National Analysis of Unplanned Readmissions After Thoracoscopic Versus Open Lung Cancer Resection

The Annals of Thoracic Surgery
Rohun BhagatRobert A Meguid

Abstract

Hospital readmissions are viewed as a mark of inferior health care quality and are penalized. Unplanned postoperative readmission reason and timing after lung resection are not well understood. We examine related, unplanned readmissions after thoracoscopic versus open anatomic lung resections to identify opportunities to improve patient care. We analyzed the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) data set, 2012 to 2015, characterizing 30-day related, unplanned postoperative readmissions after anatomic lung resections for primary lung cancer. Risk-adjusted comparison of readmission after thoracoscopic and open resection was performed using propensity matching. Patients (n = 9,510) underwent anatomic lung resections; 4,935 (51.9%) were thoracoscopic resections and 4,575 (48.1%) were open resections. Of the thoracoscopic patients, 10.9% experienced one or more complications, versus 19.4% of patients with open resection (p < 0.0001). Of the thoracoscopic patients 5.5% experienced related, unplanned readmissions versus 7.2% of the patients with open resection (p < 0.001). 24.8% of complications after thoracoscopic approach occurred after discharge, versus 15.5% after open approach (p <...Continue Reading

Citations

Sep 10, 2018·Journal of Surgical Oncology·Florencio Quero-ValenzuelaFrancisco Hernández-Escobar
Oct 27, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Konstantinos KonstantinidisAlessandro Brunelli
Nov 26, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ilies BouabdallahPascal Alexandre Thomas
Jan 22, 2021·World Journal of Surgery·Shinsuke UchidaShun-Ichi Watanabe
Apr 25, 2021·The Journal of Thoracic and Cardiovascular Surgery·Biniam KidaneUNKNOWN Thoracic Surgery Outcomes Research Network (ThORN) Inc
May 5, 2021·The Journal of Thoracic and Cardiovascular Surgery·Alexandra L Potter, Chi-Fu Jeffrey Yang
Aug 31, 2019·Annals of Surgery·Lisa M BrownPatrick S Romano
Jul 28, 2020·The Journal of Thoracic and Cardiovascular Surgery·Negar AhmadiYaron Shargall

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