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
St. Luke's Thoracic Surgical Associates Pennsylvania
Cleveland Clinic Thoracic Surgery Group Ohio
Rush University Medical Center Illinois
Inova Cardiac & Thoracic Surgery Virginia
Kaiser Sunnyside Medical Center Oregon
North Jersey Thoracic Surgical Associates New Jersey
Lenox Hill Hospital - Thoracic Surgery New York
Main Line Health Thoracic Surgery - Lankenau Pennsylvania
University of Texas - M.D. Anderson Cancer Center General Thoracic Surgeons Texas
St. Joseph's / Candler Medical Group - Cardiothoracic Georgia
Aurora Medical Center Grafton Wisconsin
Main Line Health Thoracic Surgery - Paoli Pennsylvania
Maimonides Medical Center New York
St. Elizabeth Healthcare Thoracic Surgery Kentucky
Minnesota Oncology - Minneapolis Minnesota
Albany Medical Center - Department of Cardiothoracic Surgery New York
Barnes Jewish Hospital Missouri
Novant Health Cardiothoracic Surgeons North Carolina
St. Joseph Mercy Oakland Michigan
Minnesota Oncology - St. Paul Minnesota
Reading Health Physician Network Cardiothoracic Surgery Pennsylvania
Piedmont Hospital Georgia
Emory Healthcare, Dept. of Cardiothoracic Surgery Georgia
Cardiothoracic Surgeons of Grand Traverse Michigan
Metropolitan Heart and Vascular Institute Minnesota

*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.