Table 5.
Logistic regression analyses of independent association of surgical approach with adverse perioperative outcomes in patients who had a lobectomy and those who had sublobar resection for lung cancer in the National Inpatient Sample database from October 2015 through December 2018
| Adverse perioperative outcomes | Lobectomy; RATS (relative to VATS) |
Sublobar resection; RATS (relative to VATS) |
||||
|---|---|---|---|---|---|---|
| Odds ratio (95% CI) | Unadjusted P value | Holm-adjusted P value | Odds ratio (95% CI) | Unadjusted P value | Holm-adjusted P value | |
| Any complication | 1.1 (1.01-1.27) | .03 | .33 | 1.1 (.96-1.30) | .12 | .84 |
| Thoracic complications | 1.1 (1.01-1.28) | .04 | .40 | 1.04 (.88-1.23) | .64 | 1.00 |
| Pneumonia | 1.1 (0.82-1.40) | .62 | 1.00 | .4 (.27-.67) | <.01 | <.01 |
| Pneumothorax | 1.2 (0.98-1.45) | .08 | .72 | .97 (.75-1.25) | .79 | 1.00 |
| Air leak | 1.1 (0.89-1.27) | .51 | 1.00 | 1.4 (1.08-1.78) | .01 | .09 |
| Acute respiratory failure | 1.4 (0.72-2.55) | .35 | 1.00 | 2.2 (1.24-3.85) | <.01 | .07 |
| Pulmonary collapse or atelectasis | 1.1 (0.89-1.31) | .43 | 1.00 | 1 (.77-1.29) | .99 | 1.00 |
| Bleeding requiring transfusion | 2.2 (0.77-6.43) | .14 | 1.00 | 2.3 (.78-6.73) | .13 | .84 |
| Other outcomes | ||||||
| Mortality | 1.01 (0.51-1.97) | .99 | 1.00 | .4 (.13-.98) | .05 | .40 |
| Conversion to open, n (%) | 0.5 (0.12-2.44) | .42 | 1.00 | .7 (.29-1.47) | .30 | 1.00 |
| Extended length of stay (>7 d) | 0.95 (0.81-1.11) | .50 | 1.00 | .9 (.72-1.10) | .27 | 1.00 |
Other factors included in the model were: patient age, sex, race/ethnicity, comorbid conditions, smoking, insurance, hospital characteristics and location. RATS, Robotic-assisted thoracoscopic surgery; VATS, video-assisted thoracoscopic surgery; CI, confidence interval.