1 / 31

Norwegian Association for Cardiothoracic Surgery

Norwegian Association for Cardiothoracic Surgery. Norwegian register for general thoracic surgery . Steinar Solberg, MD, PhD . Department of Thoracic and Cardiovascular Surgery Rikshospitalet, Norway ssolber@online.no. Thoracic surgery in Norway 2017. Summary, 2017. All time high

jross
Download Presentation

Norwegian Association for Cardiothoracic Surgery

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Norwegian Association for Cardiothoracic Surgery Norwegian register for general thoracicsurgery. Steinar Solberg, MD, PhD. Department ofThoracic and CardiovascularSurgery Rikshospitalet, Norway ssolber@online.no Thoracic surgery in Norway 2017

  2. Summary, 2017 • All time high • Total number of operations reported: 1633 • Number of operations for lung cancer: 703 • Number of operations performed by thoracoscopy: 816 • Few, if any country has better overview, treatment, and survival for lung cancer patients. • There is a slight decline in the proportion of females being operated for lung cancer – from 50 % in 2013 to 46 % in 2017. • Increasing proportion of limited resections in lung cancer surgery. Systematic lymph node dissection can probably be improved. • Some 40 % of the patients are now offered curative treatment; surgery (22 %), stereotacic radiation (8 %) or chemo- radiotherapy (8 %). • Very low mortality, both 30 and 90 days after surgery for lung cancer! • Continuously increasing survival after 1, 2 and 5 years in both men and women diagnosed with lung cancer. • No hospital in Norway can offer robotic technique in lung cancer surgery. Norwegian Association for Cardiothoracic Surgery

  3. Number of general thoracic operations reported Norwegian Association for Cardiothoracic Surgery

  4. Number of operations per hospital per year Norwegian Association for Cardiothoracic Surgery

  5. Accesses used Norwegian Association for Cardiothoracic Surgery

  6. Underlying diagnoses Norwegian Association for Cardiothoracic Surgery

  7. Organ operated upon Norwegian Association for Cardiothoracic Surgery

  8. Selected operations performed Norwegian Association for Cardiothoracic Surgery

  9. Number of operations for lung metastases performed annually Norwegian Association for Cardiothoracic Surgery

  10. Operations for lung cancer Norwegian Association for Cardiothoracic Surgery

  11. The pronounced reduction in smoking seems to influence and reduce atherosclerotic disease earlier than lung cancer. The reduction in lung cancer is estimated to occur in the early 2030-ies *From Statistics Norway: https://www.ssb.no/en/helse/statistikker/royk

  12. Number of operations for lung cancer per hospital per year Norwegian Association for Cardiothoracic Surgery

  13. Prosedures performed in operations for lung cancer Norwegian Association for Cardiothoracic Surgery

  14. The number (bars) and percentage (line) of lobectomies for lung cancer completed by VATS Norwegian Association for Cardiothoracic Surgery

  15. From the Cancer Registry of Norway, 2017 The percentage of resections for lung cancer performed by thoracoscopy (VATS)

  16. From the Cancer Registry of Norway, 2017 All departments can view their own data online* and compare with national data. Example: * https://portal.kreftregistrering.no:80/ (username and password needed)

  17. The percentage of patiens beeing females in surgery for lung cancer Norwegian Association for Cardiothoracic Surgery

  18. Median (min – max) age for patients operated for lung cancer 2013 - 2017 Norwegian Association for Cardiothoracic Surgery

  19. The number (bars) and percentage (line) of patients operated for lung cancer beeing 80 years or older Norwegian Association for Cardiothoracic Surgery

  20. Improved survival after 1, 2 and 5 years in the whole group of lung cancer patients. The 5 year-survival and median survival have been doubled since 2000. The Cancer Registry of Norway http://www.kreftregisteret.no/ Norwegian Association for Cardiothoracic Surgery

  21. Population Lung cancer, new cases total Lung cancer, new cases females

  22. From the Cancer Registry of Norway, 2017

  23. From the Cancer Registry of Norway, 2017 The proportion of the patients operated within the first two weeks after decision.

  24. Global interest in cancer survival Significant improvements! Also in lung cancer - but still, near 80 % are dead after five years even in the countries with the best surveillance and survival.

  25. Has stereotactic radiation had the same effect on lung cancer surgery as PCI have had on CABG? *Data from The Norwegian Register for Cardiac Surgery

  26. No parallel to an increase in stereotactic treatment, surgery has increased

  27. From the Cancer Registry of Norway, 2017* The percentageofthepatients diagnosedwithlung cancer that has beentreatedwithintention to cure – eg: • Surgery: 22% • Stereotacticradiation: 8 % • Chemo-radiation: 8 % • TOTAL: 38 % !! *Wide bars 2017, tiny bars 2016.

  28. Survival after surgery for lung cancer From the Cancer Registry of Norway Months after the diagnosis

  29. From the Cancer Registry of Norway, 2017 30 days mortality after surgery for lung cancer

  30. From the Cancer Registry of Norway, 2017 90 days mortality after surgery for lung cancer

  31. T H A N K Y O U

More Related