2021
Thymomectomy plus total thymectomy versus simple thymomectomy for early-stage thymoma without myasthenia gravis: a European Society of Thoracic Surgeons Thymic Working Group Study
Guerrera F, Falcoz PE, Moser B, van Raemdonck D, Bille’ A, Toker A, Spaggiari L, Ampollini L, Filippini C, Thomas PA, Verdonck B, Mendogni P, Aigner C, Voltolini L, Novoa N, Patella M, Mantovani S, Bravio IG, Zisis C, Guirao A, Londero F, Congregado M, Rocco G, Du Pont B, Martucci N, Esch M, Brunelli A, Detterbeck FC, Venuta F, Weder W, Ruffini E, Centers T, Klepetko W, Olland A, Du Pont B, Nonaka D, Ozkan B, Iacono G, Braggio C, Filosso P, Brioude G, van Schil P, Nosotti M, Valdivia D, Bongiolatti S, Inci I, Dimitra R, Sànchez D, Grossi W, Moreno-Merino S, Teschner M. Thymomectomy plus total thymectomy versus simple thymomectomy for early-stage thymoma without myasthenia gravis: a European Society of Thoracic Surgeons Thymic Working Group Study. European Journal Of Cardio-Thoracic Surgery 2021, 60: 881-887. PMID: 34023891, PMCID: PMC10060729, DOI: 10.1093/ejcts/ezab224.Peer-Reviewed Original ResearchConceptsEarly-stage thymomaMyasthenia gravisTT groupST groupPropensity score-adjusted comparisonsNon-MG patientsPathological stage IPostoperative morbidity rateEuropean SocietyRate of complicationsCompleteness of resectionOverall survival rateLong-term outcomesProcedure of choiceMost relevant articlesOncological standpointCurative intentPostoperative complicationsPostoperative lengthTotal thymectomyOverall recurrenceThymic tumorsMorbidity rateSurgical approachThymus gland
2018
Identifying Drivers of Multiple Readmissions After Pulmonary Lobectomy
Jean RA, Chiu AS, Hoag JR, Blasberg JD, Boffa DJ, Detterbeck FC, Kim AW. Identifying Drivers of Multiple Readmissions After Pulmonary Lobectomy. The Annals Of Thoracic Surgery 2018, 107: 947-953. PMID: 30336117, DOI: 10.1016/j.athoracsur.2018.08.070.Peer-Reviewed Original ResearchConceptsPulmonary lobectomyMultiple readmissionsSecond readmissionFirst readmissionIndex hospitalizationPostoperative infectionLung cancerPrimary diagnosisHeart diseaseClinical Classification Software codesNationwide Readmissions DatabaseTime of readmissionPostoperative arrhythmiasPostoperative complicationsPostoperative sepsisPerioperative periodPostoperative periodClinical factorsReadmissionLobectomyPatientsStudy periodImportant markerDiagnosisHealthcare qualityDefining the learning curve in robot-assisted thoracoscopic lobectomy
Arnold BN, Thomas DC, Bhatnagar V, Blasberg JD, Wang Z, Boffa DJ, Detterbeck FC, Kim AW. Defining the learning curve in robot-assisted thoracoscopic lobectomy. Surgery 2018, 165: 450-454. PMID: 30061043, DOI: 10.1016/j.surg.2018.06.011.Peer-Reviewed Original ResearchConceptsLength of stayRobot-assisted thoracoscopic lobectomyChest tube durationThoracoscopic lobectomyPostoperative complicationsTube durationBlood lossLearning curveSignificant differencesCumulative sum analysisPhase 1Complication ratePatient demographicsPulmonary lobectomySingle institutionLobectomyRATS lobectomySafe approachStayCase 1Cases 23Operating timeComorbiditiesComplicationsFurther studiesWhen good operations go bad: The additive effect of comorbidity and postoperative complications on readmission after pulmonary lobectomy
Jean RA, Chiu AS, Boffa DJ, Detterbeck FC, Blasberg JD, Kim AW. When good operations go bad: The additive effect of comorbidity and postoperative complications on readmission after pulmonary lobectomy. Surgery 2018, 164: 294-299. PMID: 29801731, DOI: 10.1016/j.surg.2018.03.019.Peer-Reviewed Original ResearchConceptsPostoperative complicationsReadmission ratesPulmonary lobectomyAdditional comorbiditiesThoracic surgeryCause readmission rateDays of dischargeNationwide Readmissions DatabaseNumber of comorbiditiesRisk of readmissionMajor thoracic surgeryProbability of readmissionLow risk profileHealth care deliveryHospital factorsHospital readmissionLow comorbidityElixhauser comorbiditiesThoracic lobectomyLung cancerPrimary diagnosisChronic diseasesHigh burdenMean changeValue-based reimbursement
2016
A model for predicting prolonged length of stay in patients undergoing anatomical lung resection: a National Surgical Quality Improvement Program (NSQIP) database study
DeLuzio MR, Keshava HB, Wang Z, Boffa DJ, Detterbeck FC, Kim AW. A model for predicting prolonged length of stay in patients undergoing anatomical lung resection: a National Surgical Quality Improvement Program (NSQIP) database study. Interdisciplinary CardioVascular And Thoracic Surgery 2016, 23: 208-215. PMID: 27073262, DOI: 10.1093/icvts/ivw090.Peer-Reviewed Original ResearchConceptsAnatomical lung resectionProlonged lengthLung resectionRisk factorsRisk stratificationNational Surgical Quality Improvement Program database studyAnatomical pulmonary resectionBetter risk stratificationOverall patient outcomesHigh-risk populationLength of stayExternal validation groupLogistic regression analysisPostoperative complicationsPostoperative variablesPulmonary resectionNSQIP databaseComparison of receiverPatient outcomesDatabase studyResectionPatientsStayValidation groupScoring systemAnalyzing Risk Factors for Morbidity and Mortality after Lung Resection for Lung Cancer Using the NSQIP Database
Jean RA, DeLuzio MR, Kraev AI, Wang G, Boffa DJ, Detterbeck FC, Wang Z, Kim AW. Analyzing Risk Factors for Morbidity and Mortality after Lung Resection for Lung Cancer Using the NSQIP Database. Journal Of The American College Of Surgeons 2016, 222: 992-1000.e1. PMID: 27118714, DOI: 10.1016/j.jamcollsurg.2016.02.020.Peer-Reviewed Original ResearchConceptsPreoperative risk factorsAnatomic pulmonary resectionMultivariate logistic regressionRisk factorsPreoperative dyspneaPulmonary resectionLogistic regressionNSQIP databaseMultivariate logistic regression modelingIntraoperative risk factorsRetrospective cohort studyDay of surgerySurgeons NSQIP databaseLogistic regression modelingLogistic regression modelsElective lobectomyPreoperative anemiaPerioperative complicationsPerioperative mortalityPostoperative complicationsLung resectionClinical factorsCohort studyMale sexOpen lobectomy
2014
Hospital Readmission After Pulmonary Lobectomy Is Not Affected by Surgical Approach
Assi R, Wong DJ, Boffa DJ, Detterbeck FC, Wang Z, Chupp GL, Kim AW. Hospital Readmission After Pulmonary Lobectomy Is Not Affected by Surgical Approach. The Annals Of Thoracic Surgery 2014, 99: 393-398. PMID: 25497070, DOI: 10.1016/j.athoracsur.2014.10.014.Peer-Reviewed Original ResearchConceptsCharlson Comorbidity IndexDays of dischargePredictors of readmissionIntensive care unitUnplanned returnPulmonary lobectomyComorbidity indexHospital readmissionSurgical approachCare unitHigher Charlson comorbidity indexMedian hospital lengthMultivariate logistic regression methodThoracic surgery serviceHigh-risk patientsPostoperative mortalityPostoperative transferHospital lengthPostoperative complicationsExpiratory volumeSurgery serviceOpen thoracotomyPathologic diagnosisUnplanned transfersMedical records
2013
Lethality of Cardiovascular Events Highlights the Variable Impact of Complication Type Between Thoracoscopic and Open Pulmonary Lobectomies
Law TD, Boffa DJ, Detterbeck FC, Wang Z, Park HS, Kim AW. Lethality of Cardiovascular Events Highlights the Variable Impact of Complication Type Between Thoracoscopic and Open Pulmonary Lobectomies. The Annals Of Thoracic Surgery 2013, 97: 993-999. PMID: 24370204, DOI: 10.1016/j.athoracsur.2013.10.026.Peer-Reviewed Original ResearchConceptsOpen cohortNumber of complicationsVATS cohortComplication typePulmonary lobectomyUtilization Project Nationwide Inpatient Sample databaseNationwide Inpatient Sample databaseICD-9-CM codesOpen pulmonary lobectomyOpen thoracotomy approachPrimary lung malignancyPrimary lung cancerClinical Modification codesLogistic regression modelingGastrointestinal complicationsCardiovascular complicationsCardiovascular eventsPerioperative complicationsPerioperative mortalityPostoperative complicationsThoracotomy approachLung malignancyOpen lobectomyVATS lobectomyLung cancer
2011
Correction of postpneumonectomy syndrome using a custom implant
McRae MC, Detterbeck FC, Narayan D. Correction of postpneumonectomy syndrome using a custom implant. BMJ Case Reports 2011, 2011: bcr1120103523. PMID: 22700614, PMCID: PMC3079506, DOI: 10.1136/bcr.11.2010.3523.Peer-Reviewed Original ResearchConceptsPostpneumonectomy syndromeLeft main stem bronchusMarked mediastinal shiftFurther postoperative complicationsMain stem bronchusBronchial carcinoid tumorsSymptoms 4 monthsPostoperative complicationsMediastinal shiftRight pneumonectomyCarcinoid tumorsRecurrent infectionsSevere narrowingTumor recurrenceComplete resolutionSaline implantsStandard expanderBreast implantsSuperior implantThree timesPatientsRecurrenceSyndromeImplantsVertebral column