A brief overview of thoracic surgery in the United States

被引:18
作者
Byrd, Catherine T. [1 ]
Williams, Kiah M. [1 ]
Backhus, Leah M. [1 ]
机构
[1] Stanford Univ, Div Thorac Surg, Dept Cardiothorac Surg, Sch Med, Stanford, CA 94305 USA
关键词
Thoracic surgery; United States; delivery of health care; lung neoplasms; healthcare disparities; LUNG-CANCER; CARDIOTHORACIC SURGERY; SURVIVAL; TRENDS; POPULATION; SPECIALTY;
D O I
10.21037/jtd-21-1504
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The 331 million people of the United States are served by a complex and expensive healthcare system that accounts for nearly 18% of the country's gross domestic product. Over 90% of patients are insured by private or government-funded plans, but despite high coverage and unusually high healthcare spending, vast disparities exist within the United States population based on demographics in terms of diagnosis, treatment, and outcomes of disease. Thoracic surgeons in the United States are trained to treat patients with diseases of the chest in the operative and perioperative settings, and can accomplish this training through multiple highly competitive pathways. Thoracic surgeons perform an average of 135 operations each per year which address diseases of the lungs, trachea, esophagus, chest wall, mediastinum, and diaphragm. Video assisted thoracoscopic surgeries are the most commonly performed procedures, which are primarily completed to treat lung cancer. Lung cancer is the deadliest and second most prevalent malignancy in the United States, with over 200,000 new cases expected this year. In addition to encouragement of smoking cessation and more attention to air pollutants, increased access to lung cancer screening has significantly expedited diagnosis and reduced mortality from lung cancer in the last several years. Thoracic surgeons in the United States are tasked with treating common yet highly morbid diseases of the chest in a patient population that is diverse in terms of race, socioeconomic status, and healthcare insurance coverage. As the population ages and a shortage of thoracic surgeons looms, the importance of early diagnosis, skillful surgical management, and attention to the disparities that exist in our system cannot be overstated.
引用
收藏
页码:218 / 226
页数:9
相关论文
共 50 条
  • [41] Challenges in the Methodology for Health Disparities Research in Thoracic Surgery
    Adnan, Sakib M.
    Poulson, Michael
    Litle, Virginia R.
    Erkmen, Cherie P.
    THORACIC SURGERY CLINICS, 2022, 32 (01) : 67 - 74
  • [42] Opportunities and challenges for thoracic surgery collaborations in China: a commentary
    Sihoe, Alan D. L.
    JOURNAL OF THORACIC DISEASE, 2016, 8 : S414 - S426
  • [43] Cancers of the oral cavity and pharynx in the United States: An epidemiologic overview
    Swango, PA
    JOURNAL OF PUBLIC HEALTH DENTISTRY, 1996, 56 (06) : 309 - 318
  • [44] Stratigraphy and structure of coalbed methane reservoirs in the United States: An overview
    Pashin, JC
    INTERNATIONAL JOURNAL OF COAL GEOLOGY, 1998, 35 (1-4) : 209 - 240
  • [45] Demand Response Implementation: Overview of Europe and United States Status
    Silva, Catia
    Faria, Pedro
    Vale, Zita
    ENERGIES, 2023, 16 (10)
  • [46] Perioperative Albumin Among Adults Undergoing Thoracic Surgery in the United States: Utilization, Associations With Clinical Outcomes, and Contribution to Hospital Costs
    Al-Qudsi, Omar
    Ellis, Alan R.
    Krishnamoorthy, Vijay
    Ohnuma, Tetsu
    Patoli, Daneel
    Taicher, Brad
    Mamoun, Negmeldeen
    Pant, Praruj
    Wongsripuemtet, Pattrapun
    Cobert, Julien
    Raghunathan, Karthik
    JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2024, 38 (11) : 2722 - 2730
  • [47] Reality of DCD donor use in pediatric thoracic transplantation in the United States
    Ahmed, Hosam F.
    Guzman-Gomez, Amalia
    Kulshrestha, Kevin
    Kantemneni, Eashwar C.
    Chin, Clifford
    Ashfaq, Awais
    Zafar, Farhan
    Morales, David L. S.
    JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2024, 43 (01) : 32 - 35
  • [48] Understanding Variation in In-hospital Mortality After Major Surgery in the United States
    Martins, Russell Seth
    Chang, Yu-Hui
    Etzioni, David
    Stucky, Chee-Chee
    Cronin, Patricia
    Wasif, Nabil
    ANNALS OF SURGERY, 2023, 278 (06) : 865 - 872
  • [49] Analgesic techniques following thoracic surgery: a survey of United Kingdom practice
    Kotemane, Naren C.
    Gopinath, Niraj
    Vaja, Rakesh
    EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2010, 27 (10) : 897 - 899
  • [50] The diminishing experience in pediatric surgery for general surgery residents in the United States
    Esparaz, Joseph R.
    Carter, Stewart R.
    Anderson, Scott A.
    Russell, Robert T.
    Radulescu, Andrei
    Mathis, Michelle S.
    Chen, Mike K.
    JOURNAL OF PEDIATRIC SURGERY, 2021, 56 (07) : 1219 - 1221