The beneficial effects of specialist thoracic surgery on the resection rate for non-small-cell lung cancer

Martin-Ucar, Antonio E., Waller, David A., Atkins, Jane L., Swinson, Daniel, O'Byrne, Kenneth J., & Peake, Mick D. (2004) The beneficial effects of specialist thoracic surgery on the resection rate for non-small-cell lung cancer. Lung Cancer, 46(2), pp. 227-232.

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We aimed to evaluate the effect of the appointment of a dedicated specialist thoracic surgeon on surgical practice for lung cancer previously served by cardio-thoracic surgeons. Outcomes were compared for the 240 patients undergoing surgical resection for lung cancer in two distinct 3-year periods: Group A: 65 patients, 1994-1996 (pre-specialist); Group B: 175 patients, 1997-1999 (post-specialist). The changes implemented resulted in a significant increase in resection rate (from 12.2 to 23.4%, P<0.001), operations in the elderly (over 75 years) and extended resections. There were no significant differences in stage distribution, in-hospital mortality or stage-specific survival after surgery. Lung cancer surgery provided by specialists within a multidisciplinary team resulted in increased surgical resection rates without compromising outcome. Our results strengthen the case for disease-specific specialists in the treatment of lung cancer. © 2004 Published by Elsevier Ireland Ltd.

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40 citations in Web of Science®

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ID Code: 65225
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Generalist, Resection rate, Specialist, Surgical outcomes, adult, aged, article, cancer mortality, cancer staging, cancer surgery, cancer survival, clinical trial, controlled clinical trial, controlled study, evaluation, hospital patient, human, lung non small cell cancer, major clinical study, medical specialist, priority journal, thorax surgery, treatment outcome, Carcinoma, Non-Small-Cell Lung, Female, Hospital Mortality, Humans, Lung Neoplasms, Male, Middle Aged, Neoplasm Staging, Patient Care Team, Professional Competence, Retrospective Studies, Specialties, Medical, Survival Analysis, Thoracic Surgery
DOI: 10.1016/j.lungcan.2004.03.010
ISSN: 0169-5002
Divisions: Current > Schools > School of Biomedical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2004 Elsevier Ireland Ltd
Deposited On: 09 Dec 2013 04:41
Last Modified: 07 Jan 2014 05:49

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