is provided by dedicated general thoracic surgeons. In contrast, databases like the NCDB provide a "30,000-foot view" as to what is currently occurring nationally across a diverse spectrum of surgeons and institutions. Only by comparing the STS database to the NCDB and other large databases can we fully appreciate the current state of thoracic oncology and where we as clinicians, quality leaders, and policymakers should target our efforts to improve the care of cancer patients nationally.