Trends in Lung Surgery

Trends in Lung SurgeryOver the last century, the surgical resection of lung tissue has remained an invaluable intervention in the treatment of pulmonary malignancies, traumatic lung injury, and a variety of infectious pulmonary diseases. A number of factors, such as technical innovations and a dynamic patient population, have subjected the field of thoracic surgery to constant evolution. Knowledge of these temporal changes, especially as they are related to acute care hospitalization, is crucial to health-care providers and administrators in order to appropriately construct health-care policies in addressing the changing needs of and financial burdens on the health-care system.
Reports on the temporal evolution of lung resection are rare, limited by small patient numbers, reflect selected populations (usually, single academic centers), and include patients with only specific indications and/or procedure types for lung resection (eg, segmentectomy, lobectomy, or pneumonectomy).
In this study, we analyzed nationally representative data, collected for the National Hospital Discharge Survey (NHDS) from 1988 to 2002, to elucidate temporal changes in the demographics of segmentectomies, lobectomies, and pneumonectomies for all indications. We also examined changes in in-hospital mortality and complication frequencies during the 15-year study period.
The NHDS public access database was acquired from the Centers for Disease Control and Prevention (Atlanta, GA). The plan and operation of the NHDS has been published in detail previously. In brief, the NHDS includes medical information collected annually since 1965 by the National Center for Health Statistics in order to compile nationally representative data on inpatient utilization of short-stay hospitals. The hospital universe includes Medicare-participating, noninstitutional hospitals of various sizes, exclusive of military, Veterans Affairs, and federal facilities in the 50 states of the United States and the District of Columbia. Hospitals included in the survey are required to have an average length of stay of < 30 days to be considered a short-stay facility, or to be a general medical or surgical hospital, regardless of length of stay. Facilities are also required to have at least six beds for patient use. Periodic updates of the hospital universe are performed to account for changes.

This entry was posted in Lung injury and tagged epidemiology, lung, surgery.