General Thoracic Surgery Public Reporting

Lung cancer resection outcomes for General Thoracic Surgery Database (GTSD) participants are better than national averages^[1]. Thus, for the purposes of general thoracic public reporting, STS believes it is appropriate to present a comparison of GTSD and national outcomes to demonstrate the high performance of GTSD participants.

STS selected the National Inpatient Sample (NIS) as a comparator database to best represent national outcomes. The NIS is the largest, all-payer inpatient database available in the United States, representing a 20% stratified sample of all hospital discharges from nonfederal facilities^[2]. This database is maintained by the Agency for Healthcare Research and Quality. It includes approximately 8 million in-patient hospital discharge abstracts collected annually for patients of all ages and all sources of insurance. Each discharge record includes a weight that represents the relative proportion of the total US hospital patient population accounted for by that record^[3]. This dataset is broadly representative of individuals in the US population who were hospitalized in a given year and is the most generalizable data to represent national lung cancer resection outcomes.

Name	Overall Composite Score* Sort ascending
Rush University Medical Center Illinois	3
Inova Cardiac & Thoracic Surgery Virginia	3
Kaiser Sunnyside Medical Center Oregon	3
Lenox Hill Hospital - Thoracic Surgery New York	3
North Jersey Thoracic Surgical Associates New Jersey	3
St. Luke's Thoracic Surgical Associates Pennsylvania	3
Cleveland Clinic Thoracic Surgery Group Ohio	3
University Heart Surgeons Tennessee	2
Northwestern Memorial Hospital Illinois	2
Meridian Thoracic Esophageal Surgery New Jersey	2
Cone Health - Triad Cardiac & Thoracic Surgeons North Carolina	2
Penn State M. S. Hershey Medical Center Pennsylvania	2
Loma Linda University Cardiac and Thoracic Center California	2
Emory Healthcare, Dept. of Cardiothoracic Surgery Georgia	2
Borgess Cardiothoracic Surgery Michigan	2
Southside Hospital - Thoracic Surgery New York	2
University of Alabama Health System Alabama	2
Lancaster General Health Physicians of Thoracic Surgery Pennsylvania	2
First Health Cardiovascular and Thoracic Center North Carolina	2
St. Luke's Cardiothoracic & Vascular Associates Idaho	2
OU Medical Center Oklahoma	2
University of Michigan Michigan	2
The Heart Hospital Baylor Plano Texas	2
Fairfield Medical Center FHP Cardiothoracic Surgeons Ohio	2
Medstar Franklin Square Medical Center Maryland	2

*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 morbidity. These are: 1) pneumonia; 2) acute respiratory distress syndrome; 3) bronchopleural fistula; 4) pulmonary embolus; 5) initial ventilator support > 48 hours; 6) reintubation/respiratory failure; 7) tracheostomy; 8) myocardial infarction; 9) unexpected return to the operating room.