The Society of Thoracic Surgeons Composite Score for Rating Program Performance for Lobectomy for Lung Cancer

The Annals of Thoracic Surgery
Benjamin D KozowerFelix G Fernandez

Abstract

The Society of Thoracic Surgeons (STS) has developed multidimensional composite quality measures for common cardiac surgery procedures. This first composite measure for general thoracic surgery evaluates STS participant performance for lobectomy in lung cancer patients. The STS lobectomy composite score is composed of two outcomes: risk-adjusted mortality; and any-or-none, risk-adjusted major complications. General Thoracic Surgery Database data were included from 2011 to 2014 to provide adequate sample size, and 95% Bayesian credible intervals were used to determine "star ratings." The STS participants were also compared with national benchmarks (including non-STS participants) using the National Inpatient Sample. Comparisons of discharge mortality, postoperative length of stay, and percent of stage I lung cancers resected using minimally invasive approaches are not included in star ratings but will be reported to participants in STS feedback reports. The study population included 20,657 lobectomy patients from 231 participating centers. Operative mortality was 1.5%, major complication rate was 9.6%, and median postoperative length of stay was 4 days. Risk-adjusted mortality and major complication rates varied threefold from h...Continue Reading

References

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Sep 4, 2013·The Annals of Thoracic Surgery·Mitchell J MageeBenjamin D Kozower
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Citations

Mar 24, 2016·The Annals of Thoracic Surgery·Susan D Moffatt-BruceStephen Westaby
Apr 5, 2016·The Annals of Thoracic Surgery·Christopher W SederBenjamin D Kozower
Feb 22, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Takashi Eguchi, Prasad S Adusumilli
Jun 7, 2018·Journal of Cardiothoracic Surgery·Peter J KneuertzRobert E Merritt
Sep 29, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Brooks V UdelsmanHenning A Gaissert
Jan 9, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Walter WederGaetano Rocco
Jan 17, 2021·The Journal of Thoracic and Cardiovascular Surgery·Mark HennonSai Yendamuri
Feb 10, 2021·The Journal of Thoracic and Cardiovascular Surgery·Riad H Al NatourKumari N Adams
Aug 18, 2020·The Annals of Thoracic Surgery·Audrey L KhouryJason M Long
Jun 23, 2020·The Annals of Thoracic Surgery·Elliot L ServaisElizabeth A David
Oct 5, 2020·The Annals of Thoracic Surgery·James M ClarkLisa M Brown
Nov 22, 2018·The Journal of Thoracic and Cardiovascular Surgery·Joanna Sesti, Subroto Paul
Jan 13, 2019·The Journal of Thoracic and Cardiovascular Surgery·Felix G FernandezJoe B Putnam
Feb 4, 2019·The Journal of Thoracic and Cardiovascular Surgery·Pierre-Benoit PagèsAlain Bernard
Jul 6, 2017·The Journal of Thoracic and Cardiovascular Surgery·Whitney S BrandtDavid R Jones
Jul 30, 2017·The Journal of Thoracic and Cardiovascular Surgery·Felix G Fernandez
Jul 11, 2019·The Journal of Thoracic and Cardiovascular Surgery·Mohamed K KamelBrendon M Stiles
Aug 25, 2020·The Journal of Thoracic and Cardiovascular Surgery·Jules Lin
Jul 9, 2021·The Annals of Thoracic Surgery·Elliot L ServaisElizabeth A David
Dec 29, 2020·The Annals of Thoracic Surgery·Ethan S RosenfeldGregory D Trachiotis
Aug 5, 2021·BMJ Open Quality·Kim-Lin ChiewShalini K Vinod
Aug 15, 2021·The Annals of Thoracic Surgery·Brendan T HeidenBenjamin D Kozower
Aug 25, 2021·The Annals of Thoracic Surgery·Peter J KneuertzRobert E Merritt
Oct 4, 2019·The Annals of Thoracic Surgery·Shawn S GrothNader N Massarweh
Nov 7, 2019·The Annals of Thoracic Surgery·Stephen R BroderickBenjamin D Kozower

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