Quality control and assessment system in general thoracic surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XIE Dong , CHEN Chang ,  JIANG Gening

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, P.R.China;

Corresponding author：

JIANG Gening, Email: jgnwp@aliyun.com

Keywords：

Thoracic surgery; surgery; quality control

DOI：

10.7507/1007-4848.201809053

Video：

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Quality control of general thoracic surgery contains many links including the qualification and technical conditions of medical institutions, preoperative diagnostic system, surgery, postoperative management, pathological diagnosis and follow-up. Standards of quality control should be based on evidence-based medicine, and general rules with detailed criteria. As one of the core concepts of quality control, fine management is ought to strictly follow clinical practice guideline of thoracic surgery, to be clear with quality standards of each key link in clinical pathway, and to improve the clinical quality control system that combines self-evaluation and supervision and inspection.

Citation： XIE Dong, CHEN Chang, JIANG Gening. Quality control and assessment system in general thoracic surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(1): 8-15. doi: 10.7507/1007-4848.201809053 Copy

1.	Farjah F, Detterbeck FC. What is quality, and can we define it in lung cancer?-the case for quality improvement. Transl Lung Cancer Res, 2015, 4(4): 365-372.
2.	刘伦旭, 刘雪梅. 用质量控制和技术规范改善胸心血管外科临床结果——2018 新春寄语. 中国胸心血管外科临床杂志, 2018, 25(2): 103-104.
3.	秦新裕, 楼文晖. 进一步重视外科质量控制. 中国实用外科杂志, 2016, 36(1): 4-5.
4.	Villamizar NR, Darrabie MD, Burfeind WR, et al. Thoracoscopic lobectomy is associated with lower morbidity compared with thoracotomy. J Thorac Cardiovasc Surg, 2009, 138(2): 419-425.
5.	Bilimoria KY, Phillips JD, Rock CE, et al. Effect of surgeon training, specialization, and experience on outcomes for cancer surgery: a systematic review of the literature. Ann Surg Oncol, 2009, 16(7): 1799-1808.
6.	Ellis MC, Diggs BS, Vetto JT, et al. Intraoperative oncologic staging and outcomes for lung cancer resection vary by surgeon specialty. Ann Thorac Surg, 2011, 92(6): 1958-1963.
7.	Lüchtenborg M, Riaz SP, Coupland VH, et al. High procedure volume is strongly associated with improved survival after lung cancer surgery. J Clin Oncol, 2013, 31(25): 3141-3146.
8.	von Meyenfeldt EM, Gooiker GA, van Gijn W, et al. The relationship between volume or surgeon specialty and outcome in the surgical treatment of lung cancer: a systematic review and meta-analysis. J Thorac Oncol, 2012, 7(7): 1170-1178.
9.	Muehling BM, Halter GL, Schelzig H, et al. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur J Cardiothorac Surg, 2008, 34(1): 174-180.
10.	Wang X, Yan S, Wang Y, et al. Surgical quality surveillance and sustaining improvement of lung cancer surgery based on standard operation procedure (SOP): experience of single surgical team. Zhongguo Fei Ai Za Zhi, 2017, 20(4): 253-258.
11.	Brunelli A, Kim AW, Berger KI, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest, 2013, 143(5 Suppl): e166S-e190S.
12.	Ost DE, Niu J, Elting LS, et al. Quality gaps and comparative effectiveness in lung cancer staging and diagnosis. Chest, 2014, 145(2): 331-345.
13.	Horeweg N, Scholten ET, de Jong PA, et al. Detection of lung cancer through low-dose CT screening (NELSON): a prespecified analysis of screening test performance and interval cancers. Lancet Oncol, 2014, 15(12): 1342-1350.
14.	Ou SH, Zell JA. Prognostic significance of the number of lymph nodes removed at lobectomy in stage ⅠA non-small cell lung cancer. J Thorac Oncol, 2008, 3(8): 880-886.
15.	Osarogiagbon RU, Hilsenbeck HL, Sales EW, et al. Improving the pathologic evaluation of lung cancer resection specimens. Transl Lung Cancer Res, 2015, 4(4): 432-437.
16.	Peyre CG, Hagen JA, DeMeester SR, et al. The number of lymph nodes removed predicts survival in esophageal cancer: an international study on the impact of extent of surgical resection. Ann Surg, 2008, 248(4): 549-556.
17.	Little AG, Rusch VW, Bonner JA, et al. Patterns of surgical care of lung cancer patients. Ann Thorac Surg, 2005, 80(6): 2051-2056.
18.	Paul S, Altorki NK, Sheng S, et al. Thoracoscopic lobectomy is associated with lower morbidity than open lobectomy: a propensity-matched analysis from the STS database. J Thorac Cardiovasc Surg, 2010, 139(2): 366-378.
19.	Freeman RK, Dilts JR, Ascioti AJ, et al. A comparison of length of stay, readmission rate, and facility reimbursement after lobectomy of the lung. Ann Thorac Surg, 2013, 96(5): 1740-1745.
20.	Engelhardt KE, Feinglass JM, Decamp MM, et al. Treatment trends in early stage lung cancer in the united states, 2004-2013: a time-trend analysis of the National Cancer Data Base. J Thorac Cardiovasc Surg, 2018, 156(3): 1233-1246.e1.
21.	Bilimoria KY, Stewart AK, Winchester DP, et al. The National Cancer Data Base: a powerful initiative to improve cancer care in the United States. Ann Surg Oncol, 2008, 15(3): 683.
22.	Brunelli A, Falcoz PE, D’Amico T, et al. European guidelines on structure and qualification of general thoracic surgery. Eur J Cardiothorac Surg, 2014, 45(5): 779-786.
23.	Brunelli A, Berrisford RG, Rocco G, et al. The European Thoracic Database project: composite performance score to measure quality of care after major lung resection. Eur J Cardiothorac Surg, 2009, 35(5): 769-774.
24.	Kozower BD, O’Brien SM, Kosinski AS, et al. The Society of Thoracic Surgeons Composite Score for rating program performance for lobectomy for lung cancer. Ann Thorac Surg, 2016, 101(4): 1379-1386.
25.	冷雪峰, 金健, 丛伟, 等. 成都市胸外科医疗质量控制中心体系建设实践与讨论. 中国胸心血管外科临床杂志, 2018, 25(6): 453-457.

1. Farjah F, Detterbeck FC. What is quality, and can we define it in lung cancer?-the case for quality improvement. Transl Lung Cancer Res, 2015, 4(4): 365-372.
2. 刘伦旭, 刘雪梅. 用质量控制和技术规范改善胸心血管外科临床结果——2018 新春寄语. 中国胸心血管外科临床杂志, 2018, 25(2): 103-104.
3. 秦新裕, 楼文晖. 进一步重视外科质量控制. 中国实用外科杂志, 2016, 36(1): 4-5.
4. Villamizar NR, Darrabie MD, Burfeind WR, et al. Thoracoscopic lobectomy is associated with lower morbidity compared with thoracotomy. J Thorac Cardiovasc Surg, 2009, 138(2): 419-425.
5. Bilimoria KY, Phillips JD, Rock CE, et al. Effect of surgeon training, specialization, and experience on outcomes for cancer surgery: a systematic review of the literature. Ann Surg Oncol, 2009, 16(7): 1799-1808.
6. Ellis MC, Diggs BS, Vetto JT, et al. Intraoperative oncologic staging and outcomes for lung cancer resection vary by surgeon specialty. Ann Thorac Surg, 2011, 92(6): 1958-1963.
7. Lüchtenborg M, Riaz SP, Coupland VH, et al. High procedure volume is strongly associated with improved survival after lung cancer surgery. J Clin Oncol, 2013, 31(25): 3141-3146.
8. von Meyenfeldt EM, Gooiker GA, van Gijn W, et al. The relationship between volume or surgeon specialty and outcome in the surgical treatment of lung cancer: a systematic review and meta-analysis. J Thorac Oncol, 2012, 7(7): 1170-1178.
9. Muehling BM, Halter GL, Schelzig H, et al. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur J Cardiothorac Surg, 2008, 34(1): 174-180.
10. Wang X, Yan S, Wang Y, et al. Surgical quality surveillance and sustaining improvement of lung cancer surgery based on standard operation procedure (SOP): experience of single surgical team. Zhongguo Fei Ai Za Zhi, 2017, 20(4): 253-258.
11. Brunelli A, Kim AW, Berger KI, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest, 2013, 143(5 Suppl): e166S-e190S.
12. Ost DE, Niu J, Elting LS, et al. Quality gaps and comparative effectiveness in lung cancer staging and diagnosis. Chest, 2014, 145(2): 331-345.
13. Horeweg N, Scholten ET, de Jong PA, et al. Detection of lung cancer through low-dose CT screening (NELSON): a prespecified analysis of screening test performance and interval cancers. Lancet Oncol, 2014, 15(12): 1342-1350.
14. Ou SH, Zell JA. Prognostic significance of the number of lymph nodes removed at lobectomy in stage ⅠA non-small cell lung cancer. J Thorac Oncol, 2008, 3(8): 880-886.
15. Osarogiagbon RU, Hilsenbeck HL, Sales EW, et al. Improving the pathologic evaluation of lung cancer resection specimens. Transl Lung Cancer Res, 2015, 4(4): 432-437.
16. Peyre CG, Hagen JA, DeMeester SR, et al. The number of lymph nodes removed predicts survival in esophageal cancer: an international study on the impact of extent of surgical resection. Ann Surg, 2008, 248(4): 549-556.
17. Little AG, Rusch VW, Bonner JA, et al. Patterns of surgical care of lung cancer patients. Ann Thorac Surg, 2005, 80(6): 2051-2056.
18. Paul S, Altorki NK, Sheng S, et al. Thoracoscopic lobectomy is associated with lower morbidity than open lobectomy: a propensity-matched analysis from the STS database. J Thorac Cardiovasc Surg, 2010, 139(2): 366-378.
19. Freeman RK, Dilts JR, Ascioti AJ, et al. A comparison of length of stay, readmission rate, and facility reimbursement after lobectomy of the lung. Ann Thorac Surg, 2013, 96(5): 1740-1745.
20. Engelhardt KE, Feinglass JM, Decamp MM, et al. Treatment trends in early stage lung cancer in the united states, 2004-2013: a time-trend analysis of the National Cancer Data Base. J Thorac Cardiovasc Surg, 2018, 156(3): 1233-1246.e1.
21. Bilimoria KY, Stewart AK, Winchester DP, et al. The National Cancer Data Base: a powerful initiative to improve cancer care in the United States. Ann Surg Oncol, 2008, 15(3): 683.
22. Brunelli A, Falcoz PE, D’Amico T, et al. European guidelines on structure and qualification of general thoracic surgery. Eur J Cardiothorac Surg, 2014, 45(5): 779-786.
23. Brunelli A, Berrisford RG, Rocco G, et al. The European Thoracic Database project: composite performance score to measure quality of care after major lung resection. Eur J Cardiothorac Surg, 2009, 35(5): 769-774.
24. Kozower BD, O’Brien SM, Kosinski AS, et al. The Society of Thoracic Surgeons Composite Score for rating program performance for lobectomy for lung cancer. Ann Thorac Surg, 2016, 101(4): 1379-1386.
25. 冷雪峰, 金健, 丛伟, 等. 成都市胸外科医疗质量控制中心体系建设实践与讨论. 中国胸心血管外科临床杂志, 2018, 25(6): 453-457.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Quality control and assessment system in general thoracic surgery

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