Performance of the Charlson and Elixhauser Comorbidity Index Varies With the Type of Minimally Invasive Thoracic Surgery
Based upon two commonly performed index thoracic procedures, the outcomes may differ by comorbidity measure employed and by surgery type, suggesting the need for careful selection of index, especially once patients are deemed fit for surgery. The CCI is superior in predicting mortality in patients with MIL. Both CCI and ECI are suitable for MIE. Furthermore, with the recent implementation of an updated ECI incorporating ICD-10 coding, these findings support the durability and robustness of the new ECI. Future research investigating their performances in predicting long-term outcomes in thoracic surgery may be warranted.
Authors
- Daniel J. Boffa (ORCID: https://orcid.org/0000-0001-5471-8833)
- Takashi Harano (ORCID: https://orcid.org/0000-0003-2047-5436)
- Anthony W. Kim (ORCID: https://orcid.org/0000-0002-2790-4945)
- Justin D. Blasberg (ORCID: https://orcid.org/0000-0003-4900-3192)
- Graeme Rosenberg (ORCID: https://orcid.org/0000-0003-3205-1059)
- Sean C. Wightman (ORCID: https://orcid.org/0000-0002-6752-4437)
- Li Ding (ORCID: https://orcid.org/0000-0001-8565-430X)
- Brooks V. Udelsman
- Scott M. Atay (ORCID: https://orcid.org/0000-0003-1925-6746)
- Alexander T. Kim
Institutions
- University of Southern California (US)
- Yale University (US)
Publication Details
- Journal
- World Journal of Surgery
- Published
- 2025-04-22
- DOI
- https://doi.org/10.1002/wjs.12599
- Primary Topic
- Lung Cancer Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Center for Advancing Translational Sciences