PMID- 28669503
OWN - NLM
STAT- MEDLINE
DCOM- 20170901
LR  - 20220330
IS  - 1552-6259 (Electronic)
IS  - 0003-4975 (Linking)
VI  - 104
IP  - 2
DP  - 2017 Aug
TI  - Impact of Adverse Events and Length of Stay on Patient Experience After Lung 
      Cancer Resection.
PG  - 382-388
LID - S0003-4975(17)30700-2 [pii]
LID - 10.1016/j.athoracsur.2017.05.025 [doi]
AB  - BACKGROUND: Postoperative adverse events (AEs), prolonged length of stay (PLOS), 
      and patient experience are common quality measures after thoracic surgical 
      procedures. Our objective was to investigate the relationship of postoperative 
      AEs on patient experience and hospital length of stay (LOS) after lung cancer 
      resection. METHODS: AEs (using Thoracic Morbidity and Mortality system based on 
      Clavien-Dindo schema) and LOS were prospectively collected for all patients 
      undergoing lung cancer resection. A 21-item questionnaire, retrospectively asking 
      about patient experience, was mailed to patients twice (October 2015 and January 
      2016). The impact of AEs on experience was investigated and stratified by 
      hospital LOS, with PLOS defined as the 75th percentile. Univariate analysis used 
      parametric (t test) and nonparametric (Mann-Whitney) tests according to test 
      conditions. RESULTS: Of 288 patients who responded to the survey (70% response 
      rate), 175 (61%) had no AEs, 113 (39%) had experienced at least one AE, and 52 
      (18%) had experienced PLOS. Lung cancer patients who experienced PLOS showed 
      significantly decreased experience on several questionnaire items, including 
      their impression of comprehensiveness of surgeons information provision during 
      inpatient period (p = 0.008), inpatient recovery from operation (p = 0.001), 
      quality of life 30 days after operation (p = 0.032), follow-up care, (p = 0.022), 
      and satisfaction with outcome 1 year after operation during follow-up care (p = 
      0.022). The presence of postoperative AEs led only to reduced impression about 
      inpatient recovery from the operation (p = 0.01). CONCLUSIONS: In this cohort, 
      postoperative AEs were minimally associated with negative patient experience. 
      However, patients who experienced PLOS demonstrated a marked reduction in 
      experience after thoracic surgical procedures.
CI  - Copyright (c) 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All 
      rights reserved.
FAU - Grigor, Emma J M
AU  - Grigor EJM
AD  - Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; Clinical 
      Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, 
      Canada.
FAU - Ivanovic, Jelena
AU  - Ivanovic J
AD  - Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; Clinical 
      Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, 
      Canada.
FAU - Anstee, Caitlin
AU  - Anstee C
AD  - Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
FAU - Zhang, Zach
AU  - Zhang Z
AD  - Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
FAU - Gilbert, Sebastian
AU  - Gilbert S
AD  - Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
FAU - Maziak, Donna E
AU  - Maziak DE
AD  - Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, 
      Ontario, Canada; Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, 
      Ontario, Canada; Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, 
      Ontario, Canada.
FAU - Shamji, Farid M
AU  - Shamji FM
AD  - Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
FAU - Sundaresan, Sudhir
AU  - Sundaresan S
AD  - Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
FAU - Villeneuve, Patrick J
AU  - Villeneuve PJ
AD  - Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
FAU - Ramsay, Tim
AU  - Ramsay T
AD  - Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; Clinical 
      Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, 
      Canada; Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Ontario, 
      Canada.
FAU - Seely, Andrew J E
AU  - Seely AJE
AD  - Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; Clinical 
      Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, 
      Canada; Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, Ontario, 
      Canada; Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Ontario, 
      Canada. Electronic address: aseely@ohri.ca.
LA  - eng
PT  - Journal Article
DEP - 20170629
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - Length of Stay/*trends
MH  - Lung Neoplasms/*surgery
MH  - Male
MH  - Ontario/epidemiology
MH  - Pneumonectomy/*adverse effects
MH  - Postoperative Complications/*epidemiology
MH  - Retrospective Studies
MH  - Survival Rate/trends
MH  - Time Factors
EDAT- 2017/07/04 06:00
MHDA- 2017/09/02 06:00
CRDT- 2017/07/04 06:00
PHST- 2016/11/30 00:00 [received]
PHST- 2017/03/22 00:00 [revised]
PHST- 2017/05/08 00:00 [accepted]
PHST- 2017/07/04 06:00 [pubmed]
PHST- 2017/09/02 06:00 [medline]
PHST- 2017/07/04 06:00 [entrez]
AID - S0003-4975(17)30700-2 [pii]
AID - 10.1016/j.athoracsur.2017.05.025 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2017 Aug;104(2):382-388. doi: 10.1016/j.athoracsur.2017.05.025. 
      Epub 2017 Jun 29.