Original Articles
Pilot Benchmarking Study of Thoracic Surgery in Spain: Comparison of Cases of Lung Resection and Indicators of Quality
Gonzalo Varelaa,
, Laureano Molinsb, Julio Astudilloc, José María Borrod, Emilio Canalíse, Jorge Freixinetf, Carlos Hernández Ortizg, Florentino Hernando Tranchoh, José Antonio Maestrei
Corresponding author
gvs@usal.es
Correspondence: Dr. G. Varela. Sección de Cirugía Torácica. Hospital Universitario de Salamanca. P.° de San Vicente, 58–182. 37007 Salamanca. España
Correspondence: Dr. G. Varela. Sección de Cirugía Torácica. Hospital Universitario de Salamanca. P.° de San Vicente, 58–182. 37007 Salamanca. España
a Hospital Universitario, Salamanca, Spain
b Hospital Universitari Sagrat Cor, Barcelona, Spain
c Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
d Complejo Hospitalario Juan Canalejo, A Coruña, Spain
e Hospital Clínic i Provincial, Barcelona, Spain
f Hospital de Canarias Dr. Negrín, Las Palmas de Gran Canaria, Las Palmas, Spain
g Hospital Donostia, San Sebastián, Spain
h Hospital Clínico San Carlos, Madrid, Spain
i Hospital Universitari Vall d'Hebron, Barcelona, Spain
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array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. G. Varela. Sección de Cirugía Torácica. Hospital Universitario de Salamanca. P.° de San Vicente, 58–182. 37007 Salamanca. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-07-21" "fechaAceptado" => "2005-11-15" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154390" "palabras" => array:4 [ 0 => "Lung resection" 1 => "Health care benchmarking" 2 => "Clinical pathways" 3 => "Quality of clinical practice" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154391" "palabras" => array:4 [ 0 => "Resección pulmonar" 1 => "<span class="elsevierStyleItalic">Benchmarking</span> sanitario" 2 => "Vías clínicas" 3 => "Calidad de lapráctica clínica" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">This article describes the methods and conclusions of the first Spanish benchmarking study of thoracic surgery. The proposed aims were to describe cases of lung resection in 9 Spanish hospitals, compare indicators of quality among the 9 participating centers, and identify and propose common areas where lung-resection processes could be improved.</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Information was taken from the minimum basic data set for lobectomy and pneumonectomy processes performed in 2002 and 2003. The chosen outcome indicators were in-hospital mortality, morbidity, length of hospital stay, and emergency readmissions within 30 days of discharge, adjusted according to surgical complexity. Once the results had been analyzed, the participating centers with best outcomes were identified and a variety of proposed improvements were discussed.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 1666 procedures (1276 lobectomies and 390 pneumectomies) were studied. We found differences in mean length of stay, mortality, readmission rate, and morbidity that identified centers with lower mortality or shorter hospital stay for comparable or more complex surgical procedures. However, higher morbidity and readmission rates were found in these centers.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Measures were proposed to ensure that relevant diagnostic information is recorded on discharge. It was also proposed to reduce unnecessarily long hospital stays and to standardize the procedures. With such an approach, reliable criteria that improve the quality of lung-resection processes can be established in the future.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">En el presente artículo se describen los métodos y las conclusiones del primer estudio español de <span class="elsevierStyleItalic">benchmarking</span> en cirugía torácica. Los objetivos propuestos fueron: describir la casuística de resección pulmonar desarrollada en 9 hospitales españoles, comparar indicadores de calidad entre los 9 centros participantes e identificar y proponer áreas de mejora comunes para los procesos de resección pulmonar.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se utilizó como fuente de información el conjunto mínimo básico de datos de los años 2002 y 2003 de los procesos de lobectomía o neumonectomía. Los indicadores de resultados seleccionados fueron: mortalidad hospitalaria, morbilidad, estancia y readmisiones urgentes en los 30 días siguientes al alta, ajustadas por complejidad de los casos. Una vez presentados los resultados entre los participantes, se identificaron las unidades con mejores resultados y se discutieron diversas propuestas de mejora.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha estudiado un total de 1.666 procedimientos (1.276 lobectomías y 390 neumonectomías). Se de-tectaron diferencias en estancia media, mortalidad, tasa de readmisiones y morbilidad, que permitieron identificar unidades, de complejidad equiparable o superior, con baja mortalidad y estancia. Sin embargo, en estas unidades se apreciaron tasas de morbilidad y readmisión más elevadas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se propusieron medidas encaminadas a registrar todos los diagnósticos relevantes en los informes de alta, disminuir las estancias inadecuadas y estandarizar los procedimientos que permitirán en el futuro establecer criterios fiables para mejorar la calidad de los procesos de resección pulmonar.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "CJ McNair" 1 => "KH Leibfriend" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Benchmarking: a tool for continuous improvement" "fecha" => "1995" "editorial" => "John Wiley & Sons" "editorialLocalizacion" => "Chichester" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Applying the 3M all patient refined diagnosis related groups grouper to measure inpatient severity in the VA" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "Y Shen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Care" "fecha" => "2003" "volumen" => "416" "numero" => "Suppl II" "paginaInicial" => "103" "paginaFinal" => "110" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Especial Hospitales Top-20. Diario Médico, November 5, 2004." ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "U.S. News. Best hospitals" ] ] "host" => array:1 [ 0 => array:1 [ "WWW" => array:2 [ "link" => "Available from: http://www.usnews.com/usnews/health/best-hospitals/tophosp.htm" "fecha" => "2005" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Society of Thoracic Surgeons. Continuous quality improvement in medicine: validation of a potential role for medical specialty societies" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "TB Ferguson Jr" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Heart Hosp J" "fecha" => "2003" "volumen" => "1" "paginaInicial" => "264" "paginaFinal" => "272" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15815120" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Benchmarking: finding ways to improve" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S Lenz" 1 => "S Myers" 2 => "S Nordlund" 3 => "D Sullivan" 4 => "V Vasista" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Jt Comm Qual Improv" "fecha" => "1994" "volumen" => "20" "paginaInicial" => "250" "paginaFinal" => "259" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical benchmarking improves clinical paths: experience with coronary artery bypass grafting" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "RV Barnes" 1 => "L Lawton" 2 => "D Briggs" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Jt Comm J Qual Improv" "fecha" => "1994" "volumen" => "20" "paginaInicial" => "267" "paginaFinal" => "276" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8044222" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A Rivero Cuadrado" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Análisis y desarrollo de los GDR en el Sistema Nacional de Salud" "fecha" => "1999" "editorial" => "Ministerio de Sanidad y Consumo" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cirugía del carcinoma broncogénico en España. Estudio descriptivo" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Grupo Cooperativo del Carcinoma Broncogénico-SEPAR" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1995" "volumen" => "31" "paginaInicial" => "303" "paginaFinal" => "309" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7627429" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Los mejores hospitales. Entre la necesidad de información comparativa y la confusión" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S Peiró" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Calidad Asistencial" "fecha" => "2001" "volumen" => "16" "paginaInicial" => "119" "paginaFinal" => "130" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is 30-day mortality an adequate outcome statistic for patients considering heart valve replacement?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "MB Edwards" 1 => "KM Taylor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2003" "volumen" => "76" "paginaInicial" => "482" "paginaFinal" => "485" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12902089" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The European Thoracic Surgery Database project: modelling the risk of in-hospital death following lung resection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R Berrisford" 1 => "A Brunelli" 2 => "G Rocco" 3 => "T Treasure" 4 => "M Utley" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2005" "volumen" => "28" "paginaInicial" => "306" "paginaFinal" => "311" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16144067" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospital readmissions and quality of care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "JS Weissman" 1 => "JZ Ayanian" 2 => "S Chasan-Taber" 3 => "MJ Sherwood" 4 => "C Roth" 5 => "AM Epstein" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Care" "fecha" => "1999" "volumen" => "37" "paginaInicial" => "490" "paginaFinal" => "501" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10335751" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Emergency hospital readmission after major lung resection: prevalence and related variables" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G Varela" 1 => "LJ Aranda" 2 => "MF Jiménez" 3 => "N Novoa" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejcts.2004.05.035" "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2004" "volumen" => "26" "paginaInicial" => "494" "paginaFinal" => "497" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15302041" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "¿Cuál es la estancia hospitalaria adecuada para una resección pulmonar?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G Varela" 1 => "M Jiménez" 2 => "N Novoa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2001" "volumen" => "37" "paginaInicial" => "233" "paginaFinal" => "236" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11481053" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary lobectomy patient care pathway: a model to control cost and maintain quality" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "CD Wright" 1 => "JC Wain" 2 => "HC Grillo" 3 => "AC Moncure" 4 => "SM Macaluso" 5 => "DJ Mathisen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0003-4975(97)00548-1" "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1997" "volumen" => "64" "paginaInicial" => "299" "paginaFinal" => "302" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9262564" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Predictors and treatment of persistent air leaks" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "RJ Cerfolio" 1 => "CS Bass" 2 => "AH Pask" 3 => "CR Katholi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2002" "volumen" => "73" "paginaInicial" => "1727" "paginaFinal" => "1730" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12078760" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000004200000006/v1_201305150246/S1579212906601419/v1_201305150246/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004200000006/v1_201305150246/S1579212906601419/v1_201305150246/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906601419?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 10 | 5 | 15 |
| 2024 October | 29 | 19 | 48 |
| 2024 September | 27 | 17 | 44 |
| 2024 August | 45 | 33 | 78 |
| 2024 July | 30 | 21 | 51 |
| 2024 June | 50 | 28 | 78 |
| 2024 May | 54 | 27 | 81 |
| 2024 April | 21 | 22 | 43 |
| 2024 March | 26 | 15 | 41 |
| 2024 February | 25 | 23 | 48 |
| 2023 March | 1 | 5 | 6 |
| 2023 February | 20 | 21 | 41 |
| 2023 January | 16 | 26 | 42 |
| 2022 December | 24 | 31 | 55 |
| 2022 November | 18 | 19 | 37 |
| 2022 October | 19 | 23 | 42 |
| 2022 September | 18 | 21 | 39 |
| 2022 August | 14 | 34 | 48 |
| 2022 July | 19 | 38 | 57 |
| 2022 June | 18 | 30 | 48 |
| 2022 May | 16 | 23 | 39 |
| 2022 April | 16 | 21 | 37 |
| 2022 March | 19 | 38 | 57 |
| 2022 February | 17 | 40 | 57 |
| 2022 January | 14 | 33 | 47 |
| 2021 December | 17 | 43 | 60 |
| 2021 November | 19 | 50 | 69 |
| 2021 October | 21 | 57 | 78 |
| 2021 September | 16 | 53 | 69 |
| 2021 August | 10 | 27 | 37 |
| 2021 July | 14 | 29 | 43 |
| 2021 June | 12 | 39 | 51 |
| 2021 May | 13 | 25 | 38 |
| 2021 April | 39 | 48 | 87 |
| 2021 March | 24 | 23 | 47 |
| 2021 February | 13 | 26 | 39 |
| 2021 January | 14 | 18 | 32 |
| 2020 December | 8 | 13 | 21 |
| 2020 November | 14 | 22 | 36 |
| 2020 October | 13 | 6 | 19 |
| 2020 September | 3 | 10 | 13 |
| 2020 August | 7 | 14 | 21 |
| 2020 July | 12 | 18 | 30 |
| 2020 June | 4 | 6 | 10 |
| 2020 May | 12 | 18 | 30 |
| 2020 April | 19 | 22 | 41 |
| 2020 March | 10 | 15 | 25 |
| 2020 February | 8 | 20 | 28 |
| 2020 January | 8 | 17 | 25 |
| 2019 December | 14 | 12 | 26 |
| 2019 November | 13 | 13 | 26 |
| 2019 October | 7 | 9 | 16 |
| 2019 September | 12 | 9 | 21 |
| 2019 August | 9 | 12 | 21 |
| 2019 July | 11 | 17 | 28 |
| 2019 June | 15 | 6 | 21 |
| 2019 May | 10 | 15 | 25 |
| 2019 April | 12 | 28 | 40 |
| 2019 March | 11 | 20 | 31 |
| 2019 February | 7 | 17 | 24 |
| 2019 January | 6 | 16 | 22 |
| 2018 December | 9 | 10 | 19 |
| 2018 November | 10 | 9 | 19 |
| 2018 October | 20 | 14 | 34 |
| 2018 September | 10 | 10 | 20 |
| 2018 May | 3 | 1 | 4 |
| 2018 April | 4 | 5 | 9 |
| 2018 March | 3 | 3 | 6 |
| 2018 February | 6 | 7 | 13 |
| 2018 January | 6 | 7 | 13 |
| 2017 December | 8 | 3 | 11 |
| 2017 November | 3 | 5 | 8 |
| 2017 October | 5 | 7 | 12 |
| 2017 September | 6 | 4 | 10 |
| 2017 August | 8 | 11 | 19 |
| 2017 July | 5 | 6 | 11 |
| 2017 June | 8 | 13 | 21 |
| 2017 May | 6 | 11 | 17 |
| 2017 April | 4 | 11 | 15 |
| 2017 March | 4 | 5 | 9 |
| 2017 February | 1 | 2 | 3 |
| 2017 January | 1 | 2 | 3 |
| 2016 December | 9 | 9 | 18 |
| 2016 November | 14 | 6 | 20 |
| 2016 October | 13 | 9 | 22 |
| 2016 September | 21 | 9 | 30 |
| 2016 August | 10 | 4 | 14 |
| 2016 July | 14 | 3 | 17 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 35 | 10 | 45 |
| 2015 September | 32 | 7 | 39 |
| 2015 August | 20 | 11 | 31 |
| 2015 July | 33 | 6 | 39 |
| 2015 June | 20 | 13 | 33 |
| 2015 May | 41 | 5 | 46 |
| 2015 April | 24 | 11 | 35 |
| 2015 March | 26 | 6 | 32 |
| 2015 February | 29 | 3 | 32 |
| 2015 January | 25 | 5 | 30 |
| 2014 December | 20 | 5 | 25 |
| 2014 November | 37 | 8 | 45 |
| 2014 October | 26 | 9 | 35 |
| 2014 September | 34 | 4 | 38 |
| 2014 August | 28 | 9 | 37 |
| 2014 July | 24 | 4 | 28 |
| 2014 June | 32 | 16 | 48 |
| 2014 May | 49 | 10 | 59 |
| 2014 April | 44 | 4 | 48 |
| 2014 March | 50 | 8 | 58 |
| 2014 February | 41 | 8 | 49 |
| 2014 January | 31 | 7 | 38 |
| 2013 December | 34 | 6 | 40 |
| 2013 November | 32 | 2 | 34 |
| 2013 October | 40 | 9 | 49 |
| 2013 September | 36 | 11 | 47 |
| 2013 August | 35 | 8 | 43 |
| 2013 July | 43 | 12 | 55 |
| 2013 June | 37 | 5 | 42 |
| 2013 May | 29 | 5 | 34 |
| 2013 April | 20 | 2 | 22 |
| 2013 March | 8 | 2 | 10 |
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