Featured Research

from universities, journals, and other organizations

Major lung resection safer than ever, especially at the busiest hospitals

Date:
April 29, 2014
Source:
American Association for Thoracic Surgery (AATS)
Summary:
Major lung surgery has become progressively safer over the last few decades, although higher death rates at low-volume hospitals and an unexpected increase in mortality at 90 days compared to 30 days were observed. The study further suggests that choosing a center that performs major lung surgery regularly can have a strong impact on survival.

A major new study using data from the National Cancer Data Base details the impact of annual hospital volume on 30- and 90-day mortality rates. Investigators found that major lung surgery has become progressively safer over the last few decades, although higher death rates at low-volume hospitals and an unexpected increase in mortality at 90 days compared to 30 days were observed. The study further suggests that choosing a center that performs major lung surgery regularly can have a strong impact on survival.

Related Articles


Lung cancer is the leading cause of death from cancer in both men and women in the U.S. The best chance to cure lung cancer after it develops involves a combination of early detection at an “operable” stage, followed by surgery to remove the portion of the lung where the cancer developed. The number of operations for lung cancer is likely to increase with lung cancer screening.

The study used the National Cancer Data Base (NCDB) cancer treatment and outcomes database, which is a joint project co-sponsored by the American Cancer Society and the American College of Surgeons. The NCDB captures more than 80% of all new lung cancer cases treated in the U.S. each year, and evaluated data for 121,099 patients who underwent major pulmonary resection for lung cancer at more than 1,200 Commission on Cancer-accredited hospitals across the U.S. between 2007 and 2011. Survival at 30 days and 90 days after surgery and numerous risk factors for dying after the surgery were evaluated.

Analysis revealed that at all 1,200+ hospitals combined, 2.8% of patients who underwent major lung surgery (93% of which were lobectomies or bi-lobectomies) died within 30 days after their surgery during this five-year time period. This rate was lower than reported from the busiest hospitals with the highest volume of surgeries just a decade ago. Further analysis showed that annual hospital volume of major lung operations for cancer had a significant impact on both 30-day and 90-day mortality rates. The chance of death was twice as high at hospitals where less than 10 major lung cancer resections per year were performed (3.7%), compared to mortality at the busiest hospitals performing more than 90 such operations per year (1.7%). More than 10,000 of these operations took place at these lowest volume hospitals.

The researchers were surprised that the number of deaths by 90 days after surgery climbed to 5.4% overall, nearly double the rate at 30 days. “This increase in the number of deaths between 30 days and 90 days after surgery was not expected and has not been extensively reported in the past, as mortality rates after surgery are traditionally examined at 30 days. The reasons for this ongoing mortality beyond 30 days are not yet clear, but deserve further investigation,” says lead author Christopher M. Pezzi, MD, Department of Surgery, Abington Health, Abington PA. The ongoing deaths between 30 and 90 days occurred at both low volume and high volume hospitals, although remained less likely at the busiest hospitals.

Other factors associated with mortality after lung surgery were anticipated, and included older age, male gender, socioeconomic factors, more advanced tumors, and a number of serious medical conditions present before the surgery. Having private insurance coverage was also associated with low (1.8%) 30-day mortality rates.

“The Impact of Annual Hospital Volume on 30-Day and Conditional 90-Day Mortality Rates for 121,099 Patients Undergoing Major Pulmonary Resection for Lung Cancer,” by Christopher M. Pezzi, MD, Katherine Mallin, PhD, Andres Samayoa Mendez, MD, E. Greer Gay, PhD, Joe B. Putnam, Jr., MD was presented at the 94th AATS Annual Meeting. April 26-30, 2014. Toronto, ON, Canada.


Story Source:

The above story is based on materials provided by American Association for Thoracic Surgery (AATS). Note: Materials may be edited for content and length.


Cite This Page:

American Association for Thoracic Surgery (AATS). "Major lung resection safer than ever, especially at the busiest hospitals." ScienceDaily. ScienceDaily, 29 April 2014. <www.sciencedaily.com/releases/2014/04/140429104950.htm>.
American Association for Thoracic Surgery (AATS). (2014, April 29). Major lung resection safer than ever, especially at the busiest hospitals. ScienceDaily. Retrieved October 30, 2014 from www.sciencedaily.com/releases/2014/04/140429104950.htm
American Association for Thoracic Surgery (AATS). "Major lung resection safer than ever, especially at the busiest hospitals." ScienceDaily. www.sciencedaily.com/releases/2014/04/140429104950.htm (accessed October 30, 2014).

Share This



More Health & Medicine News

Thursday, October 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Mind-Controlled Prosthetic Arm Restores Amputee Dexterity

Mind-Controlled Prosthetic Arm Restores Amputee Dexterity

Reuters - Innovations Video Online (Oct. 29, 2014) A Swedish amputee who became the first person to ever receive a brain controlled prosthetic arm is able to manipulate and handle delicate objects with an unprecedented level of dexterity. The device is connected directly to his bone, nerves and muscles, giving him the ability to control it with his thoughts. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Google To Use Nanoparticles, Wearables To Detect Disease

Google To Use Nanoparticles, Wearables To Detect Disease

Newsy (Oct. 29, 2014) Google X wants to improve modern medicine with nanoparticles and a wearable device. It's all an attempt to tackle disease detection and prevention. Video provided by Newsy
Powered by NewsLook.com
Can Drinking Milk Lead To Early Death?

Can Drinking Milk Lead To Early Death?

Newsy (Oct. 29, 2014) Researchers in Sweden released a study showing heavy milk drinkers face an increased mortality risk from a variety of causes. Video provided by Newsy
Powered by NewsLook.com
Obama: The US Will Not 'run and Hide' From Ebola

Obama: The US Will Not 'run and Hide' From Ebola

AP (Oct. 29, 2014) Surrounded by health care workers in the White House East Room, President Barack Obama said the U.S. will likely see additional Ebola cases in the weeks ahead. But he said the nation can't seal itself off in the fight against the disease. (Oct. 29) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

    Technology News



    Save/Print:
    Share:

    Free Subscriptions


    Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

    Get Social & Mobile


    Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

    Have Feedback?


    Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
    Mobile: iPhone Android Web
    Follow: Facebook Twitter Google+
    Subscribe: RSS Feeds Email Newsletters
    Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins