Original articleGeneral thoracicVariation in Pulmonary Resection Practices Between The Society of Thoracic Surgeons and the European Society of Thoracic Surgeons General Thoracic Surgery Databases
Section snippets
STS and ESTS Databases
Participating institutions voluntarily contribute unselected data to the STS-GTSD. The STS-GTSD is a highly accurate, complete, and externally audited database that has been shown to have an overall accuracy of nearly 95% [8]. Detailed examination of unreported data has demonstrated no purposeful omission or gaming of data. Twice-yearly reports are returned to the institutions comparing their outcomes with other database participants to be used for quality improvement purposes. Details of the
Results
During the study period, 78,212 patients underwent pulmonary resection and were captured in the STS (n = 47,539) or ESTS databases (n = 30,673). More patients in the STS database underwent video-assisted thoracoscopic surgery (VATS) compared with those in the ESTS database (62.5% versus 21.8%; p < 0.001) (Table 1). Additionally, more patients in the STS database underwent sublobar resection compared with those in the ESTS database (43.3% versus 31.1%; p < 0.001). This included 39.4% wedge
Comment
A thoracic surgeon’s clinical decision making is multifactorial. It is influenced by patient characteristics and disease processes, as well as cultural, political, financial, and personal biases. This leads to variations in clinical practice, which may translate into variations in patient outcomes. Such variation is reflected in the current comparison of pulmonary resection practices between the STS and ESTS databases.
The 2:1 ratio of male patients to female patients who underwent pulmonary
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