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[Translated article] Surgical Risk Following Anatomic Lung Resection in Thoracic Surgery: A Prediction Model Derived From a Spanish Multicenter Database
Ist Teil von
Archivos de bronconeumología (English ed.), 2022-05, Vol.58 (5), p.T398-405
Ort / Verlag
Spain
Erscheinungsjahr
2022
Link zum Volltext
Beschreibungen/Notizen
The aim of this study was to develop a surgical risk prediction model in patients undergoing anatomic lung resections from the registry of the Spanish Video-Assisted Thoracic Surgery Group (GEVATS).
Data were collected from 3533 patients undergoing anatomic lung resection for any diagnosis between December 20, 2016 and March 20, 2018. We defined a combined outcome variable: death or Clavien-Dindo grade IV complication at 90 days after surgery. Univariate and multivariate analyses were performed by logistic regression. Internal validation of the model was performed using resampling techniques.
The incidence of the outcome variable was 4.29% (95% CI 3.6-4.9). The variables remaining in the final logistic model were: age, sex, previous lung cancer resection, dyspnea (mMRC), right pneumonectomy, and ppo DLCO. The performance parameters of the model adjusted by resampling were: C-statistic 0.712 (95% CI 0.648-0.750), Brier score 0.042 and bootstrap shrinkage 0.854.
The risk prediction model obtained from the GEVATS database is a simple, valid, and reliable model that is a useful tool for establishing the risk of a patient undergoing anatomic lung resection.
Sprache
Englisch; Spanisch
Identifikatoren
eISSN: 1579-2129
DOI: 10.1016/j.arbres.2021.01.037
Titel-ID: cdi_proquest_miscellaneous_2504348925
Format
–
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