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Chronic obstructive pulmonary disease assessment test predicts postoperative complications in patients with lung cancer qualified for lobectomy
, 2, 3
Affiliations- Department of Respiratory Physiopathology, Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
- Department of Thoracic Surgery, Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
- Systems Research Institute, Polish Academy of Sciences, Warsaw, Poland
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Abstract
Introduction. Patients considered for radical surgery for lung cancer need a functional evaluation to identify those at increased risk of postoperative complications.
Material and methods. We performed an analysis of clinical data of 1214 patients who underwent a single lobectomy for lung cancer. To assess the risk of complications, we used the chronic obstructive pulmonary disease assessment test (CAT).
Results. 254 pulmonary and 51 cardiovascular complications occurred in 216 (17.8%) patients. In 204 patients with a CAT score ≥12 complications occurred more often than in patients with a lower score (26.5% vs. 16.0%; p < 0.001).
Conclusions. In patients undergoing lobectomy for lung cancer, pulmonary complications occurred much more frequently than cardiovascular complications. Patients with a CAT score ≥12 had a higher rate of postoperative complications as compared to those with a lower score.
Abstract
Introduction. Patients considered for radical surgery for lung cancer need a functional evaluation to identify those at increased risk of postoperative complications.
Material and methods. We performed an analysis of clinical data of 1214 patients who underwent a single lobectomy for lung cancer. To assess the risk of complications, we used the chronic obstructive pulmonary disease assessment test (CAT).
Results. 254 pulmonary and 51 cardiovascular complications occurred in 216 (17.8%) patients. In 204 patients with a CAT score ≥12 complications occurred more often than in patients with a lower score (26.5% vs. 16.0%; p < 0.001).
Conclusions. In patients undergoing lobectomy for lung cancer, pulmonary complications occurred much more frequently than cardiovascular complications. Patients with a CAT score ≥12 had a higher rate of postoperative complications as compared to those with a lower score.
Keywords
lung cancer; lung resection; preoperative evaluation; CAT
About this articleTitle
Chronic obstructive pulmonary disease assessment test predicts postoperative complications in patients with lung cancer qualified for lobectomy
Journal
Nowotwory. Journal of Oncology
Issue
Article type
Research paper (original)
Pages
220-224
Published online
2021-08-18
Page views
458
Article views/downloads
338
DOI
Bibliographic record
Nowotwory. Journal of Oncology 2021;71(4):220-224.
Keywords
lung cancer
lung resection
preoperative evaluation
CAT
Authors
Stefan Wesołowski
Tadeusz Orłowski
Paweł Bujnowski
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