Failure to rescue in the era of the lung allocation score: The impact of center volume.

Journal Article (Multicenter Study;Journal Article)

BACKGROUND:Failure to Rescue (FTR) is a valuable surgical quality improvement metric. The aim of this study is to assess the relationship between center volume and FTR following lung transplantation. METHODS:Using the database of the United Network for Organ Sharing (UNOS) all adult, primary, isolated lung recipients in the United States between May 2005 and March 2016 were identified. FTR was defined as operative mortality after any of five specific complications. FTR was compared across terciles of transplantation centers stratified based on operative volume. RESULTS:17,185 lung recipients met study criteria. The composite FTR rate (Death following at least one complication) was 20.7%. Following stratification by volume, FTR rates increased from high to middle tercile centers (19.3% vs. 23.0%). Multivariate logistic regression models suggested an independent relationship between higher center volume and lower FTR rates (p < 0.001). CONCLUSION:Higher volume lung transplantation centers have lower rates of failure to rescue.

Full Text

Duke Authors

Cited Authors

  • Osho, AA; Bishawi, MM; Heng, EE; Orubu, E; Amardey-Wellington, A; Villavicencio, MA; Funamoto, M

Published Date

  • September 2020

Published In

Volume / Issue

  • 220 / 3

Start / End Page

  • 793 - 799

PubMed ID

  • 31982094

Electronic International Standard Serial Number (EISSN)

  • 1879-1883

International Standard Serial Number (ISSN)

  • 0002-9610

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2020.01.020


  • eng