General Thoracic Surgery Public Reporting

STS publicly reports STS National Database participant outcomes and star ratings for lobectomy for lung cancer and, as of summer 2019, esophagectomy.

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
Lenox Hill Hospital Surgical Associates New York
HealthPark Medical Center Florida
Aurora Medical Center Grafton Wisconsin
NYU Cardiothoracic Surgery Associates New York
Stanford University Division of Thoracic Surgery California
North Jersey Thoracic Surgical Associates New Jersey
Cleveland Clinic Thoracic Surgery Group Ohio
St. Luke's Thoracic Surgical Associates Pennsylvania
Ohio State Thoracic Surgery Ohio
Rush University Medical Center Illinois
Kaiser Sunnyside Medical Center Oregon
Baylor University Medical Center Texas
Lancaster General Health Physicians of Thoracic Surgery Pennsylvania
Christiana Care Associates Delaware
Main Line Health Thoracic Surgery - Bryn Mawr Pennsylvania
Piedmont Hospital Georgia
OU Medical Center Oklahoma
Mayo Clinic Florida Florida
Omaha Thoracic and Cardiovascular Surgery Nebraska
Main Line Health Thoracic Surgery - Lankenau Pennsylvania
St. Joseph's / Candler Medical Group - Cardiothoracic Georgia
Geisinger Medical Center Pennsylvania
Aurora Medical Center Summit Wisconsin
Main Line Health Thoracic Surgery - Paoli Pennsylvania
Aurora St. Luke's Medical Center Wisconsin

*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.

** 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 morbidity. These are: 1) pneumonia; 2) recurrent laryngeal nerve paresis; 3) anastomotic leak; 4) initial ventilator support > 48 hours; 5) reintubation/respiratory failure; 6) unexpected return to the operating room; 7) new renal failure per RIFLE criteria.