Our Summary

This research paper reviewed studies on the costs associated with complications (adverse events, or AEs) following thoracic surgery (surgery involving the chest area). They found that these complications can be quite expensive for healthcare systems, but the costs can vary widely. Some of the most common complications, and their average costs, were leaks at the surgical site and pneumonia after surgery on the esophagus, and several different complications, including pneumonia and irregular heart rhythms, following surgery to remove a lobe of the lung. The researchers believe that understanding these costs can help hospitals and health systems prioritize improvements in care that could both improve patient outcomes and reduce costs.

FAQs

  1. What are some of the most common complications following thoracic surgery?
  2. How can understanding the costs of complications post-thoracic surgery help hospitals and health systems?
  3. What is the financial impact of complications following thoracic surgery on healthcare systems?

Doctor’s Tip

A doctor might tell a patient undergoing thoracic surgery to follow post-operative care instructions carefully to minimize the risk of complications, as complications can be costly for both the patient and the healthcare system. It is important to communicate any concerns or symptoms to your healthcare provider promptly to ensure prompt management and prevent further complications. Regular follow-up appointments and monitoring are also crucial to ensure a successful recovery.

Suitable For

Patients who are typically recommended for thoracic surgery include those with:

  1. Lung cancer
  2. Esophageal cancer
  3. Chest trauma
  4. Severe lung diseases such as emphysema or pulmonary fibrosis
  5. Chest wall deformities
  6. Chronic infections in the chest
  7. Benign tumors in the chest
  8. Thoracic outlet syndrome

Patients with these conditions may benefit from thoracic surgery to remove tumors, repair damaged tissues, improve lung function, or alleviate symptoms. It is important for patients to be evaluated by a thoracic surgeon to determine if surgery is the best treatment option for their specific condition.

Timeline

Before thoracic surgery:

  • Patient meets with their healthcare provider to discuss the need for surgery and potential risks and benefits.
  • Patient undergoes preoperative testing and evaluations to assess their overall health and fitness for surgery.
  • Patient may need to make lifestyle changes or take medications to prepare for surgery.
  • Patient may need to stop certain medications or avoid eating or drinking before surgery.
  • Patient may meet with a surgeon, anesthesiologist, and other members of the surgical team to discuss the procedure and anesthesia options.

After thoracic surgery:

  • Patient is monitored closely in the recovery room immediately after surgery.
  • Patient may be in the hospital for several days to recover and receive pain management, physical therapy, and other necessary care.
  • Patient may have follow-up appointments with their healthcare provider to monitor their recovery and address any complications or concerns.
  • Patient may need to take pain medications, antibiotics, or other medications to manage pain and prevent infection.
  • Patient may need to participate in rehabilitation or physical therapy to regain strength and function.
  • Patient may need to make lifestyle changes or follow a specific diet to support healing and prevent complications.
  • Patient may experience physical and emotional challenges during recovery, such as pain, fatigue, anxiety, and depression.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with thoracic surgery?
  2. How experienced are you in performing thoracic surgeries?
  3. What is the success rate for this type of surgery?
  4. How long is the recovery process expected to take?
  5. Are there any alternative treatment options to consider?
  6. What can I do to prepare for surgery and improve my outcomes?
  7. How can I manage pain and discomfort after surgery?
  8. How often will I need follow-up appointments after surgery?
  9. Are there any specific lifestyle changes I should make post-surgery?
  10. What are the potential long-term effects or complications I should be aware of?

Reference

Authors: Jones D, Kumar S, Anstee C, Gingrich M, Simone A, Ahmadzai Z, Thavorn K, Seely A. Journal: BMJ Open. 2023 Sep 28;13(9):e069382. doi: 10.1136/bmjopen-2022-069382. PMID: 37770272