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.

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

Participant Name

Location

Name
Rush University Medical Center Chicago, Illinois
Cleveland Clinic Thoracic Surgery Group Cleveland, Ohio
Baylor University Medical Center Dallas, Texas
NYU Cardiothoracic Surgery Associates New York, New York
North Jersey Thoracic Surgical Associates Morristown, New Jersey
St. Luke's Thoracic Surgical Associates Bethlehem, Pennsylvania
Stanford University Division of Thoracic Surgery Stanford, California
Ohio State Thoracic Surgery Columbus, Ohio
Kaiser Sunnyside Medical Center Clackamas, Oregon
Lenox Hill Hospital Surgical Associates New York, New York
Aurora Medical Center Grafton Grafton, Wisconsin
HealthPark Medical Center Fort Myers, Florida
Emory Healthcare, Dept. of Cardiothoracic Surgery Atlanta, Georgia
Emory Healthcare, Dept. of Cardiothoracic Surgery Atlanta, Georgia
Sentara Norfolk General Hospital, Sentara Mid-Atlantic Cardiovascular Surgeons Norfolk, Virginia
University of Michigan Ann Arbor, Michigan
MGH Thoracic Surgery Division Boston, Massachusetts
MGH Thoracic Surgery Division Salem, Massachusetts
MGH Thoracic Surgery Division Newton, Massachusetts
Mayo Clinic Florida Jacksonville, Florida
Geisinger Medical Center Danville, Pennsylvania
Mayo Clinic Hospital - Rochester Rochester, Minnesota
University of Wisconsin Hospital Madison, Wisconsin
St. Vincent Thoracic Surgery Indianapolis, Indiana
University of Virginia Health System Charlottesville, Virginia

*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.