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  1. Article ; Online: Defining Relevancy in Patient-Reported Outcomes for Lung Cancer Surgery.

    Dhanasopon, Andrew P / Boffa, Daniel J

    Annals of surgical oncology

    2022  Volume 29, Issue 9, Page(s) 5367–5368

    MeSH term(s) Humans ; Lung Neoplasms/surgery ; Patient Reported Outcome Measures
    Language English
    Publishing date 2022-05-03
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-022-11797-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Surgical Management of Pneumothorax and Pleural Space Disease.

    Dhanasopon, Andrew P / Blasberg, Justin D / Mase, Vincent J

    The Surgical clinics of North America

    2022  Volume 102, Issue 3, Page(s) 413–427

    Abstract: Pleural space diseases constitute a wide range of benign and malignant conditions, including pneumothorax, pleural effusion and empyema, chylothorax, pleural-based tumors, and mesothelioma. The focus of this article is the surgical management of the 2 ... ...

    Abstract Pleural space diseases constitute a wide range of benign and malignant conditions, including pneumothorax, pleural effusion and empyema, chylothorax, pleural-based tumors, and mesothelioma. The focus of this article is the surgical management of the 2 most common pleural disorders seen in modern thoracic surgery practice: spontaneous pneumothorax and empyema.
    MeSH term(s) Chylothorax/etiology ; Chylothorax/surgery ; Empyema ; Humans ; Pleural Diseases/surgery ; Pleural Effusion ; Pneumothorax/surgery
    Language English
    Publishing date 2022-04-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 215713-5
    ISSN 1558-3171 ; 0039-6109
    ISSN (online) 1558-3171
    ISSN 0039-6109
    DOI 10.1016/j.suc.2022.03.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Video-assisted thoracoscopic surgery lobectomy: transitions in practice.

    Dhanasopon, Andrew P / Boffa, Daniel J

    Journal of thoracic disease

    2018  Volume 10, Issue Suppl 33, Page(s) S3834–S3836

    Language English
    Publishing date 2018-10-22
    Publishing country China
    Document type Editorial ; Comment
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd.2018.09.44
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Chest Tube Drainage in the Age of COVID-19.

    Dhanasopon, Andrew P / Zurich, Holly / Preda, Angela

    Physician assistant clinics

    2020  Volume 6, Issue 2, Page(s) 261–265

    Abstract: Patients with COVID-19 are at risk of developing acute respiratory distress syndrome requiring invasive mechanical ventilation. Barotrauma in these patients often leads to clinically significant pneumothorax, which necessitates chest tube thoracostomy. ... ...

    Abstract Patients with COVID-19 are at risk of developing acute respiratory distress syndrome requiring invasive mechanical ventilation. Barotrauma in these patients often leads to clinically significant pneumothorax, which necessitates chest tube thoracostomy. However, given the mode of transmission of the severe acute respiratory syndrome coronavirus 2 virus and the aerosolizing nature of the procedure, special considerations and care must be taken to mitigate the exposure risks to health care personnel. This article discusses the risk mitigation strategies proposed and under review at the authors' institution.
    Language English
    Publishing date 2020-11-26
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2405-8009
    ISSN (online) 2405-8009
    DOI 10.1016/j.cpha.2020.11.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Lung Cancer Screening and Its Impact on Surgical Volume.

    Dhanasopon, Andrew P / Kim, Anthony W

    The Surgical clinics of North America

    2017  Volume 97, Issue 4, Page(s) 751–762

    Abstract: Lung cancer screening has demonstrated a reduction in lung cancer mortality by 20%. Annual low-dose computed tomography examination in high-risk individuals is now recommended by multiple national health care organizations and is covered under Medicare ... ...

    Abstract Lung cancer screening has demonstrated a reduction in lung cancer mortality by 20%. Annual low-dose computed tomography examination in high-risk individuals is now recommended by multiple national health care organizations and is covered under Medicare and Medicaid services. The impact of this public health intervention is projected to increase the case load for the thoracic surgery workforce.
    MeSH term(s) Early Detection of Cancer ; Humans ; Lung Neoplasms/diagnosis ; Lung Neoplasms/surgery ; Pneumonectomy/statistics & numerical data
    Language English
    Publishing date 2017-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 215713-5
    ISSN 1558-3171 ; 0039-6109
    ISSN (online) 1558-3171
    ISSN 0039-6109
    DOI 10.1016/j.suc.2017.03.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Assessment of online information on robotic cardiac and thoracic surgery.

    Hameed, Irbaz / Amabile, Andrea / Candelario, Katherine / Khan, Sumera / Li, Eric / Fereydooni, Soraya / Almeida, Mariana / Latif, Nida / Ahmed, Adham / Dhanasopon, Andrew P / Krane, Marcus / Blasberg, Justin D / Geirsson, Arnar

    Journal of robotic surgery

    2024  Volume 18, Issue 1, Page(s) 41

    Abstract: ... readability scores of 13.8 and 14.0 (p = 0.97), respectively, requiring at least 13 years of education to be ... quality, and suitability (p > 0.05). On multivariable regression, academic websites [Exp (B)], 2.25; 95 ... confidence interval [CI], 1.60-3.16; P < 0.001), and websites with higher amount of content [Exp (B)],1.73; 95% CI, 1 ...

    Abstract Online health resources are important for patients seeking perioperative information on robotic cardiac and thoracic surgery. The value of the resources depends on their readability, accuracy, content, quality, and suitability for patient use. We systematically assess current online health information on robotic cardiac and thoracic surgery. Systematic online searches were performed to identify websites discussing robotic cardiac and thoracic surgery. For each website, readability was measured by nine standardized tests, and accuracy and content were assessed by an independent panel of two robotic cardiothoracic surgeons. Quality and suitability of websites were evaluated using the DISCERN and Suitability Assessment of Materials tools, respectively. A total of 220 websites (120 cardiac, and 100 thoracic) were evaluated. Both robotic cardiac and thoracic surgery websites were very difficult to read with mean readability scores of 13.8 and 14.0 (p = 0.97), respectively, requiring at least 13 years of education to be comprehended. Both robotic cardiac and thoracic surgery websites had similar accuracy, amount of content, quality, and suitability (p > 0.05). On multivariable regression, academic websites [Exp (B)], 2.25; 95% confidence interval [CI], 1.60-3.16; P < 0.001), and websites with higher amount of content [Exp (B)],1.73; 95% CI, 1.24-2.41; P < 0.001) were associated with higher accuracy. There was no association between readability of websites and accuracy [Exp (B)], 1.04; 95% CI, 0.90-1.21; P = 0.57). Online information on robotic cardiac and thoracic surgery websites overestimate patients' understanding and require at least 13 years of education to be comprehended. As website accuracy is not associated with ease of reading, the readability of online resources can be improved without compromising accuracy.
    MeSH term(s) Humans ; Thoracic Surgery ; Robotic Surgical Procedures/methods ; Thoracic Surgical Procedures ; Robotics ; Surgeons
    Language English
    Publishing date 2024-01-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-023-01794-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Big data, big contributions: outcomes research in thoracic surgery.

    Resio, Benjamin J / Dhanasopon, Andrew P / Blasberg, Justin D

    Journal of thoracic disease

    2019  Volume 11, Issue Suppl 4, Page(s) S566–S573

    Abstract: In recent years, analysis of registry data has defined clinically significant practice patterns and treatment strategies that optimize cancer care for thoracic surgery patients. These higher-order outcome studies rely on large patient cohorts that ... ...

    Abstract In recent years, analysis of registry data has defined clinically significant practice patterns and treatment strategies that optimize cancer care for thoracic surgery patients. These higher-order outcome studies rely on large patient cohorts that minimize the risk of selection bias and allow for a powered analysis that is not achievable with single- or multi-institutional data. This review uses recent study examples to highlight important contributions to our knowledge of thoracic surgery and describes how outcomes research using large data can address high impact clinical questions.
    Language English
    Publishing date 2019-03-27
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd.2019.01.04
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Brief Report: Increasing Prevalence of Ground-Glass Nodules and Semisolid Lung Lesions on Outpatient Chest Computed Tomography Scans.

    Woodard, Gavitt A / Udelsman, Brooks V / Prince, Samantha R / Blasberg, Justin D / Dhanasopon, Andrew P / Gange, Christopher P / Traube, Leah / Mase, Vincent J / Boffa, Daniel J / Detterbeck, Frank C / Bader, Anna S

    JTO clinical and research reports

    2023  Volume 4, Issue 12, Page(s) 100583

    Abstract: Introduction: The increased use of cross-sectional imaging frequently identifies a growing number of lung nodules that require follow-up imaging studies and physician consultations. We report here the frequency of finding a ground-glass nodule (GGN) or ... ...

    Abstract Introduction: The increased use of cross-sectional imaging frequently identifies a growing number of lung nodules that require follow-up imaging studies and physician consultations. We report here the frequency of finding a ground-glass nodule (GGN) or semisolid lung lesion (SSL) in the past decade within a large academic health system.
    Methods: A radiology system database review was performed on all outpatient adult chest computed tomography (CT) scans between 2013 and 2022. Radiology reports were searched for the terms "ground-glass nodule," "subsolid," and "semisolid" to identify reports with findings potentially concerning for an adenocarcinoma spectrum lesion.
    Results: A total of 175,715 chest CT scans were performed between 2013 and 2022, with a steadily increasing number every year from 10,817 in 2013 to 21,916 performed in the year 2022. Identification of GGN or SSL on any outpatient CT increased from 5.9% in 2013 to 9.2% in 2022, representing a total of 2019 GGN or SSL reported on CT scans in 2022. The percentage of CT scans with a GGN or SSL finding increased during the study period in men and women and across all age groups above 50 years old.
    Conclusions: The total number of CT scans performed and the percentage of chest CT scans with GGN or SSL has more than doubled between 2013 and 2022; currently, 9% of all chest CT scans report a GGN or SSL. Although not all GGN or SSL radiographic findings represent true adenocarcinoma spectrum lesions, they are a growing burden to patients and health systems, and better methods to risk stratify radiographic lesions are needed.
    Language English
    Publishing date 2023-10-06
    Publishing country United States
    Document type Journal Article
    ISSN 2666-3643
    ISSN (online) 2666-3643
    DOI 10.1016/j.jtocrr.2023.100583
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Subacute Pericardial Tamponade After Sleeve Lower Lobectomy for an Extremely Rare Tumor.

    Astudillo, Michael G / Dhanasopon, Andrew P / Kim, Anthony W

    The Annals of thoracic surgery

    2017  Volume 103, Issue 5, Page(s) e401–e403

    Abstract: A rare case of subacute cardiac tamponade developed in a 71-year-old patient after a left lower lobe sleeve lobectomy for cancer. The patient was successfully treated by drainage of the pericardial effusion by a pigtail catheter. The exact cause is ... ...

    Abstract A rare case of subacute cardiac tamponade developed in a 71-year-old patient after a left lower lobe sleeve lobectomy for cancer. The patient was successfully treated by drainage of the pericardial effusion by a pigtail catheter. The exact cause is uncertain, but it appears to include an inflammatory component.
    MeSH term(s) Aged ; Carcinoma, Mucoepidermoid/surgery ; Cardiac Tamponade/etiology ; Humans ; Lung Neoplasms/surgery ; Male ; Pericardial Effusion/etiology ; Pneumonectomy/adverse effects ; Postoperative Complications/diagnostic imaging ; Tomography, X-Ray Computed
    Language English
    Publishing date 2017-05
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2016.10.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Invasive Staging Procedures Do Not Prevent Nodal Metastases From Being Missed in Stage I Lung Cancer.

    Resio, Benjamin J / Canavan, Maureen / Mase, Vincent / Dhanasopon, Andrew P / Blasberg, Justin D / Boffa, Daniel J

    The Annals of thoracic surgery

    2020  Volume 110, Issue 2, Page(s) 390–397

    Abstract: ... common with tumors > 2 cm (66.4% vs 50.2%, P < .001) and squamous histology (26.9% vs 16.9%, P < .001 ...

    Abstract Background: Up to 20% of clinical stage I lung cancer patients harbor lymph node metastases that go undetected (missed) during the clinical staging evaluation. We investigated to what degree the addition of invasive nodal staging procedures to imaging, as currently practiced, prevents radiographically occult nodal metastases from being missed during the clinical staging evaluation.
    Methods: Treatment-naive patients, imaged by positron emission tomography and computed tomography, who underwent lobectomy for clinical stage I lung cancer from 2012 to 2017 in The Society of Thoracic Surgeons General Thoracic Surgery Database were studied. Rates of missed nodal metastases (MNM) (ie, nodal metastases in lobectomy specimens undetected during clinical staging evaluation) were determined. Risk factors were assessed with multivariable modeling.
    Results: Of the 30,685 clinical stage I patients identified, 3895 (12.7%) underwent preoperative endobronchial ultrasound and 3341 (10.9%) underwent mediastinoscopy. Invasive staging was more common with tumors > 2 cm (66.4% vs 50.2%, P < .001) and squamous histology (26.9% vs 16.9%, P < .001). MNM were discovered in 14.7% of patients, including 20.1% of patients (95% confidence interval, 18.8%-21.5%) who had undergone endobronchial ultrasound and 18.2% (95% confidence interval, 16.7%-19.6%) who had undergone mediastinoscopy. Hilar nodes were most often "missed" (9.5%). Using cut-points in tumor size, histology, laterality, and age, patients could be stratified into particularly high-risk (25% MNM) and low-risk (6% MNM) cohorts.
    Conclusions: Substantial risk of occult lymph node metastases persists in patients with clinical stage I lung cancer despite negative invasive nodal staging, positron emission tomography, and computed tomography. In the absence of a thorough surgical nodal evaluation, early-stage lung cancer patients are at risk of under-treatment.
    MeSH term(s) Aged ; Aged, 80 and over ; Humans ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/pathology ; Lung Neoplasms/surgery ; Lymphatic Metastasis/diagnosis ; Middle Aged ; Missed Diagnosis/prevention & control ; Neoplasm Staging ; Pneumonectomy ; Positron-Emission Tomography ; Prospective Studies ; Tomography, X-Ray Computed
    Language English
    Publishing date 2020-04-10
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2020.03.026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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