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San Francisco – The Society of Thoracic Surgeons (STS) General Thoracic Surgery Database (GTDB) is the largest clinical thoracic surgical database in the United States. However, it is not known whether the outstanding outcomes for esophageal cancer resection from the GTDB are representative of nationwide results, said Dr. Benjamin D. Kozower at the annual meeting of the American Association for Thoracic Surgery. He and his colleagues at the University of Virginia performed a study to see if GTDB esophagectomy outcomes are representative of nationwide outcomes by comparing them to other national clinical and administrative databases.
From 2002 to 2008, esophageal cancer resection outcomes from the GTDB were compared with the National Surgery Quality Improvement Program (NSQIP) and the Nationwide Inpatient Sample (NIS), the largest all-payer, inpatient care database in the United States. Primary outcomes were the number of procedures reported from each database and differences in mortality and resource utilization. Observed differences in patient characteristics and postoperative events were also analyzed.
Annual esophageal resection volume has increased over time. However, the GTDB (n = 6,740) and NSQIP (n = 1,030) capture only a small proportion of resections performed nationally: 30% and 5%, respectively. Median patient age was between 64 and 65 years; between 18% and 21% were women, similar in all three databases. Mortality was significantly lower within the GTDB (3.2%) and NSQIP (2.6%) compared with the NIS (6.1%). In addition, the median length of stay was lower in the GTDB (10 days) compared with both the NSQIP (12 days) and NIS (12 days).
"The STS GTDB reports outstanding mortality results and hospital resource utilization for esophageal cancer resection. However, surgical outcomes from the STS GTDB are not representative of national results from programs not participating in the database," said Dr. Kozower.
"These results establish a reference for future esophagectomy comparisons and highlight the importance of increased participation and utilization of the STS GTDB," he concluded.
San Francisco – The Society of Thoracic Surgeons (STS) General Thoracic Surgery Database (GTDB) is the largest clinical thoracic surgical database in the United States. However, it is not known whether the outstanding outcomes for esophageal cancer resection from the GTDB are representative of nationwide results, said Dr. Benjamin D. Kozower at the annual meeting of the American Association for Thoracic Surgery. He and his colleagues at the University of Virginia performed a study to see if GTDB esophagectomy outcomes are representative of nationwide outcomes by comparing them to other national clinical and administrative databases.
From 2002 to 2008, esophageal cancer resection outcomes from the GTDB were compared with the National Surgery Quality Improvement Program (NSQIP) and the Nationwide Inpatient Sample (NIS), the largest all-payer, inpatient care database in the United States. Primary outcomes were the number of procedures reported from each database and differences in mortality and resource utilization. Observed differences in patient characteristics and postoperative events were also analyzed.
Annual esophageal resection volume has increased over time. However, the GTDB (n = 6,740) and NSQIP (n = 1,030) capture only a small proportion of resections performed nationally: 30% and 5%, respectively. Median patient age was between 64 and 65 years; between 18% and 21% were women, similar in all three databases. Mortality was significantly lower within the GTDB (3.2%) and NSQIP (2.6%) compared with the NIS (6.1%). In addition, the median length of stay was lower in the GTDB (10 days) compared with both the NSQIP (12 days) and NIS (12 days).
"The STS GTDB reports outstanding mortality results and hospital resource utilization for esophageal cancer resection. However, surgical outcomes from the STS GTDB are not representative of national results from programs not participating in the database," said Dr. Kozower.
"These results establish a reference for future esophagectomy comparisons and highlight the importance of increased participation and utilization of the STS GTDB," he concluded.
San Francisco – The Society of Thoracic Surgeons (STS) General Thoracic Surgery Database (GTDB) is the largest clinical thoracic surgical database in the United States. However, it is not known whether the outstanding outcomes for esophageal cancer resection from the GTDB are representative of nationwide results, said Dr. Benjamin D. Kozower at the annual meeting of the American Association for Thoracic Surgery. He and his colleagues at the University of Virginia performed a study to see if GTDB esophagectomy outcomes are representative of nationwide outcomes by comparing them to other national clinical and administrative databases.
From 2002 to 2008, esophageal cancer resection outcomes from the GTDB were compared with the National Surgery Quality Improvement Program (NSQIP) and the Nationwide Inpatient Sample (NIS), the largest all-payer, inpatient care database in the United States. Primary outcomes were the number of procedures reported from each database and differences in mortality and resource utilization. Observed differences in patient characteristics and postoperative events were also analyzed.
Annual esophageal resection volume has increased over time. However, the GTDB (n = 6,740) and NSQIP (n = 1,030) capture only a small proportion of resections performed nationally: 30% and 5%, respectively. Median patient age was between 64 and 65 years; between 18% and 21% were women, similar in all three databases. Mortality was significantly lower within the GTDB (3.2%) and NSQIP (2.6%) compared with the NIS (6.1%). In addition, the median length of stay was lower in the GTDB (10 days) compared with both the NSQIP (12 days) and NIS (12 days).
"The STS GTDB reports outstanding mortality results and hospital resource utilization for esophageal cancer resection. However, surgical outcomes from the STS GTDB are not representative of national results from programs not participating in the database," said Dr. Kozower.
"These results establish a reference for future esophagectomy comparisons and highlight the importance of increased participation and utilization of the STS GTDB," he concluded.