Current Practices for Cohort Reporting and Statistical Adjustment in Studies From The Society of Thoracic Surgeons Adult Cardiac Surgery Database.

IF 3.6 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Thoracic Surgery Pub Date : 2025-03-04 DOI:10.1016/j.athoracsur.2025.02.011

Polina Mantaj, Irbaz Hameed, Aina Hirofuji, Michele Dell'Aquila, Mohamed Rahouma, Shadi Abdalla, Moira Kennedy, Alexander Gregg, Camilla S Rossi, Giovanni Soletti, Giorgia Falco, Mary Charlson, Sigrid Sandner, Thomas A Schwann, Mario Gaudino

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引用次数: 0

Abstract

Background: Current reporting and statistical adjustment practices of studies based on The Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS ACSD) have not been described.

Methods: A review identified all published studies based on STS ACSD data from January 2016 to May 2024. Data were extracted by 2 authors and independently checked by the senior author.

Results: A total of 134 studies were included. There were 46 (34.3%) studies on coronary artery bypass grafting, 22 (16.4%) on mitral valve surgery, 16 (11.9%) on aortic surgery, 14 (10.4%) on surgical aortic valve replacement, 3 (2.2%) on tricuspid valve surgery, 18 (13.4%) on combined procedures, and 15 (11.2%) on other interventions; 59 (44.0%) studies used the Participant User File (PUF) program, with a significant increase over time (P_trend = .005). Of the 1239 variables available in the STS ACSD (version 4.20.2), 136 (11.0%; median, 21 variables per study; interquartile range [IQR], 16-25) were used to describe the baseline characteristics of the patients and 191 (15.4%; median, 22 variables per study; IQR, 17-33) for statistical adjustment; 121 studies (90.3%) performed statistical adjustment, with multivariable regression used in most (80 [66.1%]). PUF manuscripts had significantly more junior first authors (20.3% vs 1.3%; P = .001) and were published in higher impact journals (median impact factor, 4.90 [IQR, 3.70-9.15] vs 3.90 [IQR, 3.60-4.70]; P = .002) compared with non-PUF manuscripts.

Conclusions: Our analysis provides data that may inform efforts to standardize reporting and analytic practices in studies based on the STS ACSD.

查看原文本刊更多论文

STS成人心脏外科数据库中队列报告和统计调整的当前实践。

背景：目前基于胸外科学会成人心脏外科数据库（STS ACSD）的研究报告和统计调整实践尚未被描述。方法：对2016年1月至2024年3月期间发表的所有基于STS ACSD数据的研究进行综述。数据由两位作者提取，并由资深作者独立检查。结果：共纳入134项研究。冠状动脉搭桥术46例（34.3%），二尖瓣手术22例（16.4%），主动脉手术16例（11.9%），主动脉瓣置换术14例（10.4%），三尖瓣手术3例（2.2%），联合手术18例（13.4%），其他手术15例（11.2%）。49项（44.0%）研究使用了参与者用户文件（PUF）程序，随着时间的推移显著增加（p趋势= 0.005）。在STS ACSD（4.20.2版）中可用的1239个变量中，136个（11.0%）（每项研究中位21个变量，四分位数范围16-25）用于描述基线患者特征人群，191个（15.4%）（每项研究中位22个变量，四分位数范围17 - 33）用于统计调整；121项研究（90.3%）进行了统计校正，其中大多数（80项，66.1%）采用了多变量回归。PUF论文的初级第一作者明显更多（20.3%比1.3%,p=0.001），发表在高影响力期刊上(中位影响因子4.90 [IQR 3.70-9.15]比3.90 [IQR 3.60-4.70]；p=0.002)与非puf手稿相比。结论：我们的分析提供的数据可以为基于STS ACSD的研究报告和分析实践标准化提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Thoracic Surgery 医学-呼吸系统

CiteScore

6.40

自引率

13.00%

发文量

1235

审稿时长

42 days

期刊介绍： The mission of The Annals of Thoracic Surgery is to promote scholarship in cardiothoracic surgery patient care, clinical practice, research, education, and policy. As the official journal of two of the largest American associations in its specialty, this leading monthly enjoys outstanding editorial leadership and maintains rigorous selection standards. The Annals of Thoracic Surgery features: • Full-length original articles on clinical advances, current surgical methods, and controversial topics and techniques • New Technology articles • Case reports • "How-to-do-it" features • Reviews of current literature • Supplements on symposia • Commentary pieces and correspondence • CME • Online-only case reports, "how-to-do-its", and images in cardiothoracic surgery. An authoritative, clinically oriented, comprehensive resource, The Annals of Thoracic Surgery is committed to providing a place for all thoracic surgeons to relate experiences which will help improve patient care.