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Thoracic surgery in Spain.

Gonzalo Varela1, Florentino Hernando-Trancho2,3,4, Pedro M Rodríguez Suárez5,6,7

  • 1Thoracic Surgery Service, Salamanca University Hospital, Salamanca, Spain.

Journal of Thoracic Disease
|April 11, 2022
PubMed
Summary
This summary is machine-generated.

Spanish Thoracic Surgery is a well-established specialty with standardized training and advanced techniques like VATS. The national system efficiently supports 0.5 specialists per 100,000 people, including a growing female workforce.

Keywords:
National developmentlung transplantrobotic surgerythoracic surgery

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Area of Science:

  • Healthcare Systems Analysis
  • Surgical Specialties

Background:

  • Spain's public healthcare expenditure is 9% of GDP, with a highly efficient National Health System.
  • Thoracic Surgery is an independent medical specialty in Spain, with uniform training regulations nationwide.

Purpose of the Study:

  • To provide an overview of the Spanish Thoracic Surgery landscape.
  • To analyze the national spread of thoracic units, education, and technological advancements.
  • To review the Thoracic Surgery workforce and compare it with related specialties.

Main Methods:

  • Review of national healthcare data and Thoracic Surgery specific statistics.
  • Analysis of workforce demographics, including gender and age distribution.
  • Assessment of current surgical techniques, such as Video-Assisted Thoracic Surgery (VATS) and lung transplantation rates.

Main Results:

  • Spain has 0.5 certified Thoracic Surgery specialists per 100,000 inhabitants, with 50% of those aged 30-39 being female.
  • Over 50% of anatomical resections are performed using VATS.
  • Seven centers are accredited for lung transplantation, with a rate of 7.1 per million population, aided by a successful non-heart-beating donor program.

Conclusions:

  • Spanish Thoracic Surgery is a robust specialty with high adoption of minimally invasive techniques and efficient lung transplantation programs.
  • Recommendations include implementing a national database for continuous clinical quality improvement in thoracic surgical procedures.