Four-Year Results After Lung Volume Reduction Surgery for Emphysema

Samper, Gustavo Juan; Capilla, Mercedes Ramón; Armengol, A. Cantó; Pérez, Marga López; Pérez, Tomás Lloret; Gomis, Elena Rubio; Pardo, J. Marín

doi:10.1016/s1579-2129(06)60353-4

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…The relationship existing between nutritional status and HRQoL is becoming an important question not only in the study of oncological patients ( 66 , 67 ) , but also in other pathologies ( 68 ) and interventions ( 69 , 70 ) . The improvement of this correlation, as a consequence of an appropriate nutritional intervention, enables the reduction of the number of post-surgical complications ( 70 , 71 ) , shortens the recovery time and the length of hospital stay, improves tolerance to the treatment ( 72 , 73 ) and even increases the rate of survival ( 74 – 77 ) , and with it a general decrease in morbidity ( 78 , 79 ) .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of quality of life related to nutritional status

Wanden-Berghe¹,

Sanz-Valero²,

Escribà‐Agüir

et al. 2009

Br J Nutr

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The way in which the quality of life related to health (HRQoL) is affected by the nutritional status of the patient is a subject of constant interest and permanent debate. The purpose of the present paper is to review those studies that relate HRQoL to nutritional status and examine the tools (questionnaires) that they use to investigate this relationship. A critical review of published studies was carried out via an investigation of the following databases: MEDLINE (via PubMed); EMBASE; The Cochrane Library; Cumulative Index to Nursing and Allied Health Literature (CINAHL); Institute for Scientific Information (ISI) Web of Science; Latin American and Caribbean Health Sciences Literature (LILACS); Spanish Health Sciences Bibliographic Index (IBECS). The search was carried out from the earliest date possible until July 2007.The medical subject heading terms used were 'quality of life', 'nutritional status' and 'questionnaires'. The articles had to contain at least one questionnaire that evaluated quality of life. Twenty-eight documents fulfilling the inclusion criteria were accepted, although none of them used a specific questionnaire to evaluate HRQoL related to nutritional status. However, some of them used a combination of generic questionnaires with the intention of evaluating the same. Only three studies selectively addressed the relationship between nutritional status and quality of life, this evaluation being performed not by means of specific questionnaires but by statistical analysis of data obtained via validated questionnaires.

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Section: Discussionmentioning

confidence: 99%

Evaluation of quality of life related to nutritional status

Wanden-Berghe¹,

Sanz-Valero²,

Escribà‐Agüir

et al. 2009

Br J Nutr

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“…21 Other reports are similar with survival rates of 56-71% at 4 or 5 years after LVRS. [22][23][24][25][26][27] A recent follow-on report of the NETT trial estimates survival of around 60% 5 years after LVRS. 28 The implication for our series is that the expected survival for the patients in our lobarLVRS group is less than in the control group because of the COPD, so one could not expect similar survival between the groups after surgery.…”

Section: Discussionmentioning

confidence: 99%

Is the initial feasibility of lobectomy for stage I non-small cell lung cancer in severe heterogeneous emphysema justified by long-term survival?

Martin-Ucar

Fareed

Nakas

et al. 2007

Thorax

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Background: The feasibility of anatomical lobectomy in patients with bronchial carcinoma in an area of severe heterogeneous emphysema whose respiratory reserve is outside operability guidelines has previously been confirmed. A review was undertaken to determine whether this approach is justified by long-term survival. Methods: A single surgeon's 8 year experience of 118 consecutive patients (74 men) of median age 70 years (range 45-84) who underwent upper lobectomy for pathological stage I non-small cell lung cancer (NSCLC) was reviewed. The preoperative characteristics, perioperative course and survival of the 27 cases with severe heterogeneous emphysema of apical distribution and a predicted postoperative forced expiratory volume in 1 s (ppoFEV 1 ) of ,40% (lobarLVRS group) were compared with the remaining 91 cases with a ppoFEV 1 of .40% (control group). Results: Postoperative mortality was 1 of 27 in the lobarLVRS group and 2 of 91 in the control group (p = NS). Five-year survival in the lobarLVRS group was 35% compared with 65% in the control group without concomitant severe emphysema (p = 0.001), although rates of tumour recurrence were similar. Conclusions: Long-term survival after lobarLVRS for stage I lung cancer is limited by physiological rather than oncological factors. However, outcomes are still better than those reported for any other modality of treatment in this group of high-risk patients. This finding justifies the decision to offer lobectomy in these selected cases.

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Four-Year Results After Lung Volume Reduction Surgery for Emphysema

Cited by 2 publications

References 29 publications

Evaluation of quality of life related to nutritional status

Evaluation of quality of life related to nutritional status

Is the initial feasibility of lobectomy for stage I non-small cell lung cancer in severe heterogeneous emphysema justified by long-term survival?

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