RT Journal Article
T1 Spanish Video-Assisted Thoracic Surgery Group: Method, Auditing, and Initial Results From a National Prospective Cohort of Patients Receiving Anatomical Lung Resections
A1 Embun, Raul
A1 Royo-Crespo, Inigo
A1 Recuero Diaz, Jose Luis
A1 Bolufer, Sergio
A1 Call, Sergi
A1 Congregado, Miguel
A1 Gomez-de Antonio, David
A1 Jimenez, Marcelo F.
A1 Moreno-Mata, Nicolas
A1 Aguinagalde, Borja
A1 Amor-Alonso, Sergio
A1 Jesus Arraras, Miguel
A1 Blanco Orozco, Ana Isabel
A1 Boada, Marc
A1 Cabanero Sanchez, Alberto
A1 Cal Vazquez, Isabel
A1 Cilleruelo Ramos, Angel
A1 Crowley Carrasco, Silvana
A1 Fernandez-Martin, Elena
A1 Garcia-Barajas, Santiago
A1 Dolores Garcia-Jimenez, Maria
A1 Maria Garcia-Prim, Jose
A1 Alberto Garcia-Salcedo, Jose
A1 Gelbenzu-Zazpe, Juan Jose
A1 Fernando Giraldo-Ospina, Carlos
A1 Gomez Hernandez, Maria Teresa
A1 Hernandez, Jorge
A1 Illana Wolf, Jennifer D.
A1 Jauregui Abularach, Alberto
A1 Jimenez, Unai
A1 Lopez Sanz, Iker
A1 Martinez-Hernandez, Nestor J.
A1 Martinez-Tellez, Elisabeth
A1 Milla Collado, Lucia
A1 Mongil Poce, Roberto
A1 Javier Moradiellos-Diez, Francisco
A1 Moreno-Balsalobre, Ramon
A1 Moreno Merino, Sergio B.
A1 Obiols, Carme
A1 Quero-Valenzuela, Florencio
A1 Elena Ramirez-Gil, Maria
A1 Ramos-Izquierdo, Ricard
A1 Rivo, Eduardo
A1 Rodriguez-Fuster, Alberto
A1 Rojo-Marcos, Rafael
A1 Sanchez-Lorente, David
A1 Sanchez Moreno, Laura
A1 Simon, Carlos
A1 Carlos Trujillo-Reyes, Juan
A1 Hernando Trancho, Florentino
K1 Video-assisted thoracic surgery
K1 VATS
K1 Lung cancer
K1 Lobectomy
K1 Audit
K1 Multicentre study
K1 European-society
K1 Cancer surgery
K1 Thoracoscopy
K1 Mortality
K1 Outcomes
AB Introduction: Our study sought to know the current implementation of video-assisted thoracoscopic surgery (VATS) for anatomical lung resections in Spain. We present our initial results and describe the auditing systems developed by the Spanish VATS Group (GEVATS).Methods: We conducted a prospective multicentre cohort study that included patients receiving anatomical lung resections between 12/20/2016 and 03/20/2018. The main quality controls consisted of determining the recruitment rate of each centre and the accuracy of the perioperative data collected based on six key variables. The implications of a low recruitment rate were analysed for "90-day mortality" and "Grade IIIb-V complications".Results: The series was composed of 3533 cases (1917 VATS; 54.3%) across 33 departments. The centres' median recruitment rate was 99% (25-75th:76-100%), with an overall recruitment rate of 83% and a data accuracy of 98%. We were unable to demonstrate a significant association between the recruitment rate and the risk of morbidity/mortality, but a trend was found in the unadjusted analysis for those centres with recruitment rates lower than 80% (centres with 95-100% rates as reference): grade IIIb-V OR= 0.61 (p = 0.081), 90-day mortality OR = 0.46 (p = 0.051).Conclusions: More than half of the anatomical lung resections in Spain are performed via VATS. According to our results, the centre's recruitment rate and its potential implications due to selection bias, should deserve further attention by the main voluntary multicentre studies of our speciality. The high representativeness as well as the reliability of the GEVATS data constitute a fundamental point of departure for this nationwide cohort. (C) 2020 SEPAR. Published by Elsevier Espana, S.L.U. All rights reserved.
PB Elsevier espana slu
SN 0300-2896
YR 2020
FD 2020-11-01
LK http://hdl.handle.net/10668/18712
UL http://hdl.handle.net/10668/18712
LA en
DS RISalud
RD Apr 18, 2025