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
Video-Assisted Thoracoscopic Lobectomy for Lung Cancer: Current Practice Patterns and Predictors of Adoption
Blasberg JD, Seder CW, Leverson G, Shan Y, Maloney JD, Macke RA. Video-Assisted Thoracoscopic Lobectomy for Lung Cancer: Current Practice Patterns and Predictors of Adoption. The Annals Of Thoracic Surgery 2016, 102: 1854-1862. PMID: 27592603, DOI: 10.1016/j.athoracsur.2016.06.030.Peer-Reviewed Original ResearchConceptsPrimary lung cancerLung cancerIndependent predictorsSurgeon volumeVATS lobectomyPractice patternsThoracic surgeonsVideo-assisted thoracoscopic surgery lobectomyVideo-Assisted Thoracoscopic LobectomyPremier hospital dataVATS lobectomy proceduresCentralization of careCurrent practice patternsStrong independent predictorThoracoscopic surgery lobectomyHigh-volume surgeonsLobectomy ratePostoperative complicationsClinical characteristicsSecondary outcomesOncologic efficacySurgical managementThoracoscopic lobectomyOpen lobectomyHospital typeOutpatient air leak management after lobectomy: a CMS cost analysis
Schmocker RK, Vanness DJ, Macke RA, Akhter SA, Maloney JD, Blasberg JD. Outpatient air leak management after lobectomy: a CMS cost analysis. Journal Of Surgical Research 2016, 203: 390-397. PMID: 27363648, PMCID: PMC4926869, DOI: 10.1016/j.jss.2016.03.043.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAmbulatory CareCarcinoma, Non-Small-Cell LungCenters for Medicare and Medicaid Services, U.S.Cost SavingsCost-Benefit AnalysisFemaleFollow-Up StudiesHospital CostsHumansLength of StayLung NeoplasmsMaleMiddle AgedPatient ReadmissionPneumonectomyPneumothoraxPostoperative CarePostoperative ComplicationsRetrospective StudiesTreatment OutcomeUnited StatesConceptsLength of stayCell lung cancerAir leakOutpatient managementLung cancerStudy groupDischarge criteriaShorter LOSCohort of patientsAir leak managementPostoperative milestonesStudy patientsHospital daysPostoperative complicationsPostoperative careOutpatient daysHospital costsThoracic proceduresLobectomyPatientsReadmissionEnd pointLeak managementStudy periodModest reduction
2015
The Surgical Apgar Score in esophagectomy
Janowak CF, Blasberg JD, Taylor L, Maloney JD, Macke RA. The Surgical Apgar Score in esophagectomy. Journal Of Thoracic And Cardiovascular Surgery 2015, 150: 806-812. PMID: 26234458, DOI: 10.1016/j.jtcvs.2015.07.017.Peer-Reviewed Original ResearchConceptsSurgical Apgar ScoreMajor morbidityApgar scorePostoperative complicationsMultivariate analysisPreoperative patient characteristicsShort-term outcomesBody mass indexStrongest predictorElective esophagectomyTranshiatal techniqueSurgical populationIntraoperative detailsIntraoperative variablesPatient characteristicsDiabetes mellitusPrimary outcomeRetrospective reviewMass indexProspective studyCare modificationsMalignant diseaseRisk factorsUnivariate analysisImproved outcomes