6 th October 2016 London Doug West thoracic audit lead Overview The LCCOP project and 2014 report The third thoracic blue book and database Collaboration with RCSEng Clinical Evaluation Unit ID: 779604
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Slide1
Thoracic audit update
SCTS Board of Representatives 6th October 2016 London Doug West thoracic audit lead
Slide2Overview
The LCCOP project and 2014 reportThe third thoracic blue book and databaseCollaboration with RCSEng Clinical Evaluation Unit HES based pilot audit
Slide3LCCOP
Third (2014) data report Report due early December 2016Uses COSD (old LUCADA) and now HES dataRisk adjustmentNovel model
Models for 30 and 90 day mortality
Slide4Outcomes
Unit30 day adjusted mortality90 day adjusted mortalityIndividualNames of lung MDTs a surgeon routinely coversResection rates of those MDTs (likely 2015 NLCA)Extended outcomes
Resection rate stage 1-2, performance status 0-1
Slide5Data validation
LCCOP 2014 data report
Slide6Reflections
All units returned validated data on timeShorter time available“Leap year”ProblemsPasswordsRequest for MDT data unclear
Slide7Data validation: still needed
Slide8Data validation: a London effect?
Data courtesy Natasha Wood, NCRAS, Public Health England
Slide9Questions for future rounds
New outcomes measuresOne year survivalProcess of care outcomesPneumonectomy rates
Slide10Third Blue Book
Funded by Johnson and JohnsonRegistry data 1980-20153 years of SCTS databaseOpen up SCTS data to analysis by member units and collaborators
Slide11Third Blue Book: 35 years of progress…
Slide12Collaboration with
RCSEng Clinical Evaluation UnitCan HES provide useful audit data at unit level?SCTS funded pilot studyPneumothorax and pleural sepsis surgeryOutcomes: mortality, LoS
, readmission, reoperation
Slide13ThanK you
Thoracic audit update: BORS 2016