UK Lung cancer resection rates are the lowest among the Western world and vary across the country

1. UK Lung cancer resection rates are the lowest among the Western world and vary across the country Increasing the resection rate would be expected to lead to an increase of the overall lung cancer survival Conclusions Joint review We collected the thoracic activity from the National Thoracic Data Base reports of 2008 and 2011 We analysed the impact of new thoracic specialist appointment on the delivery of Lung Cancer resection and particularly on specialist thoracic provision in terms of Video Assisted Thoracic (VAT) procedures Methods Table 3. Lung resection: the use of VATS Increased use of VATS in UK units where Specialist Thoracic Surgeons were appointed Objective Appointing Specialist Thoracic Surgeons leads to improved thoracic outcomes Dedicated thoracic surgical training leads to increased surgical outcomes Advanced general thoracic training leads to advances specialist thoracic outcomes to benefit our aging cohort of patients with multiple co-morbidities References Contact details: Mr. Thomas Tsitsias MRCS Glenfield Hospital Groby Road, Leicester LE3 9QP Presented at SCTS Annual meeting, Brighton 17th – 19th March 2013 Society of Cardiothoracic Surgery British Thoracic Society ACTION PLAN: Appointment of Thoracic National Training Numbers (NTNs) Dedicated thoracic training during 6 years of SpR training (NTN & non-NTN) Those trainees were appointed as Consultants General Thoracic Surgeons Tsitsias T., Chauhan D., Chowdhry TMF., Waller DA., Rathinam S. Department of Thoracic Surgery, Glenfield Hospital, Leicester UK Impact of Specialist Thoracic Surgical appointment on the National Surgical Activity Fig.1 Variation in surgical resection for lung cancer in relation to survival: population based study in England • VATS lobectomies have increased from 5% to 14% Results • Resection for primary lung cancer has doubled between 2005 and 2010 Table 4. The use of VATS in lobectomy procedures (n=65,050) • VATS segmentectomies increased from 32% to 45% 1. The effects of Increased Provision of Thoracic Surgical Specialists on the Variation in Lung Cancer Resection Rate in England. Lau KW, Rathinam S, Waller DA, Peake MD . J Thorac Oncol. 2013 Jan;8(1):68-72. 2. The beneficial effects of specialist thoracic surgery on the resection rate for non-small-cell lung cancer. Martin-Ucar AE, Waller DA, Atkins JL, Swinson D, O’Byrne KJ, Peake MD, Lung Cancer 2004;46:227-32 3. National Thoracic Surgery Activity & Outcomes Report 2008. Richard Page, Bruce Keogh. The Society for Cardiothoracic Surgery in Great Britain & Ireland 4.National Thoracic Surgery Activity and Outcomes Report 2011. The Society for Cardiothoracic Surgery in Great Britain & ireland 11 UK units appointed Specialist Thoracic Surgeons between 2005-2010 Table 1. Primary lung cancer resection (n=109.388) Bristol Leeds St George’s Leicester Royal Brompton & Harefield Guy’s Sheffield Liverpool Newcastle Birmingham Stoke Table 5. The use of VATS in wedge/segmentectomy procedures (n=9,284) Table 2. Type of resection for primary lung cancer (n=107,502)