1. Variability in Smoking Status for Lobectomy Among Society of Thoracic Surgeons Database Participants
- Author
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Clark, James M, Kozower, Benjamin D, Kosinski, Andrzej S, Chang, Andrew, Broderick, Stephen R, David, Elizabeth A, Block, Mark, Schipper, Paul H, Welsh, Rob J, Seder, Christopher W, Farjah, Farhood, and Brown, Lisa M
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Tobacco Smoke and Health ,Tobacco ,Good Health and Well Being ,Aged ,Databases ,Factual ,Female ,Humans ,Male ,Middle Aged ,Pneumonectomy ,Retrospective Studies ,Risk Adjustment ,Smoking ,Societies ,Medical ,Thoracic Surgery ,Cardiorespiratory Medicine and Haematology ,Respiratory System ,Cardiovascular medicine and haematology ,Clinical sciences - Abstract
BackgroundCurrent smokers undergoing lobectomy are at greater risk of complications than are former smokers. The Society of Thoracic Surgeons (STS) composite score for rating program performance for lobectomy adjusts for smoking status, a modifiable risk factor. This study examined variability in the proportion of current smokers undergoing lobectomy among STS database participants. Additionally, the study determined whether each participant's rating changed if smoking was excluded from the risk adjustment model.MethodsThis is a retrospective analysis of the STS cohort used to develop the composite score for rating program performance for lobectomy. The study summarized the variability among STS database participants for performing lobectomy on current smokers and compared star ratings developed from models with and without smoking status.ResultsThere were 24,912 patients with smoking status data: 23% current smokers, 62% former smokers, and 15% never smokers. There was significant variability among participants in the proportion of current smokers undergoing lobectomy (3% to 48.6%; P < .001). Major morbidity or mortality (composite) was greater in current smokers (12.1%) than in former smokers (8.6%) and never smokers (4.2%) (P < .001). Using the current risk adjustment model, participant star ratings were as follows: 1 star, n = 6 (3.2%); 2 stars, n = 170 (91.4%); and 3 stars, n = 10 (5.4%). When smoking status was excluded from the model, 1 participant shifted from a 2-star to a 3-star program.ConclusionsThere is substantial variability among STS database participants with regard to the proportion of current smokers undergoing lobectomy. However, exclusion of smoking status from the model did not significantly affect participant star rating.
- Published
- 2021