A Study to Optimize Care for Lung Cancer Patients Undergoing Video-Assisted Thoracoscopic Surgery (VATS)

Study Overview
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Brief Summary
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This is a research study for participants who have been diagnosed with lung cancer and are receiving VATS (Video Assisted Thoracoscopic Surgery) lobectomy or segmentectomy. The overall objective of this study is to develop a database to collect data on participants who are undergoing VATS lobectomy or segmentectomy for lung cancer.

Detailed Description
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This database will be used as for quality improvement purposes. Furthermore, the database will help in collecting data in an organized fashion, which will help the investigators learn more about the details of the workup performed prior to the surgery, during the surgery, peri-operative management and early follow-up. The investigators hope that this database will help to determine a common guideline to perform VATS lobectomy or segmentectomy. By creating a common guideline for future treatment of VATS patients, the investigators predict the efficiency of the process will increase significantly without decreasing, and perhaps even improving, the quality of the procedure.

Official Title
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A Prospective, Observational, Quality Improvement Study to Optimize Care for Lung Cancer Patients Undergoing Video-Assisted Thoracoscopic Surgery (VATS)

Conditions
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Lung Cancer

Intervention / Treatment
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* Other: VATS-associated best practices


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female subjects Age ≥ 18 years Underwent a VATS lobectomy or segmentectomy procedure for lung cancer -- Note: patients with other malignancies are eligible if they have a primary cancer of the lung as defined above Exclusion Criteria: Subjects undergoing thoracotomy lobectomy or segmentectomy for lung cancer Subjects undergoing surgical procedures other than VATS lobectomy or segmentectomy for lung cancer

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Cohort 1-VATS-associated best practices<br>Data to be collected will include demographic data and information about the pre-operative workup, surgical procedure, postoperative course and early discharge course for these patients. After the last patient completes the 30-day post surgery follow-up, the investigators will determine a set of best practices to implement at each of the sites for the quality improvement initiative. During the assessment period, no patients will be enrolled into the study. | Other: VATS-associated best practices<br> <br> |
| Cohort 2-VATS-associated best practices<br>-Once the set of VATS-associated best practices, an additional cohort of approximately 200 patients will be enrolled and followed in a manner identical to the first cohort. | Other: VATS-associated best practices<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Readmissions rates within 30 days of the patient's surgery date |  | 30 Days | 
| Incidence of post-operative complications within 30 days of the patient's surgery date |  | 30 Days | 
| Total inpatient cost |  | 30 Days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in readmission rates between the two cohorts | To compare current VATS-associated procedures with a set of best VATS-associated practives implemented across the participating study centers | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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VATS Lobectomy and Segmentectomy for Lung Cancer, Lung Cancer