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Population-based requirements for thoracic surgery

L J Melton, D C McGoon, W M O'Fallon

    The Journal of Thoracic and Cardiovascular Surgery
    |November 1, 1981
    PubMed
    Summary
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    This study determined the population-based need for thoracic surgery, finding an incidence of 99.6 per 100,000 person-years. Extrapolating this data suggests approximately 300,000 thoracic operations are needed annually in the U.S.

    Area of Science:

    • Thoracic Surgery
    • Epidemiology
    • Public Health

    Background:

    • Determining the population-based requirement for thoracic surgery is crucial for healthcare planning.
    • Previous data on the incidence and trends of thoracic operations is limited.

    Purpose of the Study:

    • To establish the population-based incidence of thoracotomies in Olmsted County, Minnesota over a 10-year period.
    • To analyze demographic and geographic variations in thoracic surgery rates.
    • To project the national requirement for thoracic operations.

    Main Methods:

    • Retrospective review of all thoracotomies performed on Olmsted County residents over a 10-year period.
    • Calculation of age-adjusted incidence rates stratified by age, sex, and urban/rural residence.

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  • Extrapolation of Olmsted County data to the 1980 United States population.

    • Main Results:

    • An overall age-adjusted incidence rate of 99.6 thoracotomies per 100,000 person-years was observed.
    • Rates increased with age, were higher in men (2.1:1 male:female ratio), and nearly double for urban compared to rural residents.
    • Cardiovascular disease (60%), pulmonary disease (30%), and other chest conditions (10%) were the primary indications, with increasing incidence across all categories.

    Conclusions:

    • The study provides essential population-based data on thoracic surgery utilization.
    • Projected national demand indicates a substantial requirement for thoracic surgical services.
    • Findings highlight the need for resource allocation and planning for thoracic surgery nationwide.