2026-04-17T06:15:53Zhttps://recercat.cat/oai/request
oai:recercat.cat:2445/1622162025-12-04T20:39:31Zcom_2072_1057col_2072_478800col_2072_478917col_2072_478929
RECERCAT author Embun, Raul author Royo-Crespo, Iñigo author Recuero Díaz, José Luis author Bolufer, Sergio author Call Caja, Sergi author Congregado, Miguel author Gómez-de Antonio, David author Jimenez, Marcelo F. author Moreno-Mata, Nicolas author Aguinagalde, Borja author Amor-Alonso, Sergio author Arrarás, Miguel Jesús author Blanco Orozco, Ana Isabel author Boada, Marc author Cabañero Sánchez, Alberto author Cal Vázquez, Isabel author Cilleruelo Ramos, Ángel author Crowley Carrasco, Silvana author Fernández-Martín, Elena author García-Barajas, Santiago author García-Jiménez, Maria Dolores author García-Prim, Jose María author Garcia-Salcedo, Jose Alberto author Gelbenzu-Zazpe, Juan José author Giraldo-Ospina, Carlos Fernando author Gómez Hernández, María Teresa author Hernández, Jorge author Illana Wolf, Jennifer D. author Jauregui Abularach, Alberto author Jiménez, Unai author López Sanz, Iker author Martínez-Hernández, Néstor J. author Martínez-Téllez, Elisabeth author Milla Collado, Lucía author Mongil Poce, Roberto author Moradiellos-Díez, Francisco Javier author Moreno-Balsalobre, Ramón author Sanchez-Lorente, David author Obiols Fornell, Carme author Ramos Izquierdo, Ricard 2020-05-25T09:55:54Z2021-02-22T06:10:18Z2020-02-222020-05-25T09:55:54Z Introduction: our study sought to know the current implementation of video-assisted thoracoscopic surgery (VATS) for anatomical lung resections in Spain. We present our initial results and describe the auditing systems developed by the Spanish VATS Group (GEVATS). Methods: we conducted a prospective multicentre cohort study that included patients receiving anatomical lung resections between 12/20/2016 and 03/20/2018. The main quality controls consisted of determining the recruitment rate of each centre and the accuracy of the perioperative data collected based on six key variables. The implications of a low recruitment rate were analysed for '90-day mortality' and 'Grade IIIb-V complications'. Results: the series was composed of 3533 cases (1917 VATS; 54.3%) across 33 departments. The centres' median recruitment rate was 99% (25-75th:76-100%), with an overall recruitment rate of 83% and a data accuracy of 98%. We were unable to demonstrate a significant association between the recruitment rate and the risk of morbidity/mortality, but a trend was found in the unadjusted analysis for those centres with recruitment rates lower than 80% (centres with 95-100% rates as reference): grade IIIb-V OR=0.61 (p=0.081), 90-day mortality OR=0.46 (p=0.051). Conclusions: more than half of the anatomical lung resections in Spain are performed via VATS. According to our results, the centre's recruitment rate and its potential implications due to selection bias, should deserve further attention by the main voluntary multicentre studies of our speciality. The high representativeness as well as the reliability of the GEVATS data constitute a fundamental point of departure for this nationwide cohort. cc-by-nc-nd (c) Elsevier, 2020 http://creativecommons.org/licenses/by-nc-nd/3.0/es info:eu-repo/semantics/openAccess Auditoria Cirurgia toràcica Càncer de pulmó Auditing Thoracic surgery Lung cancer Spanish video-assisted thoracic surgery group: method, auditing, and initial results from a national prospective cohort of patients receiving anatomical lung resections Grupo español de cirugía torácica asistida por videoimagen: método, auditoría y resultados iniciales de una cohorte nacional prospectiva de pacientes tratados con resecciones anatómicas del pulmón info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion