Research Article

Surgeons’ Volume-Outcome Relationship for Lobectomies and Wedge Resections for Cancer Using Video-Assisted Thoracoscopic Techniques

Table 1

Patient characteristics.

Procedure*VATS lobectomyVATS wedge resection
All surgeons
(including thoracic)
Thoracic surgeons
(only)
All surgeons
(including thoracic)
Thoracic surgeons
(only)

Total 7165461,9821,350
(% of total 2,698)(26.54%)(20.24%)(73.46%)(50.04%)
Age average (SD)66.68 (11.27)66.51 (10.96)61.09 (15.39)61.37 (14.57)
 <400.010.010.100.09
 41–500.070.080.120.12
 51–600.200.200.200.21
 61–700.320.330.290.29
 71–800.300.280.240.24
 >800.100.100.060.06
Race
 Caucasian0.790.840.740.79
 African American0.070.070.080.09
 Other0.130.100.180.13
Gender
 Female0.550.550.530.53
 Male0.450.450.470.47
Marital status
 Married0.590.620.540.58
 Unmarried0.410.380.460.42
Insurance type
 Commercial0.070.070.070.07
 Medicare0.600.600.490.49
 Medicaid0.030.020.050.05
 Managed care0.280.300.350.35
 Other0.030.020.040.03
Malignancy indication**
 Primary neoplasm of the lung0.960.950.860.85
 Metastases from other primary malignancy0.040.050.140.15
Illness severity level
 APR-DRG Severity Level (1, 2)0.780.790.870.86
 APR-DRG Severity Level (3, 4)0.220.210.130.14

*All procedures are inpatient. CPT and ICD codes for resections in Table 7.
**ICD codes for lung cancer in Table 8.