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Risk-Adjusted Morbidity and Mortality for Lung Resection for Lung Cancer

CBE ID
1790
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

Percentage of patients greater than or equal to 18 years of age undergoing elective lung resection (Open or VATS wedge resection, segmentectomy, lobectomy, bilobectomy, sleeve lobectomy, pneumonectomy) for lung cancer who developed any of the following postoperative complications: reintubation, need for tracheostomy, initial ventilator support > 48 hours, ARDS, pneumonia, pulmonary embolus, bronchopleural fistula, unexpected return to the operating room, myocardial infarction or operative mortality (death during the index hospitalization, regardless of timing, or within 30 days, regardless of location).

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.9 Care Setting
      1.20 Types of Data Sources
      1.14 Numerator

      Number of patients greater than or equal to 18 years of age undergoing elective lung resection (Open or VATS wedge resection, segmentectomy, lobectomy, bilobectomy, sleeve lobectomy, pneumonectomy) for lung cancer who developed any of the following postoperative complications: reintubation, need for tracheostomy, initial ventilator support > 48 hours, ARDS, pneumonia, pulmonary embolus, bronchopleural fistula, unexpected return to the operating room, myocardial infarction or operative mortality (death during the index hospitalization, regardless of timing, or within 30 days, regardless of location).

      1.15 Denominator

      Number of patients greater than or equal to 18 years of age undergoing elective lung resection (Open or VATS wedge resection, segmentectomy, lobectomy, bilobectomy, sleeve lobectomy, pneumonectomy) for lung cancer

      Exclusions

      Patients were excluded if they had an extrapleural pneumonectomy, completion pneumonectomy, carinal pneumonectomy, occult carcinoma or benign disease on final pathology, or an urgent, emergent, or palliative operation. Furthermore, patients with missing age, sex, discharge mortality status, and predicted forced expiratory volume in 1 second were also excluded.

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Surgery Fall Cycle 2017
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      The Society of Thoracic Surgeons
      Steward POC email
      mantman@sts.org
              Risk Adjustment
                Public Comments