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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
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:
It is part of: Archivos de Bronconeumologia, 2020
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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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