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A risk model for lung resection: data from the European Thoracic Database Project

Published online by Cambridge University Press:  01 August 2008

T. Treasure*
Affiliation:
Guy’s Hospital, London, UK Clinical Operational Research Unit, UCL, London, UK
M. Utley
Affiliation:
Clinical Operational Research Unit, UCL, London, UK
R. Berrisford
Affiliation:
Royal Devon & Exeter NHS Trust, Exeter, Devon, UK
*
Correspondence to: Tom Treasure, Guy’s Hospital, London SE1 9RT, UK. E-mail: tom.treasure@googlemail.com; Tel: +44 20 7679 4502; Fax: +44 20 7813 2814
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Summary

The development, application and interpretation of risk models is becoming an important activity in a number of surgical disciplines. In this paper, we discuss the many issues that arise when constructing a risk model, with particular reference to the development of a risk model for thoracic surgery. First, we briefly revisit the origins of risk modelling in cardiothoracic surgery.

Type
Review
Copyright
Copyright © European Society of Anaesthesiology 2008

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References

1.Parsonnet, V, Dean, D, Bernstein, AD. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. Circulation 1989; 79: I3I12.Google Scholar
2.Miller, DC, Stinson, EB, Oyer, PE et al. Discriminant analysis of the changing risks of coronary artery operations: 1971–1979. J Thorac Cardiovasc Surg 1983; 85: 197213.Google Scholar
3.Kirklin, J, Barratt-Boyes, B. Cardiac Surgery. New York: John Wiley & Sons, 1986.Google Scholar
4.Nashef, SA, Carey, F, Silcock, MM, Oommen, PK, Levy, RD, Jones, MT. Risk stratification for open heart surgery: trial of the Parsonnet system in a British hospital. BMJ 1992; 305: 10661067.Google Scholar
5.Treasure, T. The safe duration of total circulatory arrest with profound hypothermia. Ann R Coll Surg Engl 1984; 66: 235240.Google ScholarPubMed
6. Treasure, T. The safe duration of total circulatory arrest with profound hypothermia. 1982. University of London.Google Scholar
7.Treasure, T, Naftel, DC, Conger, KA, Garcia, JH, Kirklin, JW, Blackstone, EH. The effect of hypothermic circulatory arrest time on cerebral function, morphology, and biochemistry. An experimental study. J Thorac Cardiovasc Surg 1983; 86: 761770.CrossRefGoogle ScholarPubMed
8.Mohri, H, Barnes, RW, Winterscheid, LC, Dillard, DH, Merendino, KA. Challenge of prolonged suspended animation: a method of surface-induced deep hypothermia. Ann Surg 1968; 168: 779787.Google Scholar
9.Brunberg, JA, Reilly, EL, Doty, DB. Central nervous system consequences in infants of cardiac surgery using deep hypothermia and circulatory arrest. Circulation 1974; 50: II60II68.Google Scholar
10.Brunberg, JA, Doty, DB, Reilly, EL. Choreoathetosis in infants following cardiac surgery with deep hypothermia and circulatory arrest. J Pediatr 1974; 84: 232235.Google Scholar
11.Berrisford, R, Brunelli, A, Rocco, G, Treasure, T, Utley, M. The European Thoracic Surgery Database project: modelling the risk of in-hospital death following lung resection. Eur J Cardiothorac Surg 2005; 28: 306311.CrossRefGoogle ScholarPubMed
12.BTS guidelines: guidelines on the selection of patients with lung cancer for surgery. Thorax 2001; 56: 89108.Google Scholar
13.Gallivan, S, Utley, M, Pagano, D, Treasure, T. MADCAP: a graphical method for assessing risk scoring systems. Eur J Cardiothorac Surg 2006; 29: 431433.Google Scholar
14.Blackstone, EH, Lauer, MS. Caveat emptor: the treachery of work-up bias. J Thorac Cardiovasc Surg 2004; 128: 341344.CrossRefGoogle ScholarPubMed
15.Naruke, T, Tsuchiya, R, Kondo, H, Asamura, H. Prognosis and survival after resection for bronchogenic carcinoma based on the 1997 TNM-staging classification: the Japanese experience. Ann Thorac Surg 2001; 71: 17591764.CrossRefGoogle ScholarPubMed
16.Treasure, T. Whose lung is it anyway? Thorax 2002; 57: 34.Google Scholar