Assessment of whether in-hospital mortality for lobectomy is a useful standard for the quality of lung cancer surgery: retrospective study.
BMJ
; 327(7406): 73, 2003 Jul 12.
Article
em En
| MEDLINE
| ID: mdl-12855523
ABSTRACT
OBJECTIVES:
To calculate in-hospital mortality after lobectomy for primary lung cancer in the United Kingdom; to explore the validity of using such data to assess the quality of UK thoracic surgeons; and to investigate the relation between in-hospital mortality and the number of procedures performed by surgeons.DESIGN:
Retrospective study.SETTING:
36 departments dealing with thoracic surgery in UK hospitals.PARTICIPANTS:
4028 patients who had undergone lobectomy for primary lung cancer by one of 102 surgeons. MAIN OUTCOMEMEASURES:
In-hospital mortality in relation to individual surgeons, among all patients, and among each of five groups of patients defined by the number of operations performed by the surgeon.RESULTS:
103 patients (2.6%, 95% confidence interval 2.1% to 3.1%) died after surgery during the same hospital admission. No significant difference was found for in-hospital mortality between the five groups.CONCLUSIONS:
The number of procedures performed by a thoracic surgeon is not related to in-hospital mortality. Reporting data on in-hospital mortality after lobectomy for primary lung cancer is a poor tool for measuring a surgeon's performance.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pneumonectomia
/
Cirurgia Torácica
/
Mortalidade Hospitalar
/
Indicadores de Qualidade em Assistência à Saúde
/
Neoplasias Pulmonares
Idioma:
En
Ano de publicação:
2003
Tipo de documento:
Article