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2020-02-22

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cc-by-nc-nd (c) Elsevier, 2020
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/162216

Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections

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Recurs relacionat

https://doi.org/10.1016/j.arbres.2020.01.005

Resum

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.

Matèries

Auditoria, Cirurgia toràcica, Càncer de pulmó

Matèries (anglès)

Auditing, Thoracic surgery, Lung cancer

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Col·leccions

Articles publicats en revistes (Patologia i Terapèutica Experimental)
Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)

Citació

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. Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections. _Archivos de Bronconeumologia_. 2020. [consulta: 10 de febrer de 2026]. ISSN: 0300-2896. [Disponible a: https://hdl.handle.net/2445/162216]

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