ArticleThe Annals of thoracic surgery2017
The Society of Thoracic Surgeons Composite Score for Evaluating Esophagectomy for Esophageal Cancer.
Article in The Annals of thoracic surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- The impact of perioperative outcomes on long-term survival after esophageal cancer resection.JTCVS open · 2026Article
- Active surveillance in patients with a complete clinical response after neoadjuvant chemoradiotherapy for esophageal- and gastroesophageal junction cancer.Innovative surgical sciences · 2025Review
- Outcomes of a novel double-stapled anastomotic technique in esophagectomy.JTCVS techniques · 2024Article
- Multi-institutional beta testing of a novel cervical esophagogastric anastomosis simulator.JTCVS techniques · 2024Article
- Waiting to Operate: The Risk of Salvage Esophagectomy.Annals of surgery · 2023Article
- Developing & integrating a mobile application tool into a survivorship clinic for esophageal cancer patients.Journal of thoracic disease · 2023Review
- Pilot Study of Patient-Reported Outcomes in Patients With Esophageal Cancer After Esophagectomy.The Annals of thoracic surgery · 2022Article
- Outcomes for endoscopic submucosal dissection of pathologically staged T1b esophageal cancer: a multicenter study.Gastrointestinal endoscopy · 2022Article
- Keeping a Safe Distance From Surgical Volume Standards.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022Article
- Minimally invasive esophagectomy may contribute to low incidence of postoperative surgical site infection in patients with poor glycemic control.Langenbeck's archives of surgery · 2022Article
- Impact of preoperative 6-minute walk distance on long-term prognosis after esophagectomy in patients with esophageal cancer.Esophagus : official journal of the Japan Esophageal Society · 2022Article
- Preoperative transferrin level is a novel indicator of short- and long-term outcomes after esophageal cancer surgery.International journal of clinical oncology · 2022Article
- Textbook outcome for esophageal cancer surgery: an international consensus-based update of a quality measure.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2021Article
- Safety and feasibility of esophagectomy following combined immunotherapy and chemoradiotherapy for esophageal cancer.The Journal of thoracic and cardiovascular surgery · 2021Article
- Comparisons between minimally invasive and open esophagectomy for esophageal cancer with cervical anastomosis: a retrospective study.Journal of cardiothoracic surgery · 2020Article
- Preliminary Normative Standards of the Mayo Clinic Esophagectomy CONDUIT Tool.Mayo Clinic proceedings. Innovations, quality & outcomes · 2019Article
- The Impact of Hospital Size on National Trends and Outcomes Following Open Esophagectomy.Medicina (Kaunas, Lithuania) · 2019Article
- Ongoing Challenges with Clinical Assessment of Nodal Status in T1 Esophageal Adenocarcinoma.Journal of the American College of Surgeons · 2019Article
- Trends in Treatment of T1N0 Esophageal Cancer.Annals of surgery · 2019Article
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1 author at 17 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Society of Thoracic Surgeons (STS) has developed composite quality measures for cardiac surgical procedures and lobectomy for lung cancer. This study sought to develop a composite measure for esophagectomy for esophageal cancer.
methodsThe STS esophagectomy composite score is derived from two risk-adjusted outcomes: mortality and major complications. General Thoracic Surgery Database data were included from 2012 to 2014, and 95% Bayesian credible intervals were established to determine "star" ratings. STS participants were compared with the National Inpatient Sample as a national benchmark (including non-STS participants).
resultsThe study population included 4,321 patients who underwent esophagectomy from 167 participating centers. The operative mortality rate was 3.1% (N = 135), and the major complication rate was 33.1% (N = 1,429). Of the 167 participants, 70 reported an average yearly volume of five or more esophagectomies during the study period. With this threshold, reliability for the composite score was 0.58 (95% credible interval, 0.41 to 0.72). Of these 70 participants, 5 (7.1%) were three star, 63 (90.0%) were two star, and 2 (2.9%) were one star. A majority of STS participants, 58.1% (N = 97), did not have sufficient volume to receive a reliable composite score. Benchmarked to the 2012 National Inpatient Sample cohort, STS General Thoracic Surgery Database participants have comparable discharge mortality rates and shorter postoperative lengths of stay.
conclusionsSTS has developed a quality measure for esophageal cancer surgical procedures based on a composite score of risk-adjusted operative mortality rates and major complications. The composite rating for esophagectomy has good reliability for programs performing an average of five procedures annually, although almost 60% of participants are not eligible for a star rating because of lower procedure volumes.
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