Trends in lung surgery

United States 1988 to 2002

Stavros G. Memtsoudis, Melanie C. Besculides, Lambros Zellos, Namrata Patil, Selwyn O. Rogers

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Background: Reports on the temporal evolution in lung resection are limited. To elucidate temporal changes in the demographics of lung resections, we analyzed nationally representative data that were collected for the National Hospital Discharge Survey from 1988 to 2002. Methods: Data collected between 1988 and 2002 were analyzed. Patients with International Classification of Diseases, ninth revision, clinical modification, procedure codes for lung resection were included in the sample. Three 5-year time periods were created (1988 to 1992,1993 to 1997, and 1998 to 2002) to simplify the temporal analysis. Changes in the prevalence of procedures, age, gender, race, length of care, mortality, disposition status, and distribution by hospital size were evaluated. Trends in procedure-related complications were analyzed. Results: Between 1988 and 2002, a total of 512,758 lung resections were performed. Comparing the earliest to the most recent time period, we found increases in the average age (61.1 years [range, 1 to 89 years] vs 63.2 years [range, 1 to 91 years], respectively), in the proportion of patients who were female (40.1% vs 49.6%, respectively), and in the proportion of Medicare/Medicaid patients (43.8% vs 49%/4.7% vs 6.7%, respectively). Decreases in the average length of stay (12.9 days [range, 1 to 358 days] vs 9.1 days [range, 1 to 175 days], respectively) and in the proportion of patients discharged to their primary residence (86% vs 79.5%, respectively) were seen. The proportion of patients who had undergone lobectomies compared to other types of lung resection increased. Mortality rates were 5% vs 5.4%, respectively, while the frequency of complications decreased. Conclusion: We identified temporal changes in lung resection surgery that may help in the construction of health-care policies to address the changing needs of and financial burdens on the health-care system.

Original languageEnglish (US)
Pages (from-to)1462-1470
Number of pages9
JournalChest
Volume130
Issue number5
DOIs
StatePublished - Nov 2006
Externally publishedYes

Fingerprint

Lung
Health Facility Size
Health Care Surveys
Delivery of Health Care
Mortality
Medicaid
International Classification of Diseases
Medicare
Health Policy
Length of Stay
Demography

Keywords

  • Epidemiology
  • Lung
  • Surgery

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Memtsoudis, S. G., Besculides, M. C., Zellos, L., Patil, N., & Rogers, S. O. (2006). Trends in lung surgery: United States 1988 to 2002. Chest, 130(5), 1462-1470. https://doi.org/10.1378/chest.130.5.1462

Trends in lung surgery : United States 1988 to 2002. / Memtsoudis, Stavros G.; Besculides, Melanie C.; Zellos, Lambros; Patil, Namrata; Rogers, Selwyn O.

In: Chest, Vol. 130, No. 5, 11.2006, p. 1462-1470.

Research output: Contribution to journalArticle

Memtsoudis, SG, Besculides, MC, Zellos, L, Patil, N & Rogers, SO 2006, 'Trends in lung surgery: United States 1988 to 2002', Chest, vol. 130, no. 5, pp. 1462-1470. https://doi.org/10.1378/chest.130.5.1462
Memtsoudis SG, Besculides MC, Zellos L, Patil N, Rogers SO. Trends in lung surgery: United States 1988 to 2002. Chest. 2006 Nov;130(5):1462-1470. https://doi.org/10.1378/chest.130.5.1462
Memtsoudis, Stavros G. ; Besculides, Melanie C. ; Zellos, Lambros ; Patil, Namrata ; Rogers, Selwyn O. / Trends in lung surgery : United States 1988 to 2002. In: Chest. 2006 ; Vol. 130, No. 5. pp. 1462-1470.
@article{503db71ead9349cab8cc991e96a03334,
title = "Trends in lung surgery: United States 1988 to 2002",
abstract = "Background: Reports on the temporal evolution in lung resection are limited. To elucidate temporal changes in the demographics of lung resections, we analyzed nationally representative data that were collected for the National Hospital Discharge Survey from 1988 to 2002. Methods: Data collected between 1988 and 2002 were analyzed. Patients with International Classification of Diseases, ninth revision, clinical modification, procedure codes for lung resection were included in the sample. Three 5-year time periods were created (1988 to 1992,1993 to 1997, and 1998 to 2002) to simplify the temporal analysis. Changes in the prevalence of procedures, age, gender, race, length of care, mortality, disposition status, and distribution by hospital size were evaluated. Trends in procedure-related complications were analyzed. Results: Between 1988 and 2002, a total of 512,758 lung resections were performed. Comparing the earliest to the most recent time period, we found increases in the average age (61.1 years [range, 1 to 89 years] vs 63.2 years [range, 1 to 91 years], respectively), in the proportion of patients who were female (40.1{\%} vs 49.6{\%}, respectively), and in the proportion of Medicare/Medicaid patients (43.8{\%} vs 49{\%}/4.7{\%} vs 6.7{\%}, respectively). Decreases in the average length of stay (12.9 days [range, 1 to 358 days] vs 9.1 days [range, 1 to 175 days], respectively) and in the proportion of patients discharged to their primary residence (86{\%} vs 79.5{\%}, respectively) were seen. The proportion of patients who had undergone lobectomies compared to other types of lung resection increased. Mortality rates were 5{\%} vs 5.4{\%}, respectively, while the frequency of complications decreased. Conclusion: We identified temporal changes in lung resection surgery that may help in the construction of health-care policies to address the changing needs of and financial burdens on the health-care system.",
keywords = "Epidemiology, Lung, Surgery",
author = "Memtsoudis, {Stavros G.} and Besculides, {Melanie C.} and Lambros Zellos and Namrata Patil and Rogers, {Selwyn O.}",
year = "2006",
month = "11",
doi = "10.1378/chest.130.5.1462",
language = "English (US)",
volume = "130",
pages = "1462--1470",
journal = "Chest",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "5",

}

TY - JOUR

T1 - Trends in lung surgery

T2 - United States 1988 to 2002

AU - Memtsoudis, Stavros G.

AU - Besculides, Melanie C.

AU - Zellos, Lambros

AU - Patil, Namrata

AU - Rogers, Selwyn O.

PY - 2006/11

Y1 - 2006/11

N2 - Background: Reports on the temporal evolution in lung resection are limited. To elucidate temporal changes in the demographics of lung resections, we analyzed nationally representative data that were collected for the National Hospital Discharge Survey from 1988 to 2002. Methods: Data collected between 1988 and 2002 were analyzed. Patients with International Classification of Diseases, ninth revision, clinical modification, procedure codes for lung resection were included in the sample. Three 5-year time periods were created (1988 to 1992,1993 to 1997, and 1998 to 2002) to simplify the temporal analysis. Changes in the prevalence of procedures, age, gender, race, length of care, mortality, disposition status, and distribution by hospital size were evaluated. Trends in procedure-related complications were analyzed. Results: Between 1988 and 2002, a total of 512,758 lung resections were performed. Comparing the earliest to the most recent time period, we found increases in the average age (61.1 years [range, 1 to 89 years] vs 63.2 years [range, 1 to 91 years], respectively), in the proportion of patients who were female (40.1% vs 49.6%, respectively), and in the proportion of Medicare/Medicaid patients (43.8% vs 49%/4.7% vs 6.7%, respectively). Decreases in the average length of stay (12.9 days [range, 1 to 358 days] vs 9.1 days [range, 1 to 175 days], respectively) and in the proportion of patients discharged to their primary residence (86% vs 79.5%, respectively) were seen. The proportion of patients who had undergone lobectomies compared to other types of lung resection increased. Mortality rates were 5% vs 5.4%, respectively, while the frequency of complications decreased. Conclusion: We identified temporal changes in lung resection surgery that may help in the construction of health-care policies to address the changing needs of and financial burdens on the health-care system.

AB - Background: Reports on the temporal evolution in lung resection are limited. To elucidate temporal changes in the demographics of lung resections, we analyzed nationally representative data that were collected for the National Hospital Discharge Survey from 1988 to 2002. Methods: Data collected between 1988 and 2002 were analyzed. Patients with International Classification of Diseases, ninth revision, clinical modification, procedure codes for lung resection were included in the sample. Three 5-year time periods were created (1988 to 1992,1993 to 1997, and 1998 to 2002) to simplify the temporal analysis. Changes in the prevalence of procedures, age, gender, race, length of care, mortality, disposition status, and distribution by hospital size were evaluated. Trends in procedure-related complications were analyzed. Results: Between 1988 and 2002, a total of 512,758 lung resections were performed. Comparing the earliest to the most recent time period, we found increases in the average age (61.1 years [range, 1 to 89 years] vs 63.2 years [range, 1 to 91 years], respectively), in the proportion of patients who were female (40.1% vs 49.6%, respectively), and in the proportion of Medicare/Medicaid patients (43.8% vs 49%/4.7% vs 6.7%, respectively). Decreases in the average length of stay (12.9 days [range, 1 to 358 days] vs 9.1 days [range, 1 to 175 days], respectively) and in the proportion of patients discharged to their primary residence (86% vs 79.5%, respectively) were seen. The proportion of patients who had undergone lobectomies compared to other types of lung resection increased. Mortality rates were 5% vs 5.4%, respectively, while the frequency of complications decreased. Conclusion: We identified temporal changes in lung resection surgery that may help in the construction of health-care policies to address the changing needs of and financial burdens on the health-care system.

KW - Epidemiology

KW - Lung

KW - Surgery

UR - http://www.scopus.com/inward/record.url?scp=33751244844&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33751244844&partnerID=8YFLogxK

U2 - 10.1378/chest.130.5.1462

DO - 10.1378/chest.130.5.1462

M3 - Article

VL - 130

SP - 1462

EP - 1470

JO - Chest

JF - Chest

SN - 0012-3692

IS - 5

ER -