time frame, with a focus on patients with pre-existing lung fibrosis and/or lung function compromise. This patient group is known to have a poorer survival outcome with conventional radiotherapy due to worsening of their pre existing lung condition. This study was aimed at generating real world data of SABR outomes in this population. Method: Data about staging, pathology, lung function, treatment response and follow up in primary early stage lung cancer patients treated with SABR at a tertiary cancer center over a 4 year time frame was gathered retrospectively and analysed for outcomes in survival differences between patients with compromised and non compromised lung function. For the purpose of this abstract compromised lung function was defined as clinical/radiological diagnosis of pulmonary fibrosis and/or a transfer factor for carbon monoxide (TLCO) <40% predicted. Result: The records of 274 patients with a median age of 78 years were analysed. 50(18.2%) patients were found to have compromised lung function as defined. 53% had MRC dypsnoea scores of 3 and 75% were current or ex smokers. 80% of the patients had moderate to severe comorbidity. Median overall survival estimate by Kaplan Meir method for patients with compromised lung function undergoing SBRT was 31.9 months(95% CI 22.3-41.5) was not significantly different from patients without compromised lung function 32.0 months (95% CI 27.1-37.0) p¼0.552. Conclusion: SBRT for primary lung cancer appears to be as safe in patients with compromised lung function as those without.
Introduction: Postoperative complications are a reality in the context of abdominal surgery, which is why the use of an abdominal bandage was strongly recommended for decades. Objectives: The aim is to identify the benefits for the patient and verify the pertinence of the recommendation for its use, taking into account the advancement of surgical techniques. Methodology: A integrative review of the literature was carried out, in which studies from 2017 to 2022 were identified in the database aggregators EBSCOhost (CINAHL Complete, MEDLINE Complete, Nursing & Allied Health Collection, Cochrane Plus Collection) and Web of Science (SciELO). Results: 137 articles were identified, of which 15 were included for review. Discussion: In the literature, several benefits are pointed out with the use of abdominal bandage, namely in the healing of the surgical wound, in comfort and in early mobilization. However, it was in pain control that there was greater benefit for patients in most articles. Considering these factors, the patient becomes more cooperative in performing recovery exercises. Conclusion: Current scientific evidence indicates that abdominal taping, when correctly applied, is an effective strategy that favors the functional recovery of patients undergoing abdominal surgery by laparotomy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.