Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections
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...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión aceptada para publicación |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Universidad de Barcelona |
| Repositorio: | Dipòsit Digital de la UB |
| OAI Identifier: | oai:diposit.ub.edu:2445/162216 |
| Acceso en línea: | https://hdl.handle.net/2445/162216 |
| Access Level: | acceso abierto |
| Palabra clave: | Auditoria Cirurgia toràcica Càncer de pulmó Auditing Thoracic surgery Lung cancer |
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Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resectionsGrupo español de cirugía torácica asistida por videoimagen: método, auditoría y resultados iniciales de una cohorte nacional prospectiva de pacientes tratados con resecciones anatómicas del pulmónEmbun, RaulRoyo-Crespo, IñigoRecuero Díaz, José LuisBolufer, SergioCall Caja, SergiCongregado, MiguelGómez-de Antonio, DavidJimenez, Marcelo F.Moreno-Mata, NicolasAguinagalde, BorjaAmor-Alonso, SergioArrarás, Miguel JesúsBlanco Orozco, Ana IsabelBoada, MarcCabañero Sánchez, AlbertoCal Vázquez, IsabelCilleruelo Ramos, ÁngelCrowley Carrasco, SilvanaFernández-Martín, ElenaGarcía-Barajas, SantiagoGarcía-Jiménez, Maria DoloresGarcía-Prim, Jose MaríaGarcia-Salcedo, Jose AlbertoGelbenzu-Zazpe, Juan JoséGiraldo-Ospina, Carlos FernandoGómez Hernández, María TeresaHernández, JorgeIllana Wolf, Jennifer D.Jauregui Abularach, AlbertoJiménez, UnaiLópez Sanz, IkerMartínez-Hernández, Néstor J.Martínez-Téllez, ElisabethMilla Collado, LucíaMongil Poce, RobertoMoradiellos-Díez, Francisco JavierMoreno-Balsalobre, RamónSanchez-Lorente, DavidObiols Fornell, CarmeRamos Izquierdo, RicardAuditoriaCirurgia toràcicaCàncer de pulmóAuditingThoracic surgeryLung cancerIntroduction: 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.Elsevier2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/162216Articles publicats en revistes (Patologia i Terapèutica Experimental)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: https://doi.org/10.1016/j.arbres.2020.01.005Archivos de Bronconeumologia, 2020https://doi.org/10.1016/j.arbres.2020.01.005cc-by-nc-nd (c) Elsevier, 2020http://creativecommons.org/licenses/by-nc-nd/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1622162026-05-27T06:46:51Z |
| dc.title.none.fl_str_mv |
Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections 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 |
| title |
Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections |
| spellingShingle |
Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections Embun, Raul Auditoria Cirurgia toràcica Càncer de pulmó Auditing Thoracic surgery Lung cancer |
| title_short |
Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections |
| title_full |
Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections |
| title_fullStr |
Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections |
| title_full_unstemmed |
Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections |
| title_sort |
Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections |
| dc.creator.none.fl_str_mv |
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 |
| author |
Embun, Raul |
| author_facet |
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 |
| author_role |
author |
| author2 |
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 |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Auditoria Cirurgia toràcica Càncer de pulmó Auditing Thoracic surgery Lung cancer |
| topic |
Auditoria Cirurgia toràcica Càncer de pulmó Auditing Thoracic surgery Lung cancer |
| description |
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. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion |
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article |
| status_str |
acceptedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/2445/162216 |
| url |
https://hdl.handle.net/2445/162216 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Versió postprint del document publicat a: https://doi.org/10.1016/j.arbres.2020.01.005 Archivos de Bronconeumologia, 2020 https://doi.org/10.1016/j.arbres.2020.01.005 |
| dc.rights.none.fl_str_mv |
cc-by-nc-nd (c) Elsevier, 2020 http://creativecommons.org/licenses/by-nc-nd/3.0/es info:eu-repo/semantics/openAccess |
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cc-by-nc-nd (c) Elsevier, 2020 http://creativecommons.org/licenses/by-nc-nd/3.0/es |
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openAccess |
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application/pdf |
| dc.publisher.none.fl_str_mv |
Elsevier |
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Elsevier |
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Articles publicats en revistes (Patologia i Terapèutica Experimental) reponame:Dipòsit Digital de la UB instname:Universidad de Barcelona |
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Universidad de Barcelona |
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Dipòsit Digital de la UB |
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Dipòsit Digital de la UB |
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1869425488644014080 |
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15.300724 |