TY - JOUR T1 - Spanish Video-Assisted Thoracic Surgery Group: Method, Auditing, and Initial Results From a National Prospective Cohort of Patients Receiving Anatomical Lung Resections JO - Archivos de Bronconeumología T2 - AU - Embun,Raul AU - Royo-Crespo,Iñigo AU - Recuero Díaz,José Luis AU - Bolufer,Sergio AU - Call,Sergi AU - Congregado,Miguel AU - Gómez-de Antonio,David AU - Jimenez,Marcelo F. AU - Moreno-Mata,Nicolas AU - Aguinagalde,Borja AU - Amor-Alonso,Sergio AU - Arrarás,Miguel Jesús AU - Blanco Orozco,Ana Isabel AU - Boada,Marc AU - Cabañero Sánchez,Alberto AU - Cal Vázquez,Isabel AU - Cilleruelo Ramos,Ángel AU - Crowley Carrasco,Silvana AU - Fernández-Martín,Elena AU - García-Barajas,Santiago AU - García-Jiménez,Maria Dolores AU - García-Prim,Jose María AU - Garcia-Salcedo,Jose Alberto AU - Gelbenzu-Zazpe,Juan José AU - Giraldo-Ospina,Carlos Fernando AU - Gómez Hernández,María Teresa AU - Hernández,Jorge AU - Wolf,Jennifer D. Illana AU - Jauregui Abularach,Alberto AU - Jiménez,Unai AU - López Sanz,Iker AU - Martínez-Hernández,Néstor J. AU - Martínez-Téllez,Elisabeth AU - Milla Collado,Lucía AU - Mongil Poce,Roberto AU - Moradiellos-Díez,Francisco Javier AU - Moreno-Balsalobre,Ramón AU - Moreno Merino,Sergio B. AU - Obiols,Carme AU - Quero-Valenzuela,Florencio AU - Ramírez-Gil,María Elena AU - Ramos-Izquierdo,Ricard AU - Rivo,Eduardo AU - Rodríguez-Fuster,Alberto AU - Rojo-Marcos,Rafael AU - Sanchez-Lorente,David AU - Sanchez Moreno,Laura AU - Simón,Carlos AU - Trujillo-Reyes,Juan Carlos AU - Hernando Trancho,Florentino SN - 03002896 M3 - 10.1016/j.arbres.2020.01.005 DO - 10.1016/j.arbres.2020.01.005 UR - https://archbronconeumol.org/en-spanish-video-assisted-thoracic-surgery-group-articulo-S0300289620300259 AB - IntroductionOur study sought to know the current implementation of video-assisted thoracoscopic surgery (VATS) for anatomical lung resections in Spain. We present our initial results and describe the auditing systems developed by the Spanish VATS Group (GEVATS). MethodsWe conducted a prospective multicentre cohort study that included patients receiving anatomical lung resections between 12/20/2016 and 03/20/2018. The main quality controls consisted of determining the recruitment rate of each centre and the accuracy of the perioperative data collected based on six key variables. The implications of a low recruitment rate were analysed for “90-day mortality” and “Grade IIIb-V complications”. ResultsThe series was composed of 3533 cases (1917 VATS; 54.3%) across 33 departments. The centres’ median recruitment rate was 99% (25–75th:76–100%), with an overall recruitment rate of 83% and a data accuracy of 98%. We were unable to demonstrate a significant association between the recruitment rate and the risk of morbidity/mortality, but a trend was found in the unadjusted analysis for those centres with recruitment rates lower than 80% (centres with 95–100% rates as reference): grade IIIb-V OR=0.61 (p=0.081), 90-day mortality OR=0.46 (p=0.051). ConclusionsMore than half of the anatomical lung resections in Spain are performed via VATS. According to our results, the centre's recruitment rate and its potential implications due to selection bias, should deserve further attention by the main voluntary multicentre studies of our speciality. The high representativeness as well as the reliability of the GEVATS data constitute a fundamental point of departure for this nationwide cohort. ER -