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Title: | Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections |
Other Titles: | Grupo español de cirugía torácica asistida por videoimagen: método, auditoría y resultados iniciales de una cohorte nacional prospectiva de pacientes tratados con resecciones anatómicas del pulmón |
Author: | Embun, Raul Royo-Crespo, Iñigo Recuero Díaz, José Luis Bolufer, Sergio Call Caja, Sergi Congregado, Miguel Gómez-de Antonio, David Jimenez, Marcelo F. Moreno-Mata, Nicolas Aguinagalde, Borja Amor-Alonso, Sergio Arrarás, Miguel Jesús Blanco Orozco, Ana Isabel Boada, Marc Cabañero Sánchez, Alberto Cal Vázquez, Isabel Cilleruelo Ramos, Ángel Crowley Carrasco, Silvana Fernández-Martín, Elena García-Barajas, Santiago García-Jiménez, Maria Dolores García-Prim, Jose María Garcia-Salcedo, Jose Alberto Gelbenzu-Zazpe, Juan José Giraldo-Ospina, Carlos Fernando Gómez Hernández, María Teresa Hernández, Jorge Illana Wolf, Jennifer D. Jauregui Abularach, Alberto Jiménez, Unai López Sanz, Iker Martínez-Hernández, Néstor J. Martínez-Téllez, Elisabeth Milla Collado, Lucía Mongil Poce, Roberto Moradiellos-Díez, Francisco Javier Moreno-Balsalobre, Ramón Sanchez-Lorente, David Obiols Fornell, Carme Ramos Izquierdo, Ricard |
Keywords: | Auditoria Cirurgia toràcica Càncer de pulmó Auditing Thoracic surgery Lung cancer |
Issue Date: | 22-Feb-2020 |
Publisher: | Elsevier |
Abstract: | Introduction: our study sought to know the current implementation of video-assisted thoracoscopic surgery (VATS) for anatomical lung resections in Spain. We present our initial results and describe the auditing systems developed by the Spanish VATS Group (GEVATS). Methods: we conducted a prospective multicentre cohort study that included patients receiving anatomical lung resections between 12/20/2016 and 03/20/2018. The main quality controls consisted of determining the recruitment rate of each centre and the accuracy of the perioperative data collected based on six key variables. The implications of a low recruitment rate were analysed for '90-day mortality' and 'Grade IIIb-V complications'. Results: the series was composed of 3533 cases (1917 VATS; 54.3%) across 33 departments. The centres' median recruitment rate was 99% (25-75th:76-100%), with an overall recruitment rate of 83% and a data accuracy of 98%. We were unable to demonstrate a significant association between the recruitment rate and the risk of morbidity/mortality, but a trend was found in the unadjusted analysis for those centres with recruitment rates lower than 80% (centres with 95-100% rates as reference): grade IIIb-V OR=0.61 (p=0.081), 90-day mortality OR=0.46 (p=0.051). Conclusions: more than half of the anatomical lung resections in Spain are performed via VATS. According to our results, the centre's recruitment rate and its potential implications due to selection bias, should deserve further attention by the main voluntary multicentre studies of our speciality. The high representativeness as well as the reliability of the GEVATS data constitute a fundamental point of departure for this nationwide cohort. |
Note: | Versió postprint del document publicat a: https://doi.org/10.1016/j.arbres.2020.01.005 |
It is part of: | Archivos de Bronconeumologia, 2020 |
URI: | http://hdl.handle.net/2445/162216 |
Related resource: | https://doi.org/10.1016/j.arbres.2020.01.005 |
ISSN: | 0300-2896 |
Appears in Collections: | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) Articles publicats en revistes (Patologia i Terapèutica Experimental) |
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