Evidence map›Paper›PMID 42862509›Full record

ArticleGeneral thoracic and cardiovascular surgery2026

Board certification status and surgical outcomes after uniportal video-assisted thoracoscopic anatomical pulmonary resection: a nationwide multicenter analysis.

Takuya Watanabe, Hitoshi Igai, Takahiro Homma, Masayuki Tanahashi, Toshiaki Morikawa, Katsuhiro Okuda, Hisashi Saji, Takashi Suda

Abstract read
PubMed Publisher
In one paragraph

Article in General thoracic and cardiovascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Takuya WatanabeDepartment of Thoracic and Pediatric Surgery, Nagoya City University Graduate School of Medical Sciences, 1-Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-0001, Japan. watanabechoke@gmail.com.ORCID http://orcid.org/0000-0002-6420-1798
Hitoshi IgaiDepartment of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Japan.
Takahiro HommaDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Masayuki TanahashiDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Toshiaki MorikawaDepartment of General Thoracic Surgery, Jikei University School of Medicine, Tokyo, Japan.
Katsuhiro OkudaDepartment of Thoracic and Pediatric Surgery, Nagoya City University Graduate School of Medical Sciences, 1-Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-0001, Japan.
Hisashi SajiDepartment of Thoracic Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Takashi SudaDepartment of Thoracic Surgery, Fujita Health University Okazaki Medical Center, Okazaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUniportal video-assisted thoracoscopic surgery (U-VATS) has gained widespread acceptance for anatomical pulmonary resection. However, concerns remain regarding its safety when performed by surgeons at an early stage of their surgical career. Evidence linking surgeon-related factors to perioperative outcomes remains limited. We examined the association between board certification status and perioperative outcomes using a nationwide multicenter U-VATS registry in Japan.

methodsThis multicenter retrospective cohort study used a nationwide U-VATS registry involving 43 institutions. Patients with primary lung cancer who underwent U-VATS lobectomy or segmentectomy between April 2018 and March 2023 were included. The primary outcome was surgical procedure-related complications. Propensity score matching and mixed-effects logistic regression with institutional random effects were applied.

resultsA total of 3532 patients were included, yielding 357 matched pairs. Surgical procedure-related complications occurred in 14.6% of the non-board-certified group and 11.2% of the board-certified group, with no statistically significant difference (OR 1.37, 95% CI 0.86-2.19; p = 0.183). No statistically significant differences were observed in conversion to thoracotomy, additional port placement, operative time, readmission, or mortality between the groups. Postoperative drainage duration and hospital stay were shorter in the non-board-certified group.

conclusionsBoard certification status was not associated with surgical procedure-related complications after U-VATS. These findings may support the implementation of U-VATS by non-board-certified surgeons within structured training systems and with appropriate intraoperative support.

Indexed as

Board certificationComplicationsTraineeUniportalVideo-assisted thoracoscopic surgery

Identifiers

PMID42862509

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.