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Outcomes after Video-assisted Thoracoscopic Lobectomy versus Open Lobectomy for Early-Stage Lung Cancer in Older Adults.


ABSTRACT: RATIONALE:Video-assisted thoracoscopic surgery (VATS) and open lobectomy are both standard of care for the treatment of early-stage non-small cell lung cancer (NSCLC) because of equivalent long-term survival. OBJECTIVES:To evaluate whether the improved perioperative outcomes associated with VATS lobectomy are explained by surgeon characteristics, including case volume and specialty training. METHODS:We analyzed the Surveillance, Epidemiology, and End Results-Medicare-linked registry to identify stage I-II NSCLC in patients above 65 years of age. We used a propensity score model to adjust for differences in patient characteristics undergoing VATS versus open lobectomy. Perioperative complications, extended length of stay, and perioperative mortality among patients were compared after adjustment for surgeon's volume and specialty using linear mixed models. We compared survival using a Cox model with robust standard errors. RESULTS:We identified 9,508 patients in the registry who underwent lobectomy for early-stage NSCLC. VATS lobectomies were more commonly performed by high-volume surgeons (P?

SUBMITTER: Ezer N 

PROVIDER: S-EPMC5946684 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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Outcomes after Video-assisted Thoracoscopic Lobectomy versus Open Lobectomy for Early-Stage Lung Cancer in Older Adults.

Ezer Nicole N   Kale Minal M   Sigel Keith K   Lakha Sameer S   Mhango Grace G   Goodman Emily E   Nicastri Daniel D   Swanson Scott S   Neugut Alfred A   Wisnivesky Juan P JP  

Annals of the American Thoracic Society 20180101 1


<h4>Rationale</h4>Video-assisted thoracoscopic surgery (VATS) and open lobectomy are both standard of care for the treatment of early-stage non-small cell lung cancer (NSCLC) because of equivalent long-term survival.<h4>Objectives</h4>To evaluate whether the improved perioperative outcomes associated with VATS lobectomy are explained by surgeon characteristics, including case volume and specialty training.<h4>Methods</h4>We analyzed the Surveillance, Epidemiology, and End Results-Medicare-linked  ...[more]

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