NICE public health guidance update

Killoran, Amanda; Crombie, H David; White, P.; Jones, D.; Morgan, Antony

doi:10.1093/pubmed/fdq057

Cited by 44 publications

(5 citation statements)

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“…Therefore, current guidelines for management of lung cancer patients recommend that smoking cessation should be always encouraged as soon as possible before surgery, but the operation should not be postponed to allow this (22). Nicotine replacement and other therapies to help stop smoking are also recommended (23).…”

Section: Comorbidities and Risk Factorsmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) and fast-track in video-assisted thoracic surgery (VATS) lobectomy: preoperative optimisation and care-plans

D’Andrilli

Rendina

2018

J. Vis. Surg.

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Main specific interventions for preoperative clinical optimisation of patients undergoing lung cancer surgery include assessment and treatment of comorbidities, minimizing preoperative hospitalization, minimizing preoperative fasting, and optimisation of antibiotic and thrombo-embolic prophylaxis. Preoperative patient optimisation is considered a crucial part of enhanced recovery after thoracic surgery pathways. Potentially, advantages of this fast-track management could be even higher when considering video-assisted thoracic surgery (VATS) major lung resection, because reduced trauma related to minimally invasive techniques is one of the main factors improving postoperative outcome. Literature data and clinical evidences in this setting are reported and discussed.

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Section: Comorbidities and Risk Factorsmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) and fast-track in video-assisted thoracic surgery (VATS) lobectomy: preoperative optimisation and care-plans

D’Andrilli

Rendina

2018

J. Vis. Surg.

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“…54 There is a paucity of evidence specifically relating to esophageal surgery; however, 3 areas that have been studied in thoracic patients provide evidence that may be transitioned to the esophagectomy population: smoking cessation, optimization of chronic obstructive pulmonary disease (COPD), and preoperative pulmonary rehabilitation. 55 The United Kingdom National Institute for Health and Clinical Excellence (NICE) recommends that all smokers should be offered nicotine replacement to help stop smoking, 56 as smoking is associated with a higher likelihood of 30-day mortality and serious postoperative complications. 57 COPD is common in patients with esophageal cancer, and data suggest that the use of long-acting b-agonists, combined with inhaled steroids, may reduce postoperative complications.…”

Section: Preoptimizationmentioning

confidence: 99%

Anesthesia for Esophagectomy

Carney

Dickinson

2015

Anesthesiology Clinics

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“…In old age, disability is not so much the result of a single disease but rather the effect of a complex simultaneous decrease in functioning of multiple physiologic systems [10]. This explains why older persons are very heterogeneous in regards to disability and why focussing on summary indices based on the number of health conditions does not reveal the true burden of disease on disability [11,12]. A rare disease may be very disabling on the individual but not on the population level, whereas highly prevalent diseases with small individual impact still contribute greatly to the societal burden of disease.…”

Section: Introductionmentioning

confidence: 99%

Distribution and determinants of functioning and disability in aged adults - results from the German KORA-Age study

et al. 2013

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BackgroundToday industrialized countries face a burgeoning aged population. Thus, there is increasing attention on the functioning and disabilities of aged adults as potential determinants of autonomy and independent living. However, there are few representative findings on the prevalence and determinants of disability in aged persons in the German population.The objective of our study is to examine the frequency, distribution and determinants of functioning and disability in aged persons and to assess the contribution of diseases to the prevalence of disability.MethodsData originate from the MONICA/KORA study, a population-based epidemiological cohort. Survivors of the original cohorts who were 65 and older were examined by telephone interview in 2009. Disability was assessed with the Health Assessment Questionnaire Disability Index (HAQ-DI). Minimal disability was defined as HAQ-DI > 0. Logistic regression was used to adjust for potential confounders and additive regression to estimate the contribution of diseases to disability prevalence.ResultsWe analyzed a total of 4117 persons (51.2% female) with a mean age of 73.6 years (SD = 6.1). Minimal disability was present in 44.7% of all participants. Adjusted for age and diseases, disability was positively associated with female sex, BMI, low income, marital status, physical inactivity and poor nutritional status, but not with smoking and education. Problems with joint functions and eye diseases contributed most to disability prevalence in all age groups.ConclusionsIn conclusion, this study could show that there are vulnerable subgroups of aged adults who should receive increased attention, specifically women, those with low income, those over 80, and persons with joint or eye diseases. Physical activity, obesity and malnutrition were identified as modifiable factors for future targeted interventions.

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NICE public health guidance update

Cited by 44 publications

References 0 publications

Enhanced recovery after surgery (ERAS) and fast-track in video-assisted thoracic surgery (VATS) lobectomy: preoperative optimisation and care-plans

Enhanced recovery after surgery (ERAS) and fast-track in video-assisted thoracic surgery (VATS) lobectomy: preoperative optimisation and care-plans

Anesthesia for Esophagectomy

Distribution and determinants of functioning and disability in aged adults - results from the German KORA-Age study

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