Annals of Thoracic Surgery最新文献

筛选
英文 中文
Tailoring BITA Configuration Strategies in Coronary Artery Bypass Grafting 在 CABG 中定制 BITA 配置策略。
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.10.017
David Glineur MD, PhD, Sigrid Sandner MD, MS
{"title":"Tailoring BITA Configuration Strategies in Coronary Artery Bypass Grafting","authors":"David Glineur MD, PhD, Sigrid Sandner MD, MS","doi":"10.1016/j.athoracsur.2024.10.017","DOIUrl":"10.1016/j.athoracsur.2024.10.017","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 360-361"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intersection of Race, Rurality, and Income in Defining Access to Minimally Invasive Lung Surgery 种族、乡村和收入在确定微创肺部手术可及性方面的交集。
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.03.040
J.W. Awori Hayanga MD , Xun Luo MD , Islam Hasasna MS , Paul Rothenberg MD , Shalini Reddy MD , J. Hunter Mehaffey MD , Jason Lamb MD , Vinay Badhwar MD , Alper Toker MD
{"title":"Intersection of Race, Rurality, and Income in Defining Access to Minimally Invasive Lung Surgery","authors":"J.W. Awori Hayanga MD ,&nbsp;Xun Luo MD ,&nbsp;Islam Hasasna MS ,&nbsp;Paul Rothenberg MD ,&nbsp;Shalini Reddy MD ,&nbsp;J. Hunter Mehaffey MD ,&nbsp;Jason Lamb MD ,&nbsp;Vinay Badhwar MD ,&nbsp;Alper Toker MD","doi":"10.1016/j.athoracsur.2024.03.040","DOIUrl":"10.1016/j.athoracsur.2024.03.040","url":null,"abstract":"<div><h3>Background</h3><div>Race is a potent influencer of health care access. Geography and income may exert equal or greater influence on patient outcomes. We sought to define the intersection of race, rurality, and income and their influence on access to minimally invasive lung surgery in Medicare beneficiaries.</div></div><div><h3>Methods</h3><div>Centers for Medicare and Medicaid Services data were used to evaluate patients with lung cancer who underwent right upper lobectomy<span><span>, by open, robotic-assisted thoracic surgery (RATS), or video-assisted thoracic surgery (VATS) between 2018 and 2020. </span>International Classification of Diseases<span><span>, 10th Edition, was used to define diagnoses and procedures. We excluded sublobar, segmental, wedge, bronchoplasty, or reoperative patients with nonmalignant or </span>metastatic disease<span><span> or a history of neoadjuvant chemotherapy. Risk adjustment was performed using inverse probability of treatment weighting (IPTW) propensity scores with generalized linear models and Cox </span>proportional hazards models.</span></span></span></div></div><div><h3>Results</h3><div>The cohort comprised 13,404 patients, 4291 open (32.1%), 4317 RATS (32.2%), and 4796 VATS (35.8%). Black/urban patients had significantly higher RATS and VATS rates (<em>P</em> &lt; .001), longer long-term survival (<em>P</em> = .007), fewer open resections (<em>P</em> &lt; .001), and lower overall mortality (<em>P</em> = .007). Low-income Black/urban patients had higher RATS (<em>P</em> = .002), VATS (<em>P</em> &lt; .001), longer long-term survival (<em>P</em> = .005), fewer open resections (<em>P</em> &lt; .001), and lower overall mortality compared with rural White patients (<em>P</em> = .005).</div></div><div><h3>Conclusions</h3><div>Rural White populations living close to the federal poverty line may suffer a burden of disparity traditionally observed among poor Black people. This suggests a need for health policies that extend services to impoverished, rural areas to mitigate social determinants of health.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 325-332"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concomitant Surgical Ablation in Paroxysmal vs Persistent Atrial Fibrillation During Mitral Surgery 二尖瓣手术期间阵发性心房颤动与持续性心房颤动的同期手术消融。
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.06.020
Ali Darehzereshki MD , J. Hunter Mehaffey MD MSc , J.W. Awori Hayanga MD, MPH , Dhaval Chauhan MD , Christopher Mascio MD , J. Scott Rankin MD , Lawrence Wei MD , Vinay Badhwar MD
{"title":"Concomitant Surgical Ablation in Paroxysmal vs Persistent Atrial Fibrillation During Mitral Surgery","authors":"Ali Darehzereshki MD ,&nbsp;J. Hunter Mehaffey MD MSc ,&nbsp;J.W. Awori Hayanga MD, MPH ,&nbsp;Dhaval Chauhan MD ,&nbsp;Christopher Mascio MD ,&nbsp;J. Scott Rankin MD ,&nbsp;Lawrence Wei MD ,&nbsp;Vinay Badhwar MD","doi":"10.1016/j.athoracsur.2024.06.020","DOIUrl":"10.1016/j.athoracsur.2024.06.020","url":null,"abstract":"<div><h3>Background</h3><div>Despite prospective randomized evidence supporting concomitant treatment of atrial fibrillation (AF) during mitral valve (MV) surgery, variation in surgical management of AF remains. We assessed longitudinal outcomes after surgical treatment of persistent or paroxysmal AF during MV surgery in Medicare beneficiaries.</div></div><div><h3>Methods</h3><div>All Medicare beneficiaries with a diagnosis of AF undergoing MV surgery (2018-2020) were evaluated. Patients were stratified by no AF treatment, left atrial appendage obliteration (LAAO) alone, or surgical ablation and LAAO (SA+LAAO). Doubly robust risk adjustment and subgroup analysis by persistent or paroxysmal AF were performed.</div></div><div><h3>Results</h3><div>A total of 7517 patients with preoperative AF underwent MV surgery (32.1% no AF treatment, 23.1% LAAO alone, 44.7% SA+LAAO). After doubly robust risk adjustment, AF treatment with SA+LAAO or LAAO alone were associated with lower 3-year readmission for stroke or bleeding. However, SA+LAAO was associated with reduced 3-year mortality and readmission for AF or heart failure compared with no AF treatment or LAAO alone. Compared with no AF treatment or LAAO alone, SA+LAAO was associated with lower composite end point of stroke (hazard ratio, 0.75) or death (hazard ratio, 0.83) at 3 years. Subgroup analysis identified similar longitudinal benefits of SA+LAAO in patients with persistent or paroxysmal AF.</div></div><div><h3>Conclusions</h3><div>In Medicare beneficiaries with AF undergoing MV surgery, SA+LAAO was associated with improved longitudinal outcomes compared with LAAO alone or no AF treatment in patients with paroxysmal or persistent AF. These contemporary real-world data further clarify the benefit of SA+LAAO during MV surgery across all types of AF.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 389-397"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term Outcome After Repair of Transposition of the Great Arteries With Aortic Arch Obstruction 大动脉转位伴主动脉弓阻塞修复术后的长期效果。
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.07.009
Kei Kobayashi MD, PhD , Luciana Da Fonseca Da Silva MD , Bari Murtuza MD , Mario Castro-Medina MD , Melita Viegas MD , Jose Da Silva MD , Carlos E. Diaz Castrillon MD , Victor Morell MD
{"title":"Long-term Outcome After Repair of Transposition of the Great Arteries With Aortic Arch Obstruction","authors":"Kei Kobayashi MD, PhD ,&nbsp;Luciana Da Fonseca Da Silva MD ,&nbsp;Bari Murtuza MD ,&nbsp;Mario Castro-Medina MD ,&nbsp;Melita Viegas MD ,&nbsp;Jose Da Silva MD ,&nbsp;Carlos E. Diaz Castrillon MD ,&nbsp;Victor Morell MD","doi":"10.1016/j.athoracsur.2024.07.009","DOIUrl":"10.1016/j.athoracsur.2024.07.009","url":null,"abstract":"<div><h3>Background</h3><div>This study compares the long-term outcomes of patients after repair of transposition of the great arteries (TGA) with and without aortic arch obstruction (AAO).</div></div><div><h3>Methods</h3><div>This is a single-institution, retrospective study between October 2004 and February 2023. Patients who underwent arterial switch operation and aortic arch repair (ASO-AAR group) with patch augmentation were compared with those without AAO (ASO group). The primary end point was survival; freedom from reintervention was a secondary end point.</div></div><div><h3>Results</h3><div>We identified 176 patients, 31 in the ASO-AAR group and 145 in the ASO group. The median follow-up period was 10.3 years. There were no differences between the ASO-AAR group and the ASO group in early deaths (3.2% vs 0.7%) and late deaths (3.2% vs 2.8%), or 15-year survival rates (92.6% vs 96.2%). Surgical and catheter-based reinterventions were higher in the ASO-AAR group, involving the pulmonary arteries (41.9% vs 4.8%, <em>P</em> &lt; .001), aortic arch (16.1% vs 0.7%, <em>P</em> &lt; .001), and residual ventricular septal defects (11.4% vs 0%, <em>P</em> = .05). The ASO-AAR group showed a higher prevalence of double-outlet right ventricle TGA-type (61.3% vs 4.1%, <em>P</em> &lt; .001) and a lower aortopulmonary index (0.67 vs 1.01, <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Patients undergoing surgical repair of TGA and AAO achieved excellent survival rates, comparable to patients with simple transposition. A higher rate of surgical and catheter-based reinterventions was observed in patients with arch obstruction and/or a low aortopulmonary index. AAR with patch augmentation proved to be an effective surgical technique with a low incidence of aortic reinterventions.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 406-412"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic Valve Neocuspidization: An Additional Asset in the Lifetime Management of Aortic Valve Diseases 主动脉瓣新瓣膜化:主动脉瓣疾病终生管理的额外资产
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.09.045
Andrea Amabile MD, Markus Krane MD, Danny Chu MD
{"title":"Aortic Valve Neocuspidization: An Additional Asset in the Lifetime Management of Aortic Valve Diseases","authors":"Andrea Amabile MD,&nbsp;Markus Krane MD,&nbsp;Danny Chu MD","doi":"10.1016/j.athoracsur.2024.09.045","DOIUrl":"10.1016/j.athoracsur.2024.09.045","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 491-492"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rerepair for Mitral Insufficiency 重新修复二尖瓣关闭不全。
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.05.022
Akhil Rao BA , Emily Shih MD , Wilson Szeto MD , Pavan Atluri MD , Michael Acker MD , Walter Clark Hargrove MD , Lee Hafen MD , Robert Smith MD , Michael Ibrahim MD, PhD
{"title":"Rerepair for Mitral Insufficiency","authors":"Akhil Rao BA ,&nbsp;Emily Shih MD ,&nbsp;Wilson Szeto MD ,&nbsp;Pavan Atluri MD ,&nbsp;Michael Acker MD ,&nbsp;Walter Clark Hargrove MD ,&nbsp;Lee Hafen MD ,&nbsp;Robert Smith MD ,&nbsp;Michael Ibrahim MD, PhD","doi":"10.1016/j.athoracsur.2024.05.022","DOIUrl":"10.1016/j.athoracsur.2024.05.022","url":null,"abstract":"<div><h3>Background</h3><div>Mitral valve repair provides superior outcomes to replacement for primary mitral regurgitation. Whether this is true after previous repair is unknown. This study presents the results of a strategy of rerepair for failed mitral valve repair. The study examined patients who were brought to the operating room for an intended mitral valve rerepair.</div></div><div><h3>Methods</h3><div>Study investigators reviewed the last decade of institutional mitral valve databases at The University of Pennsylvania (Philadelphia, PA) and Baylor Scott &amp; White The Heart Hospital - Plano (Plano, TX) and identified patients who underwent repeat mitral valve repair, in whom the index operation was mitral valve repair. The study analyzed their operative details and the clinical and echocardiographic outcomes.</div></div><div><h3>Results</h3><div>Between 2008 and 2021, 71 patients (aged 61.5 ±10.7 years; 20% female) underwent mitral valve reoperation at an mean of 6.24 ± 7.62 years after an index mitral repair. A total of 20% of patients presented with New York Heart Association functional class III or IV symptoms. At the index operation, 34 patients (47.9%) had repair through a right minithoracotomy. Fifteen patients (21.1%) required the reoperation within 1 year. There were 0 early and 8 late deaths. One patient who underwent mitral replacement instead of repair required reoperation for paravalvular leak during the follow-up period. Three patients required mitral valve replacement at an average of 2.28 ± 2.03 years after initial mitral valve rerepair.</div></div><div><h3>Conclusions</h3><div>Mitral rerepair can be performed with acceptable results at a valve reference center. Durability and functional advantages of this approach remain to be proven.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 370-376"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141236426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Associated With Permanent Pacemaker Placement After Tricuspid Valve Operations 三尖瓣手术后安置永久起搏器的相关因素。
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.09.042
Salman Zaheer MD , Sari D. Holmes PhD , Emily Rodriguez BS , Nolan M. Winicki MS , Emily Larson BS , Rachael Quinn PhD , Gorav Ailawadi MD , A. Marc Gillinov MD , James S. Gammie MD
{"title":"Factors Associated With Permanent Pacemaker Placement After Tricuspid Valve Operations","authors":"Salman Zaheer MD ,&nbsp;Sari D. Holmes PhD ,&nbsp;Emily Rodriguez BS ,&nbsp;Nolan M. Winicki MS ,&nbsp;Emily Larson BS ,&nbsp;Rachael Quinn PhD ,&nbsp;Gorav Ailawadi MD ,&nbsp;A. Marc Gillinov MD ,&nbsp;James S. Gammie MD","doi":"10.1016/j.athoracsur.2024.09.042","DOIUrl":"10.1016/j.athoracsur.2024.09.042","url":null,"abstract":"<div><h3>Background</h3><div>Conduction abnormalities requiring permanent pacemaker (PPM) implantation are common after tricuspid valve operations, although the incidence is variable. This study investigated contemporary rates of and risk factors for a PPM after tricuspid operations.</div></div><div><h3>Methods</h3><div>The Society of Thoracic Surgeons Adult Cardiac Surgery Database was used to identify patients with tricuspid repair or replacement from 2011 to 2020. Factors independently associated with the risk of a postoperative PPM during the index hospital admission were examined using multivariable logistic regression with a complete case approach. Annualized hospital and surgeon volumes were calculated.</div></div><div><h3>Results</h3><div>We identified 71,937 patients undergoing tricuspid operations. Median patient age was 66 years (interquartile range, 53-74 years), 56% (n = 40,590) were women, and the median ejection fraction was 0.56 (interquartile range, 0.48-0.60). Tricuspid operations were concomitant in 87% (n = 62,457), elective in 62% (n = 44,393), and included repair in 86% (n = 61,720). Overall postoperative incidence of a PPM was 15% (n = 10,857); 13% (n = 8304) after repair and 25% (n = 2553) after replacement; and 4% (n = 174) for isolated tricuspid repair and 24% (n = 1248) for isolated tricuspid replacement. Multivariable analysis showed baseline characteristics, endocarditis, concomitant operations, longer cardiopulmonary bypass time, tricuspid replacement, and lower hospital and surgeon tricuspid operative volumes were independently associated with greater risk for a PPM. After adjustment, tricuspid replacement had 3.2-times greater PPM risk compared with tricuspid repair.</div></div><div><h3>Conclusions</h3><div>Nationally, 15% of patients undergoing tricuspid operations required postoperative PPM implantation. PPM risk was increased with concomitant valve operations, tricuspid replacement, longer cardiopulmonary bypass time, and operations performed by less experienced surgeons and centers. Innovation is needed to decrease this significant morbidity.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 377-387"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanisms of Repair Failure After Mitral Valve Repair Using Chordal Replacement 二尖瓣修复术后脊索置换修复失败的机理。
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.10.029
Miriam Lang MD , Nina Feirer MD , Bernhard Voss MD , Arnar Geirsson MD , Andrea Amabile MD , Markus Krane MD , Keti Vitanova MD
{"title":"Mechanisms of Repair Failure After Mitral Valve Repair Using Chordal Replacement","authors":"Miriam Lang MD ,&nbsp;Nina Feirer MD ,&nbsp;Bernhard Voss MD ,&nbsp;Arnar Geirsson MD ,&nbsp;Andrea Amabile MD ,&nbsp;Markus Krane MD ,&nbsp;Keti Vitanova MD","doi":"10.1016/j.athoracsur.2024.10.029","DOIUrl":"10.1016/j.athoracsur.2024.10.029","url":null,"abstract":"<div><h3>Background</h3><div>Mechanisms of repair failure after mitral valve repair (MVr) using chordal replacement and annuloplasty for degenerative mitral regurgitation were analyzed.</div></div><div><h3>Methods</h3><div>All mitral valve reoperations after isolated MVr using solely chordal replacement and annuloplasty for degenerative mitral regurgitation at the German Heart Center Munich (Munich, Germany) were reviewed. This retrospective observational study aimed to analyze mechanisms of repair failure leading to reoperations.</div></div><div><h3>Results</h3><div>Between 2003 and 2010, a total of 344 patients underwent MVr with chordal replacement and annuloplasty. During a mean follow-up of 9.7 years (range, 0-15.9 years), reoperation on the mitral valve was necessary in 38 (11.0%) cases. Reoperations were performed after a mean of 6.8 years (range, 0-14.1 years). The mechanisms of MVr failure were disease progression (39.5%), technical failure (36.8%), and endocarditis (18.4%). Re-repair was performed in 28.9% and was accomplished using redo annuloplasty (90.9%), chordal replacement (90.9%), resection techniques (27.3%), and leaflet patch reconstruction (9.1%). One patient (2.6%) underwent transcatheter edge-to-edge repair for reoperation. Mitral valve replacement (MVR) was necessary in 63.2%. Redo MVr was mainly performed in cases of technical failure, and MVR was more frequently performed in patients with mitral valve sclerosis. Repeat reoperation was necessary in 3 of 24 cases of MVR and in 2 of 11 cases of redo MVr after a median of 3.8 years (range, 0.01-10.04 years).</div></div><div><h3>Conclusions</h3><div>MVr using chordal replacement allows a variety of methods for re-repair, including transcatheter solutions. Redo MVr is more often feasible in cases of technical failure, whereas MVR for reoperation is more frequently necessary in patients with mitral valve sclerosis.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 362-369"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Society Board
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/S0003-4975(24)01049-X
{"title":"Society Board","authors":"","doi":"10.1016/S0003-4975(24)01049-X","DOIUrl":"10.1016/S0003-4975(24)01049-X","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Page A3"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal Follow-up of Medicare Patients After Esophageal Cancer Resection in the STS Database STS 数据库中食管癌切除术后医保患者的纵向随访。
IF 3.6 2区 医学 SCI
Annals of Thoracic Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.athoracsur.2024.07.034
Justin D. Blasberg MD MPH , Elliot Servais MD , Dylan Thibault MS , Jeffrey P. Jacobs MD , Benjamin Kozower MD , Elizabeth David MD , James Donahue MD , Andrew Vekstein MD , Lillian Kang MD , Matthew Hartwig MD , Leigh Ann Jones MS , Andrzej Kosinski PhD , Robert Habib MD , Christopher Towe MD , Christopher W. Seder MD
{"title":"Longitudinal Follow-up of Medicare Patients After Esophageal Cancer Resection in the STS Database","authors":"Justin D. Blasberg MD MPH ,&nbsp;Elliot Servais MD ,&nbsp;Dylan Thibault MS ,&nbsp;Jeffrey P. Jacobs MD ,&nbsp;Benjamin Kozower MD ,&nbsp;Elizabeth David MD ,&nbsp;James Donahue MD ,&nbsp;Andrew Vekstein MD ,&nbsp;Lillian Kang MD ,&nbsp;Matthew Hartwig MD ,&nbsp;Leigh Ann Jones MS ,&nbsp;Andrzej Kosinski PhD ,&nbsp;Robert Habib MD ,&nbsp;Christopher Towe MD ,&nbsp;Christopher W. Seder MD","doi":"10.1016/j.athoracsur.2024.07.034","DOIUrl":"10.1016/j.athoracsur.2024.07.034","url":null,"abstract":"<div><h3>Background</h3><div>Understanding characteristics associated with survival after esophagectomy for cancer is critical to preoperative risk stratification. This study sought to define predictors for long-term survival after esophagectomy for cancer in Medicare patients.</div></div><div><h3>Methods</h3><div>The Society of Thoracic Surgeons General Thoracic Surgery Database was queried for patients aged ≥65 years who underwent esophagectomy for cancer between 2012 and 2020 and linked to Centers for Medicare and Medicaid Services (CMS) data using a deterministic matching algorithm. Patient, hospital, and treatment variables were assessed using a multivariable Cox proportional hazards model to evaluate characteristics associated with long-term mortality and readmission. Kaplan-Meier and cumulative incidence curves were generated and differences evaluated using the log-rank test and Gray’s test, respectively.</div></div><div><h3>Results</h3><div>After CMS linkage, 4798 patients were included. Thirty-day and 90-day mortality in the study group was 3.84% and 7.45%, respectively. In the multivariable model, American Society of Anesthesiologists score &gt;3, body mass index &gt;35, and diabetes were associated with increased mortality &lt;90 days post-surgery, while pN/pT upstaging was associated with increased mortality &gt;90 days post-surgery. Patients upstaged to pN(+) had a 147% increased mortality risk (adjusted hazard ratio [aHR], 2.47; 95% CI, 2.02-3.02) and those that remained pN(+) a 75% increased mortality risk (aHR, 1.75; 95% CI, 1.57-1.95) compared with downstaged patients. Patients who were pT upstaged had a 109% (aHR, 2.09; 95% CI, 1.73-2.53) increased mortality risk compared with pT downstaged patients. Risk for readmission was independent of procedure type or approach and was higher in c stage ≥2, American Society of Anesthesiologists score ≥4, and pN+.</div></div><div><h3>Conclusions</h3><div>Medicare patients undergoing esophagectomy for cancer have identifiable patient-specific predictors for short-term mortality and tumor-specific predictors for long-term mortality and readmission. In the absence of pathologic T and N downstaging, risk for long-term mortality and readmission are increased.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 2","pages":"Pages 333-342"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信