence and predictors of neoadjuvant therapy for stage IIIA non-small cell lung cancer in the National Cancer Database: importance of socioeconomic status and treating institution.
D. Sher (2014)
Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012.
J. Ferlay (2013)
External validation of the Society of Thoracic Surgeons General Thoracic Surgery Database.
M. Magee (2013)
US lung cancer trends by histologic type
M. Patel (2015)
Multicentric analysis of performance after major lung resections by using the European Society Objective Score (ESOS).
A. Brunelli (2008)
Lobectomy, sublobar resection, and stereotactic ablative radiotherapy for early-stage non-small cell lung cancers in the elderly.
S. Shirvani (2014)
NCCN guidelines® insights survivorship, version 1.2016 featured updates to the NCCN Guidelines
C. Denlinger (2016)
The Society of Thoracic Surgeons and the European Society of Thoracic Surgeons general thoracic surgery databases: joint standardization of variable definitions and terminology.
F. Fernandez (2015)
ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy) (European Respiratory Journal (2009) 34 (17-41))
A. Brunelli (2009)

This paper is referenced by
Open thoracic surgery: video-assisted thoracoscopic surgery (VATS) conversion to thoracotomy
J. Agzarian (2017)
Lessons learned from the Dutch Institute for Clinical Auditing: the Dutch model for quality assurance in lung cancer treatment.
N. Beck (2018)
Searching for an arrow hitting two targets: the time to evaluate long-term outcomes of video-assisted thoracoscopic surgery lobectomy for early-stage lung cancer.
T. Saito (2019)
Preoperative peak expiratory flow (PEF) for predicting postoperative pulmonary complications after lung cancer lobectomy: a prospective study with 725 cases.
Yutian Lai (2018)
[Progress of Neoadjuvant Therapy Combined with Surgery in Non-small Cell
Lung Cancer].
Y. Wang (2017)
Identification of Essential Components of Thoracoscopic Lobectomy and Targets for Simulation.
M. Ferguson (2017)
Blazing new trails: initial efforts to create a joint Society of Thoracic Surgeons-European Society of Thoracic Surgeons (STS-ESTS) dataset.
C. Seder (2018)
Model of lung cancer surgery risk derived from a Japanese nationwide web-based database of 78 594 patients during 2014–2015†
S. Endo (2017)
International General Thoracic Surgery Database Collaboration.
C. Seder (2017)
Comprehensive Pulmonary Rehabilitation is an Effective Way for Better Postoperative Outcomes in Surgical Lung Cancer Patients with Risk Factors: A Propensity Score-Matched Retrospective Cohort Study
Kun Zhou (2020)
Assessing the Generalizability of the National Lung Screening Trial: Comparison of Patients with Stage 1 Disease
N. Tanner (2017)
Robotic-assisted thoracic surgery in Brazil, a review of the literature and our current experience
R. Terra (2019)
Morbidity and mortality of lobectomy or pneumonectomy after neoadjuvant treatment: an analysis from the ESTS database.
A. Brunelli (2019)
Analyzing intraoperative conversion of thoracoscopic lobectomy: acceptable outcome or failure?
S. Starnes (2019)
Spanish Video-Assisted Thoracic Surgery Group: Method, Auditing, and Initial Results From a National Prospective Cohort of Patients Receiving Anatomical Lung Resections.
R. Embún (2020)
Robotic resection of Stage III lung cancer: an international retrospective study†
G. Veronesi (2018)
N2-IIIA non-small cell lung cancer: a plea for surgery!
G. Massard (2016)
Preoperative thoracic muscle area on computed tomography predicts long-term survival following pneumonectomy for lung cancer.
Fabian M. Troschel (2019)
European questionnaire on the clinical use of video-assisted thoracoscopic surgery.
C. Cao (2018)
The impact of surgical chest wall damage caused by classic thoracotomy on pulmonary function and morphology
N. Yoshiyasu (2019)
Quality and Safety in Health Care, Part XXV: General Thoracic Surgery
J. Harolds (2017)
Years of Video-Assisted Thoracoscopic Surgery for Lobectomy in Early Stage Lung Cancer : A Review
Minimally Invasive Approaches Do Not Compromise Outcomes for Pneumonectomy: A Comparison Using the National Cancer Database
Mark W. Hennon (2019)
Results of video-assisted thoracic surgery versus thoracotomy in surgical resection of pN2 non-small cell lung cancer in a Chinese high-volume Center
C. Liu (2020)
Medico-economic impact of robot-assisted lung segmentectomy: what is the cost of the learning curve?
Constance Le Gac (2019)
Approach to Resectable N1 Non-Small Cell Lung Cancer: An Analysis of the National Cancer Database.
C. Y. Pu (2020)
Real-world guideline-based treatment of lung cancer improves short- and long-term outcomes and resection rate: A population-based study.
O. Helminen (2019)
Variation in length of hospital stay after lung cancer surgery in the Netherlands†
E. M. von Meyenfeldt (2018)
Extended resections and other special cases in lung cancer surgery: Real‐world population‐based outcomes
O. Helminen (2020)
Preoperative functional workup for patients with advanced lung cancer.
A. Brunelli (2016)
Comparison of Epithor clinical national database and medico-administrative database to identify the influence of case-mix on the estimation of hospital outliers
A. Bernard (2019)
The effects of respiratory physiotherapy after lung resection: Protocol for a systematic review
Karoline Stentoft Andersen (2017)
See more
Semantic Scholar Logo Some data provided by SemanticScholar