Lessons learned from the European thoracic surgery database: the Composite Performance Score.

摘要: Abstract Background This study reports the methods used to review Composite Performance Score (CPS) along with a reference table, which will be in upcoming ESTS Quality Certification Program. Methods Data from 4303 patients who underwent pulmonary resection (July 2007–January 2010) were captured database and for present analysis. Only submitted units contributing at least 100 consecutive lung resections developing the score. According best available evidence following measures selected each surgical domain: preoperative care (1. % of DLCO measurement major anatomic resections; 2. invasive mediastinal staging clinically suspicious N2 disease), operative (% systematic lymph node dissection), outcomes (risk-adjusted cardiopulmonary morbidity mortality rates). Morbidity risk-models developed by logistic regression validated bootstrap analyses. Individual processes scores rescaled according their standard deviations summed generate CPS. Units rated accordingly percentile table was produced. Results Risk-adjusted survival absence rates varied 91.5% 100%, 50.2% 97.5%, respectively. CPS ranged −4.038 1.24. The 50% corresponded 0.404. Conclusions A revised presented as benchmark program.