Early Results After Regionalization of Thoracic Surgical Practice in a Single-Payer System Sudhir Sundaresan, MD, Robin McLeod, Jonathan Irish, Judy.

Slides:

Advertisements

Similar presentations

Cancer System Quality Index (CSQI) 2012 Treatment.

Advertisements

Thoracic Cancer Surgery Standards Designated thoracic surgery facilities in Ontario Report date: December 15, 2010 Data source: Discharge Abstract.

Robot-Assisted Thoracoscopic Lobectomy for Early-Stage Lung Cancer

The STS National Database

Complete Thoracic Mediastinal Lymphadenectomy Leads to a Higher Rate of Pathologically Proven N2 Disease in Patients With Non-Small Cell Lung Cancer

Thomas J. Birdas, MD, Richard P. M

Prevention of Delayed Gastric Emptying After Esophagectomy: A Single Center's Experience With Botulinum Toxin Jeremiah T. Martin, MD, John A. Federico,

Clinical Outcomes in Patients With Prolonged Intensive Care Unit Length of Stay After Cardiac Surgical Procedures Ansar Hassan, MD, PhD, Curtis Anderson,

Comparison of Video-Assisted Thoracoscopic Surgery and Robotic Approaches for Clinical Stage I and Stage II Non-Small Cell Lung Cancer Using The Society.

Video-Assisted Thoracoscopic Lobectomy for Lung Cancer: Current Practice Patterns and Predictors of Adoption Justin D. Blasberg, MD, Christopher W. Seder,

Association of Perioperative Fluid Balance and Adverse Surgical Outcomes in Esophageal Cancer and Esophagogastric Junction Cancer Shenhai Wei, MD, PhD,

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD

Salvage Resections for Recurrent or Persistent Cancer of the Proximal Esophagus After Chemoradiotherapy Colin Schieman, MD, Dennis A. Wigle, MD, PhD,

Giant Hiatal Hernia with Gastric Volvulus Complicating Pneumonectomy

Benjamin E. Lee, MD, Mark Shapiro, MD, John R. Rutledge, MAS, Robert J

Meta-Analysis of Survival After Pleurectomy Decortication Versus Extrapleural Pneumonectomy in Mesothelioma Emanuela Taioli, MD, PhD, Andrea S. Wolf,

Robot-Assisted Lobectomy for Early-Stage Lung Cancer: Report of 100 Consecutive Cases Farid Gharagozloo, MD, Marc Margolis, MD, Barbara Tempesta, MS,

Gal Levy, MD, Mark A. Cordes, MD, Alexander S. Farivar, MD, Ralph W

Video-Assisted Thoracic Surgery Lobectomy: Experience With 1,100 Cases

Long Esophageal Segment Laceration Caused by an Orogastric Tube During Laparoscopic Sleeve Gastrectomy Sang Kuon Lee, MD, Jongho Lee, MD The Annals.

Lobectomy in Octogenarians With Non-Small Cell Lung Cancer: Ramifications of Increasing Life Expectancy and the Benefits of Minimally Invasive Surgery

Lymph Node Evaluation Achieved by Open Lobectomy Compared With Thoracoscopic Lobectomy for N0 Lung Cancer Robert E. Merritt, MD, Chuong D. Hoang, MD,

A Comparison of Length of Stay, Readmission Rate, and Facility Reimbursement After Lobectomy of the Lung Richard K. Freeman, MD, MBA, J. Russell Dilts,

Michelle C. Ellis, MD, Brian S. Diggs, PhD, John T. Vetto, MD, Paul H

Quality Indicators for Non-Small Cell Lung Cancer Operations With Use of a Modified Delphi Consensus Process Gail Darling, MD, Richard Malthaner, MD,

Surgical Repair of a Chronic Traumatic Sternal Fracture

Asad A. Shah, MD, Mathias Worni, MD, MHS, Christopher R

Thomas J. Birdas, MD, Richard P. M

Origins of the Cardiothoracic Surgery Network (CTSNet)

The Society of Thoracic Surgeons General Thoracic Surgery Database: Establishing Generalizability to National Lung Cancer Resection Outcomes Damien J.

Who Do You Say You Are? The Annals of Thoracic Surgery

Current Spectrum of Surgical Procedures Performed for Ebstein's Malformation: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery.

Survival After Lobectomy Versus Segmentectomy for Stage I Non-Small Cell Lung Cancer: A Population-Based Analysis Bryan A. Whitson, MD, PhD, Shawn S.

Use of Amiodarone After Major Lung Resection

Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma

Elliot Wakeam, MD, MPH, James P. Byrne, MD, Gail E

Thomas J. Watson, MD, Jiejing Qiu, MS The Annals of Thoracic Surgery

Abel Gómez-Caro, MD, Pedro Arguis, MD The Annals of Thoracic Surgery

Number of Lymph Nodes Associated With Maximal Reduction of Long-Term Mortality Risk in Pathologic Node-Negative Non–Small Cell Lung Cancer Raymond U.

Felix G. Fernandez, MD, Onkar Khullar, MD, Seth D

Differences in Patterns of Recurrence in Early-Stage Versus Locally Advanced Non- Small Cell Lung Cancer Feiran Lou, MD, MS, Camelia S. Sima, MD, MS,

Dysphagia in the Young Male: The Ringed Esophagus

Foreign Bodies in the Esophagus

Open, Video-Assisted Thoracic Surgery, and Robotic Lobectomy: Review of a National Database Michael Kent, MD, Thomas Wang, PhD, Richard Whyte, MD, Thomas.

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Editorial Board, January 2010

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

The Annals of Thoracic Surgery

The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis

Limitations of Hospital Volume as a Measure of Quality of Care for Coronary Artery Bypass Graft Surgery Karl F. Welke, MD, Mitchell J. Barnett, PharmD,

Single Versus Double Lung Retransplantation Does Not Affect Survival Based on Previous Transplant Type Erin M. Schumer, MD, MPH, Jonathan D. Rice, MD,

Sequential Design for Clinical Trials Evaluating a Prosthetic Heart Valve Cody Hamilton, PhD, Michael Lu, PhD, Steven Lewis, PhD, William Anderson, PhD

Carlos E. Bravo Iñiguez, MD, Katherine W

Nael Martini: A Leader in Thoracic Surgical Oncology

Specialty Training and Mortality After Esophageal Cancer Resection

Adhering to Quality Measures in Esophagectomy Is Associated With Improved Survival in All Stages of Esophageal Cancer Pamela Samson, MD, MPHS, Varun.

Very Prolonged Stay in the Intensive Care Unit After Cardiac Operations: Early Results and Late Survival Shuli Silberman, MD, Daniel Bitran, MD, Daniel.

Transthoracic Esophagectomy Using Endobronchial Blocker After Previous Pneumonectomy Haifeng Wang, MD, Ji Liu, MD, Chao Jiang, MD, Ming Liu, MD, Gening.

Robot-Assisted Thoracoscopic Lobectomy for Early-Stage Lung Cancer

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

The Society of Thoracic Surgeons General Thoracic Surgery Database 2017 Update on Outcomes and Quality Christopher W. Seder, MD, Daniel P. Raymond, MD,

Lobectomy for Lung Cancer at Veterans Administration Medical Center Versus Academic Medical Center Travis Geraci, MD, Vanessa Baratta, MD, John Young,

Mark I. Block, MD The Annals of Thoracic Surgery

Lobectomy Versus Limited Resection in T1N0 Lung Cancer

The Impact of New Technology on Cardiothoracic Surgical Practice

John R. Handy, MD, HonD, Kelly Denniston, RHIT, Gary L

Domenico Galetta, MD, PhD, Lorenzo Spaggiari, MD, PhD

Heart Transplant Program Volume Is Not a Measure of Quality

Stephen Greer, MD, Ashley D. Miller, FNP, Jeremiah S

Thirty-Day Mortality Underestimates the Risk of Early Death After Major Resections for Thoracic Malignancies Robert R. McMillan, MD, MPH, Alexandra Berger,

Presentation transcript:

Early Results After Regionalization of Thoracic Surgical Practice in a Single-Payer System Sudhir Sundaresan, MD, Robin McLeod, Jonathan Irish, Judy Burns, Amber Hunter, Elaine Meertens, Bernard Langer, Hartley Stern, Michael Sherar The Annals of Thoracic Surgery Volume 95, Issue 2, Pages 472-479 (February 2013) DOI: 10.1016/j.athoracsur.2012.10.001 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Number of lung and esophagus cancer operations by hospital, fiscal year 2004 to 2005. Report Date: December 6, 2011. Data source: Discharge Abstract Database (CIHI) and National Ambulatory Care Reporting System (CIHI). Prepared by Cancer Care Ontario, Cancer Informatics. Report Date: January, 2012. Data source: Discharge Abstract Database (CIHI) and National Ambulatory Care Reporting System (CIHI). Prepared by Cancer Care Ontario, Cancer Informatics. The Annals of Thoracic Surgery 2013 95, 472-479DOI: (10.1016/j.athoracsur.2012.10.001) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Percentage of thoracic (esophageal and lung) cancer operations performed in designated centers by fiscal year (FY)—2007 to 2008 to 2010 to 2011. The Annals of Thoracic Surgery 2013 95, 472-479DOI: (10.1016/j.athoracsur.2012.10.001) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Number of lung cancer operations by hospital, fiscal years 2004 to 2005 versus 2010 to 2011, in designated and nondesignated centers (refer to legend). Report Date: December 6, 2011. Data source: Discharge Abstract Database (CIHI) and National Ambulatory Care Reporting System (CIHI). Prepared by Cancer Care Ontario, Cancer Informatics. (* indicates level 1 designated center; ** indicates level 2 designated center.) The Annals of Thoracic Surgery 2013 95, 472-479DOI: (10.1016/j.athoracsur.2012.10.001) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Number of esophageal cancer operations by hospital, fiscal years 2004 to 2005 versus 2010 to 2011 in designated and nondesignated centers (refer to legend). Report Date: December 6, 2011. Data Source: Discharge Abstract Database (CIHI) and National Ambulatory Care Reporting System (CIHI). Prepared by Cancer Care Ontario, Cancer Informatics. (* indicates level 1 designated center; ** indicates level 2 designated center.) The Annals of Thoracic Surgery 2013 95, 472-479DOI: (10.1016/j.athoracsur.2012.10.001) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Provincial cancer surgical procedure median wait times by calendar year (all cancer operations versus lung cancer operations). Report Date: January 26, 2011. Data source: Wait Time Information System (CCO). Prepared By Cancer Care Ontario, Access to Care. The Annals of Thoracic Surgery 2013 95, 472-479DOI: (10.1016/j.athoracsur.2012.10.001) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Thirty-day mortality after thoracic cancer operations (lobectomy, pneumonectomy, esophagectomy) for 2-year blocks—2003 to 2005, 2005 to 2007, 2007 to 2009, and 2009 to 2011. p Values pertain to comparison of 2009 to 2011 versus 2003 to 2005. (FY = fiscal year.) Report date: February 2011. Data source: Discharge Abstract Database. Prepared by Institute for Clinical Evaluative Sciences, Cancer Program. The Annals of Thoracic Surgery 2013 95, 472-479DOI: (10.1016/j.athoracsur.2012.10.001) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions