Fiche publication
Date publication
novembre 2026
Journal
Thoracic surgery clinics
Auteurs
Membres identifiés du Cancéropôle Est :
Pr FALCOZ Pierre-Emmanuel
Tous les auteurs :
Silva JS, Falcoz PE, Brunelli A, Opitz I
Lien Pubmed
Résumé
Lung cancer surgery has evolved substantially, but safety alone does not define quality. Using the Avedis Donabedian model, quality encompasses structure, process, and outcomes. Structural factors include surgeon specialization, institutional volume, and multidisciplinary care. Process indicators involve guideline-concordant staging, systematic lymphadenectomy, and complete resection; inadequate nodal assessment or uncertain resection negatively affects survival. Outcomes extend beyond mortality to oncologic results and patient-centered measures. Composite metrics such as textbook outcome and failure-to-rescue support benchmarking, while society-driven databases enable risk-adjusted comparisons. Current frameworks emphasize perioperative and technical metrics, but underrepresent patient-reported outcomes, long-term survival, and multimodality care.
Mots clés
Lung cancer, Lung resection surgery, Quality, Safety
Référence
Thorac Surg Clin. 2026 11;36(4):473-479
