Ninety-day mortality after resection for lung cancer is nearly double 30-day mortality

Pezzi, Christopher M.; Mallin, Katherine; Samayoa, Andres X.; Putnam, Joe B.

doi:10.1016/j.jtcvs.2014.07.077

Cited by 97 publications

(68 citation statements)

References 20 publications

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“…Similar findings were reported in a large study in the USA (17). This emphasises that mortality outcomes should be considered both in the short and the longer term (11).…”

Section: Comparison With Other Studiessupporting

confidence: 89%

“…The results for length of stay and re-admission emphasise that other relevant outcomes vary along the gradient from low hospital volume (and high mortality) to high volume (and lower mortality). A number of recent studies have explored associations within the wider set of outcomes: hospital volume, length of stay, complications, re-admission, mortality, and cost (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). None of these papers addresses all of the possible associations, but the emerging pattern is one of correlated and consistently favourable outcomes in high-volume hospitals.…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

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High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England

Møller

Riaz

Holmberg

et al. 2016

European Journal of Cancer

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High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of readmission and death: national cohort analysis in England.Henrik Møller (1, 2, 3, 4), Shama Sheikh (2), Lars Holmberg (1), Erik Jakobsen (5), Jesper Lagergren (1), Richard Page (6), Michael D. Peake (3), Neil Pearce (7), Arnie Purushotham Hospitals with large lung cancer surgical resection volumes were less conservative in their selection of patients for surgical management, and provided a higher resection rate to their geographical population. The large hospitals had shorter length of stay and the odds of readmission were 15% lower in the highest hospital volume quintile compared with the lowest quintile. Mortality risks were 1% after 30 days and 3% after 90 days. Patients from hospitals in the highest volume quintile had about half the odds of death within 30 days than patients from the lowest quintile.Variations in outcomes were all in the same direction, with consistent better outcomes in the larger hospitals. This gives support to the ongoing trend towards centralisation of clinical services, but service re-organisation needs to take account of not only the size of hospitals but also referral routes and patient access.

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“…Similar findings were reported in a large study in the USA (17). This emphasises that mortality outcomes should be considered both in the short and the longer term (11).…”

Section: Comparison With Other Studiessupporting

confidence: 89%

Section: Comparison With Other Studiesmentioning

confidence: 99%

High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England

Møller

Riaz

Holmberg

et al. 2016

European Journal of Cancer

View full text Add to dashboard Cite

show abstract

“…18 It is obvious that limiting the observation to the hospital stay is insufficient due to major center variations, and a consensus seems to arise proposing a minimum of 3 months. [19][20][21][22][23][24][25][26][27] In the current study, a number of events occurred between the time of discharge and 3 months postoperatively, but very few afterward corroborating the standardized use of benchmarking at 3 months.…”

Section: Discussionsupporting

confidence: 62%

Defining Benchmarks for Major Liver Surgery

Rössler¹,

et al. 2016

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“…In a recent study from the national cancer database on approximately 8,000 pneumonectomies operated on in four years the conditional 90 days mortality rate was 6% for a total mortality rate at 90 days after surgery of 14% (73).…”

Section: Pneumonectomymentioning

confidence: 99%

Preoperative functional workup for patients with advanced lung cancer

Brunelli

2016

J. Thorac. Dis.

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Locally advanced lung cancer remains a surgical indication in selected patients. This condition often demands larger resections. As a consequence preoperative functional workup is of paramount importance to stratify the risk and choose the most appropriate treatment. We reviewed the current evidence on functional evaluation with a special focus on specific aspects related to locally advanced lung cancer stages (i.e., risk after neoadjuvant treatment, pneumonectomy). Evidence is discussed to provide information that could assist clinicians in their preoperative workup of these challenging patients.

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Ninety-day mortality after resection for lung cancer is nearly double 30-day mortality

Abstract: Mortality at 30 and 90 days and hospital volume should be monitored by institutions performing major pulmonary resection and benchmarked against hospitals performing at least 30 resections per year.

Cited by 97 publications

References 20 publications

High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England

High lung cancer surgical procedure volume is associated with shorter length of stay and lower risks of re-admission and death: National cohort analysis in England

Defining Benchmarks for Major Liver Surgery

Preoperative functional workup for patients with advanced lung cancer

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