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Uptake Of Video-assisted Thoracoscopic Lung Resections Within The Veterans Affairs For Known Or Suspected Lung Cancer.

Home
Research Domains
Biomedical And Clinical Sciences
Oncology And Carcinogenesis
Predictive And Prognostic Markers
Uptake Of Video-assisted Thoracoscopic Lung Resections Within The Veterans Affairs For Known Or Suspected Lung Cancer.

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Uptake of Video-Assisted Thoracoscopic Lung Resections Within the Veterans Affairs for Known or Suspected Lung Cancer.

Amelia W Maiga^1,2, Stephen A Deppen^1,2, Jason Denton^1,2

¹Tennessee Valley Healthcare System, Nashville.

|March 14, 2019

View abstract on PubMed

Summary

This summary is machine-generated.

Video-assisted thoracoscopic surgery (VATS) adoption for lung cancer resection in Veterans Affairs (VA) increased significantly from 2002 to 2015. However, VATS use varied widely across VA regions, indicating a need for further investigation into adoption disparities.

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Area of Science:

Thoracic Surgery
Surgical Oncology
Health Services Research

Background:

Minimally invasive lobectomy using video-assisted thoracoscopic surgery (VATS) is increasingly common for early-stage lung cancer, offering benefits over traditional thoracotomy.
Limited data exist on VATS adoption and outcomes within the Veterans Affairs (VA) healthcare system.
There is a public perception that the VA is slow to adopt new surgical procedures and technologies.

Purpose of the Study:

To assess the adoption rate and patterns of video-assisted thoracoscopic surgery (VATS) for lung cancer resection within the Veterans Affairs (VA) healthcare system.
To investigate the variability in VATS utilization across different Veterans Integrated Service Networks (VISNs).

Main Methods:

Retrospective cohort study utilizing national VA Corporate Data Warehouse data from January 2002 to December 2015.

Included 11,004 veterans undergoing lung resection (lobectomy or wedge resection) for known or suspected lung cancer.

Analyzed patient demographics, procedure types, and International Classification of Diseases, Ninth Revision codes.

Main Results:

The proportion of lung resections performed with VATS increased from 15.6% in 2002 to 50.6% in 2015.
VATS utilization varied significantly across Veterans Integrated Service Networks (VISNs), ranging from 0% to 81.7%.
Higher VISN volume was correlated with increased VATS use (Pearson r=0.35, P<.001), and uptake varied widely across VA regions (P<.001).

Conclusions:

The adoption of video-assisted thoracoscopic surgery (VATS) for lung cancer resection within the Veterans Affairs (VA) system has paralleled that of academic hospitals.
Significant regional disparities in VATS uptake exist across the VA.
Further research is warranted to understand the factors contributing to the heterogeneous adoption of VATS within the VA.