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https://ahro.austin.org.au/austinjspui/handle/1/20283
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DC Field | Value | Language |
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dc.contributor.author | Thai, Alesha A | - |
dc.contributor.author | Stuart, E | - |
dc.contributor.author | Te Marvelde, L | - |
dc.contributor.author | Milne, R L | - |
dc.contributor.author | Knight, S | - |
dc.contributor.author | Whitfield, K | - |
dc.contributor.author | Mitchell, Paul L R | - |
dc.date | 2019-01-10 | - |
dc.date.accessioned | 2019-03-04T22:04:13Z | - |
dc.date.available | 2019-03-04T22:04:13Z | - |
dc.date.issued | 2019-03 | - |
dc.identifier.citation | Lung cancer 2019; 129: 22-27 | - |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/20283 | - |
dc.description.abstract | There has been evidence of an association between patient outcomes and the number of surgeries performed at a hospital. To our knowledge, there are no Australian data on hospital cancer surgery volumes and patient outcomes. We evaluated the relationship between hospital non-small cell lung cancer (NSCLC) surgery volume and patient outcomes in Victoria. Patients with a primary diagnosis of NSCLC between 2008 and 2014 were identified in the Victorian Cancer Registry (n = 15,369), 3,420 (22%) of whom had lung cancer surgery. Primary outcome was death within 90 days of surgery and secondary outcomes included overall survival, use of postoperative ventilation and ≥24hours spent in ICU. Hospital volume was measured as the average number of lung surgeries performed per year, with quartiles Q1: 1-17, Q2: 18-34, Q3: 35-58 and Q4: 59 + . 57% (1,941/3,420) lung cancer patients underwent lobectomy, 38% (1,299/3,420) sub-lobar resection and 5% (180/3,420) pneumonectomy. The overall 90-day mortality after lung surgery was 3.5%, and was 2.6% and 4.5% for patients undergoing lobectomy and sub-lobar resection respectively. There was no difference in 90-day mortality and overall survival between low- and high-volume centres regardless of procedure. Patients operated on in lower volume centres had more admissions to ICU ≥24hours (Q1. 55% vs. Q4. 11%, p-trend <0.001). A higher proportion of patients attending private hospitals (19%) had an ASA score of 4 compared with patients attending a public hospital (9%). We observed no evidence of survival differences between lung cancer patients attending low- and high-volume hospitals for cancer surgery. A higher proportion of patients had an ICU admission ≥24hours in lower volume centres and there are a higher proportion of patients with an ASA score of 4 in private hospitals compared to public hospitals. | - |
dc.language.iso | eng | - |
dc.subject | Non-small cell lung cancer | - |
dc.subject | Outcomes | - |
dc.subject | Surgery | - |
dc.subject | Surgical volume | - |
dc.subject | Survival | - |
dc.title | Hospital lung surgery volume and patient outcomes. | - |
dc.type | Journal Article | - |
dc.identifier.journaltitle | Lung cancer | - |
dc.identifier.affiliation | Department of Medical Oncology, Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia | en |
dc.identifier.affiliation | Cancer Epidemiology and Intelligence Division, Cancer Council Victoria, 615 St Kilda Road, Melbourne, Victoria, 3004, Australia | en |
dc.identifier.affiliation | Cancer Strategy & Development, Department of Health and Human Services, 50 Lonsdale St, Melbourne, Victoria, 3000, Australia | en |
dc.identifier.affiliation | Department of Surgery, Austin Health, Heidelberg, Victoria, Australia | en |
dc.identifier.doi | 10.1016/j.lungcan.2019.01.002 | - |
dc.identifier.orcid | 0000-0001-8966-7677 | - |
dc.identifier.pubmedid | 30797487 | - |
dc.type.austin | Journal Article | - |
local.name.researcher | Knight, Simon R | |
item.languageiso639-1 | en | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
crisitem.author.dept | Thoracic Surgery | - |
crisitem.author.dept | Medical Oncology | - |
crisitem.author.dept | Olivia Newton-John Cancer Wellness and Research Centre | - |
Appears in Collections: | Journal articles |
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