title: The 30-day mortality and hospital mortality after chest surgery described in the annual reports published by the Japanese Association for Thoracic and Cardiovascular Surgery.
abstract: OBJECTIVE
  The Japanese Association for Thoracic and Cardiovascular Surgery has conducted annual surveys of thoracic surgery throughout Japan.
  
  
  METHODS
  The purpose of this study was to examine the 30-day mortality and hospital mortality after chest surgery per year to confirm the surgical outcomes of modern medical care in the area of respiratory surgery.
  
  
  RESULTS
  The mean of the 30-day mortality/hospital mortality over a period of 16 years for the patients with lung cancer, metastatic pulmonary tumors, mediastinal tumors, inflammatory pulmonary disease, empyema, and spontaneous pneumothorax was 0.60/1.20, 0.26/0.41, 0.26/0.45, 0.32/0.50, 1.77/4.15, and 0.07/0.10, respectively. Undergoing thoracic surgery is therefore relatively safe in Japan. The death rates associated with lung cancer and mediastinal tumors have gradually decreased owing to therapeutic improvements in recent years. However, this tendency was not true of empyema. The 30-day mortality/hospital mortality rates for empyema were particularly high.
  
  
  CONCLUSIONS
  These data suggest that the rates for empyema might have reached the limit for the current surgical techniques, and that there might be room for improvement by developing new techniques or management strategies. These data from the nationwide surveys can be useful for surgeons, because they can provide a better understanding of the present problems, as well as future prospects.
authors: Divisions of Thoracic Surgery, Saitama Cancer Center, 780 Komuro, Ina, Kita-adachi-gun, Saitama, 362-0806, Japan, hidetaka@cancer-c.pref.saitama.jp.
authors: Hidetaka
authors: H
authors: Uramoto
authors: Meinoshin
authors: M
authors: Okumura
authors: Shunsuke
authors: S
authors: Endo
authors: Fumihiro
authors: F
authors: Tanaka
authors: Hiroyasu
authors: H
authors: Yokomise
authors: Munetaka
authors: M
authors: Masuda
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008171:Lung Diseases / Q000401:mortality / Q000601:surgery*; D008297:Male; D008477:Mediastinal Diseases / Q000401:mortality / Q000601:surgery*; D008875:Middle Aged; D020775:Thoracic Surgery, Video-Assisted / Q000401:mortality; D019616:Thoracic Surgical Procedures / Q000401:mortality*
references: Ann Thorac Surg. 2005 Dec;80(6):2051-6; discussion 2056
references: 16305843
references: Jpn J Thorac Cardiovasc Surg. 2003 Dec;51(12):699-716
references: 14717431
references: Gen Thorac Cardiovasc Surg. 2013 Oct;61(10):578-607
references: 23990117
references: Dis Esophagus. 2010 Feb;23(2):145-52
references: 19515188
references: Ann Thorac Cardiovasc Surg. 2007 Dec;13(6):373-7
references: 18292718
references: Gen Thorac Cardiovasc Surg. 2009 Sep;57(9):488-513
references: 19756938
references: Jpn J Thorac Cardiovasc Surg. 2000 Jun;48(6):401-15
references: 10935337
references: Gen Thorac Cardiovasc Surg. 2012 Oct;60(10):680-708
references: 22956281
references: Jpn J Thorac Cardiovasc Surg. 1999 May;47(5):237-51
references: 10402775
references: Jpn J Thorac Cardiovasc Surg. 2002 Sep;50(9):398-412
references: 12387248
references: PLoS One. 2013 Dec 31;8(12):e82366
references: 24391716
references: Gen Thorac Cardiovasc Surg. 2010 Jul;58(7):356-83
references: 20628854
references: Jpn J Thorac Cardiovasc Surg. 2001 Aug;49(8):528-41
references: 11552283
references: Gen Thorac Cardiovasc Surg. 2008 Jul;56(7):365-88
references: 18607688
references: Gen Thorac Cardiovasc Surg. 2011 Sep;59(9):636-67
references: 22231795
references: Jpn J Thorac Cardiovasc Surg. 2005 Sep;53(9):517-36
references: 16200897
references: Thorax. 2007 Nov;62(11):991-7
references: 17573442
references: Gen Thorac Cardiovasc Surg. 2007 Sep;55(9):377-99
references: 17937053
references: World J Surg. 2010 Feb;34(2):266-71
references: 20012607
references: Jpn J Thorac Cardiovasc Surg. 1998 May;46(5):406-20
references: 9654920
references: ANZ J Surg. 2004 Dec;74(12):1076-81
references: 15574152
references: Eur J Cardiothorac Surg. 2001 Oct;20(4):694-9
references: 11574210
references: Jpn J Thorac Cardiovasc Surg. 2006 Aug;54(8):363-85
references: 16972646