ESTS 2026

Audit · ESTS · ReSECT

ESTS 2026

Volume and completeness audit of the departments applying to the 2026 edition of the ESTS Institutional Accreditation.Period evaluated: 2023-2025

ScopeCompletenessCPSData up to 2 November 2026

6,572

Anatomical Lung
Resections 2023-2025

37

Departments contributing
Anatomical Lung Resections

16

Departments with > 150
Anatomical Lung Resections

15

Departments with data
completeness > 70%

Scope

What this audit covers

This report audits the data of the departments participating in ReSECT for the 2026-edition of the ESTS Institutional Accreditation. It evaluates both the volume of anatomical lung resections and the completeness of the key variables required to calculate each unit’s Composite Performance Score (CPS).

01

The analysis covers the three-year period from 01-01-2023 to 31-12-2025, following ESTS Database policy.

02

Units need more than 150 anatomical lung resections over the period.

03

Every variable of the CPS needs a completeness rate above 70%.^*

* In addition, a CPS value greater than 0 is the final requirement for a department to be a candidate for accreditation. It is not covered by this audit: the CPS is calculated within the ESTS data, so it cannot be analysed with ReSECT data alone.

Completeness criteria

Data complete enough to score

Rate of completeness of each domain and variable used to calculate the Composite Performance Score in lung cancer cases. Eligibility of a unit for accreditation requires a completeness rate above 70% for all of them.

• Predicted morbidity (Eurolung 1): age, sex, FEV1ppo, approach (thoracotomy), extended resection and major cardiopulmonary complications.
• Predicted mortality (Eurolung 2): age, sex, FEV1ppo, BMI, approach (thoracotomy), resection (pneumonectomy) and status at discharge (mortality).
• Also: diagnosis, invasive mediastinal staging, lymphadenectomy and PET scan.

Completeness rate (%) by department with more than 150 cases

↓ About the table below

The table includes the units with more than 150 anatomical lung resections for any diagnosis in the three-year period. Completeness rates for staging, lymphadenectomy and PET are only evaluated in cases with a diagnosis of lung cancer or a missing diagnosis.

The content of this table should be an accurate approximation of the eligibility report issued annually by the ESTS Data Manager Team to the ESTS Database Committee.

• Up to 70%
• 70% to 80%
• Above 80%

CPS eligibility

A positive score

In addition to the volume and completeness criteria, a Composite Performance Score (CPS) value greater than 0 is mandatory to be eligible for accreditation. CPS values are calculated from each unit’s performance compared with the entire ESTS cohort.

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