Naofumi Miyahara, Kazuhito Nii, Alberto Benazzo, Akinori Iwasaki, Walter Klepetko, Konrad Hoetzenecker
{"title":"Completion Pneumonectomy for Second Primary/Primary Lung Cancer and Local Recurrence Lung Cancer.","authors":"Naofumi Miyahara, Kazuhito Nii, Alberto Benazzo, Akinori Iwasaki, Walter Klepetko, Konrad Hoetzenecker","doi":"10.1016/j.athoracsur.2021.04.063","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.04.063","url":null,"abstract":"<p><strong>Background: </strong>Completion pneumonectomy (CP) for second primary/primary lung cancer (SPLC) and local recurrence lung cancer (LRLC) is still controversial. Although several case series on such a practice exist, the oncological benefit is under debate. The purpose of this study was to review available literatures on CP for SPLC and LRLC and evaluate postoperative and long-term outcomes.</p><p><strong>Methods: </strong>MEDLINE, SCOPUS, and Web of Science were reviewed for eligible studies in January 2021. Studies were included if they indicated outcomes of patients with lung cancer undergoing CP. Overall survival (OS) was defined as the primary endpoint; secondary endpoints included operative morbidity and 30-day mortality. Random-effects meta-analysis based on a binomial distribution was used to create pooled estimates.</p><p><strong>Results: </strong>Thirty-two eligible studies including 1157 patients were identified. These studies were uniformly retrospective reports. Pooled estimates for 3-year and 5-year OS were 50.6% (95% confidence interval [CI], 34.7%-66.5%) and 38.9% (95% CI, 32.2%-46.1%) in SPLC patients. When the SPLC was a stage I tumor, pooled 5-year OS was favorable with 60.7% (95% CI, 43.2%-75.9%). In LRLC, pooled 3-year and 5-year OS were 47.6% (95% CI, 36.1%-59.4%) and 33.8% (95% CI, 26.8%-41.5%), respectively. Pooled morbidity and 30-day mortality was reported in 38.2% (95% CI, 32.0%-44.9%), and 10.0% (95% CI, 8.1%-12.3%), respectively.</p><p><strong>Conclusions: </strong>CP for SPLC and LRLC is a challenging procedure with significant perioperative morbimortality. However, published evidence indicates good long-term survival for selected patients. Further studies are needed to identify patient subgroups which benefit most from CP.</p>","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1073-1083"},"PeriodicalIF":4.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.athoracsur.2021.04.063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38972142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bridging Two Worlds: Application of Organizational Theory to Cardiac Surgery.","authors":"Sunkee Lee, Jisoo Park, Arman Kilic","doi":"10.1016/j.athoracsur.2021.01.060","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.01.060","url":null,"abstract":"<p><strong>Background: </strong>This review summarizes applications of organizational theory and management research to cardiac surgery as it relates to patient outcomes and the adoption of new technology.</p><p><strong>Methods: </strong>Included were 17 papers published in top organizational theory and management journals from 2000 to 2020 that examined the cardiac surgery care setting. Findings were classified according to 2 major outcomes of interest: patient care and new technology adoption patterns. Findings were further stratified based on whether predictors of these outcomes were individual-, team-, or organizational-level factors.</p><p><strong>Results: </strong>A growing number of studies in the organizational theory and management literature have been using the cardiovascular care setting as a research context. Applying the various theoretical lenses of organizational theory, these studies have studied how individual-, team-, and organizational-level factors influence (1) patient care outcomes, such as patient mortality rates, readmission rates, postsurgery complication rates, surgery duration, and length of stay, and (2) the adoption of new technologies or the abandonment of old technologies. Examples of these factors include task specialization, multisiting, attribution, team familiarity dispersion, distribution of failure, workload, responsibility complementarity, expertise, team learning processes, technology status, organizational missions, and organizational status.</p><p><strong>Conclusions: </strong>Well-established and studied principles from the fields of organizational theory and management research can provide unique and valuable insights into how care processes, individual attributes, systems-related factors, and the interplay between such factors affect cardiac surgical patient outcomes and clinical care. Expanding collaboration between these fields and clinicians in cardiac surgery seems prudent.</p>","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1055-1063"},"PeriodicalIF":4.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.athoracsur.2021.01.060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25384942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maximum Standardized Uptake Value: An Additional Feature for Stratifying Early-Stage Lung Cancer Patients.","authors":"Alisa N Blumenthaler, Mara B Antonoff","doi":"10.1016/j.athoracsur.2021.09.019","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.09.019","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1096-1097"},"PeriodicalIF":4.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39540639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Composite Total Arterial Revascularization Techniques Comparing the Second Internal Mammary Artery and Radial Artery.","authors":"Alistair G Royse, Colin F Royse, Hugh S Paterson","doi":"10.1016/j.athoracsur.2021.08.043","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.08.043","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1088-1089"},"PeriodicalIF":4.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39466200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Syed M Ali Hassan, Sarah Paleczny, Gianluigi Bisleri
{"title":"Sutureless Valves in Diseased Aortic Root and Aneurysm.","authors":"Syed M Ali Hassan, Sarah Paleczny, Gianluigi Bisleri","doi":"10.1016/j.athoracsur.2021.09.029","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.09.029","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1093-1094"},"PeriodicalIF":4.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39540603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lymph Node Dissection and Adjuvant Chemotherapy for Early Lung Cancer.","authors":"Rong Li, Ruiyang Suo, Jia Zhang","doi":"10.1016/j.athoracsur.2021.07.089","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.07.089","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1095-1096"},"PeriodicalIF":4.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.athoracsur.2021.07.089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39377931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extension of Dissection in Acute Type A Aortic Dissection.","authors":"Dusko Nezic","doi":"10.1016/j.athoracsur.2021.09.011","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.09.011","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1085"},"PeriodicalIF":4.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39510619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blood Can Be a Lifeline for Prolonged Air Leak.","authors":"Michael Lanuti","doi":"10.1016/j.athoracsur.2021.06.056","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.06.056","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1071-1072"},"PeriodicalIF":4.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.athoracsur.2021.06.056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39226878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}