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Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants.

Publication ,  Journal Article
Clark, JM; Kozower, BD; Kosinski, AS; Chang, A; Broderick, SR; David, EA; Block, M; Schipper, PH; Welsh, RJ; Seder, CW; Farjah, F; Brown, LM
Published in: Ann Thorac Surg
June 2021

BACKGROUND: Current smokers undergoing lobectomy are at greater risk of complications than are former smokers. The Society of Thoracic Surgeons (STS) composite score for rating program performance for lobectomy adjusts for smoking status, a modifiable risk factor. This study examined variability in the proportion of current smokers undergoing lobectomy among STS database participants. Additionally, the study determined whether each participant's rating changed if smoking was excluded from the risk adjustment model. METHODS: This is a retrospective analysis of the STS cohort used to develop the composite score for rating program performance for lobectomy. The study summarized the variability among STS database participants for performing lobectomy on current smokers and compared star ratings developed from models with and without smoking status. RESULTS: There were 24,912 patients with smoking status data: 23% current smokers, 62% former smokers, and 15% never smokers. There was significant variability among participants in the proportion of current smokers undergoing lobectomy (3% to 48.6%; P < .001). Major morbidity or mortality (composite) was greater in current smokers (12.1%) than in former smokers (8.6%) and never smokers (4.2%) (P < .001). Using the current risk adjustment model, participant star ratings were as follows: 1 star, n = 6 (3.2%); 2 stars, n = 170 (91.4%); and 3 stars, n = 10 (5.4%). When smoking status was excluded from the model, 1 participant shifted from a 2-star to a 3-star program. CONCLUSIONS: There is substantial variability among STS database participants with regard to the proportion of current smokers undergoing lobectomy. However, exclusion of smoking status from the model did not significantly affect participant star rating.

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Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

June 2021

Volume

111

Issue

6

Start / End Page

1842 / 1848

Location

Netherlands

Related Subject Headings

  • Thoracic Surgery
  • Societies, Medical
  • Smoking
  • Risk Adjustment
  • Retrospective Studies
  • Respiratory System
  • Pneumonectomy
  • Middle Aged
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Clark, J. M., Kozower, B. D., Kosinski, A. S., Chang, A., Broderick, S. R., David, E. A., … Brown, L. M. (2021). Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants. Ann Thorac Surg, 111(6), 1842–1848. https://doi.org/10.1016/j.athoracsur.2020.07.042
Clark, James M., Benjamin D. Kozower, Andrzej S. Kosinski, Andrew Chang, Stephen R. Broderick, Elizabeth A. David, Mark Block, et al. “Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants.Ann Thorac Surg 111, no. 6 (June 2021): 1842–48. https://doi.org/10.1016/j.athoracsur.2020.07.042.
Clark JM, Kozower BD, Kosinski AS, Chang A, Broderick SR, David EA, et al. Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants. Ann Thorac Surg. 2021 Jun;111(6):1842–8.
Clark, James M., et al. “Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants.Ann Thorac Surg, vol. 111, no. 6, June 2021, pp. 1842–48. Pubmed, doi:10.1016/j.athoracsur.2020.07.042.
Clark JM, Kozower BD, Kosinski AS, Chang A, Broderick SR, David EA, Block M, Schipper PH, Welsh RJ, Seder CW, Farjah F, Brown LM. Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants. Ann Thorac Surg. 2021 Jun;111(6):1842–1848.
Journal cover image

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

June 2021

Volume

111

Issue

6

Start / End Page

1842 / 1848

Location

Netherlands

Related Subject Headings

  • Thoracic Surgery
  • Societies, Medical
  • Smoking
  • Risk Adjustment
  • Retrospective Studies
  • Respiratory System
  • Pneumonectomy
  • Middle Aged
  • Male
  • Humans