Performance for Lobectomy Compared to STS and National Outcomes*
* These NIS data are the most recent data available at this time. There are more lobectomy for lung cancer patients in a single year of NIS data than in the GTSD, so a decision was made to use 3 years of STS GTSD data.
Lobectomy for Lung Cancer Composite Measure Rating (July 2020 - June 2023)
Overall Composite Score |
97.5%
(96.6 - 98.2)
|
97.5% (96.6, 98.2)
Participant Score
Participant Credible Interval
STS Range
STS Average Score
|
Worse Than Expected
|
Absence of Operative Mortality |
98.8%
(97.8 - 99.3)
|
98.8% (97.8, 99.3)
Participant Score
Participant Credible Interval
STS Range
STS Average Score
|
As Expected
|
Absence of Major Morbidity |
88.2%
(83.8 - 91.8)
|
88.2% (83.8, 91.8)
Participant Score
Participant Credible Interval
STS Range
STS Average Score
|
Worse Than Expected
|
Esophagectomy Composite Measure Rating (July 2020 - June 2023)
Overall Composite Score |
90.0%
(85.3 - 93.8)
|
90% (85.3, 93.8)
Participant Score
Participant Credible Interval
STS Range
STS Average Score
|
As Expected
|
Absence of Operative Mortality |
95.2%
(89.3 - 98.4)
|
95.2% (89.3, 98.4)
Participant Score
Participant Credible Interval
STS Range
STS Average Score
|
As Expected
|
Absence of Major Morbidity |
68.8%
(54.0 - 81.5)
|
68.8% (54, 81.5)
Participant Score
Participant Credible Interval
STS Range
STS Average Score
|
As Expected
|
*Lobectomy for Lung Cancer Overall Composite Score represents two domain scores in a single number:
-
Absence of Operative Mortality: Percentage of patients [risk-adjusted] who did not experience operative mortality. Operative mortality is defined as death during the same hospitalization as surgery or after discharge but within 30 days of the procedure.
-
Absence of Major Morbidity: Percentage of patients [risk-adjusted] who did not experience any major complication. These are: 1) pneumonia; 2) acute respiratory distress syndrome; 3) bronchopleural fistula; 4) pulmonary embolus; 5) initial ventilator support > 48 hours; 6) reintubation; 7) tracheostomy; 8) myocardial infarction; 9) unexpected return to the operating room.
** Esophagectomy Overall Composite Score represents two domain scores in a single number:
-
Absence of Operative Mortality: Percentage of patients [risk-adjusted] who did not experience operative mortality. Operative mortality is defined as death during the same hospitalization as surgery or after discharge but within 30 days of the procedure.
-
Absence of Major Morbidity: Percentage of patients [risk-adjusted] who did not experience any major complication. These are: 1) pneumonia; 2) recurrent laryngeal nerve paresis; 3) anastomotic leak requiring medical treatment only; 4) initial ventilator support > 48 hours; 5) respiratory failure; 6) unexpected return to the operating room; 7) new renal failure per RIFLE criteria.