Recommendations for perioperative management of lung cancer patients with comorbidities

Tsubochi, Hiroyoshi; Shibano, Tomoki; Endo, Shunsuke

doi:10.1007/s11748-017-0864-z

Cited by 5 publications

(7 citation statements)

References 59 publications

(75 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Basic perioperative care including oxygen therapy, fluid management, use of bronchodilator and anti-IPF agent, and rehabilitation, etc., should be careful [31].…”

Section: Prevention Of Rfmentioning

confidence: 99%

Risk assessments for broncho-pleural fistula and respiratory failure after lung cancer surgery by National Clinical Database Japan

Endo

Ikeda

Kondo

et al. 2018

Gen Thorac Cardiovasc Surg

Self Cite

View full text Add to dashboard Cite

Background Broncho-pleural fistula (BPF) and respiratory failure (RF) are life-threatening complications after lung cancer surgery and can result in long-term hospitalization and decreased quality of life. Risk assessments for BPF and RF in addition to mortality and major morbidities are indispensable in surgical decision-making and perioperative care. Methods The characteristics and operative data of 80,095 patients who had undergone lung cancer surgery were derived from the 2014 and 2015 National Clinical Database (NCD) of Japan datasets. After excluding 1501 patients, risk models were developed from these data and validated by another dataset for 42,352 patients derived from the 2016 NCD dataset. Receiver operating characteristic curves were generated for postoperative BPF and RF development. The concordance-index was used to assess the discriminatory ability and validity of the model. Results BPF and RF occurred in 259 (0.3%) and 420 patients (0.5%), respectively, in the model development dataset and in 129 (0.3%) and 198 patients (0.5%), respectively, in the model validation dataset. Characteristic variables including types of surgery and comorbidities were identified as risk factors for BPF and RF, respectively. The concordance indexes of assessments for BPF and RF were 0.847 (p < 0.001) and 0.848 (p < 0.001), respectively, for the development dataset and 0.850 (p < 0.001) and 0.844 (p < 0.001), respectively, for the validation dataset. Conclusions These models are satisfactory for predicting BPF and RF after lung cancer surgery in Japan and could guide preoperative assessment and optimal measures for preventing BPF and RF.

show abstract

“…Basic perioperative care including oxygen therapy, fluid management, use of bronchodilator and anti-IPF agent, and rehabilitation, etc., should be careful [31].…”

Section: Prevention Of Rfmentioning

confidence: 99%

Risk assessments for broncho-pleural fistula and respiratory failure after lung cancer surgery by National Clinical Database Japan

Endo

Ikeda

Kondo

et al. 2018

Gen Thorac Cardiovasc Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…Hence, the intraoperative infusion rate should not exceed 7-8 mL/kg/h, and the postoperative infusion rate should not exceed 1-2 mL/kg/h. Additionally, maintaining a positive fluid balance of no more than 1.5 liters per day can effectively reduce the incidence of postoperative complications [104]. In younger patients (≤70 years) and older patients (≥70 years), postoperative morbidity is influenced differently.…”

Section: Postoperative Management Of Patientsmentioning

confidence: 99%

A Review of Advances in the Surgical Treatment of Coronary Heart Disease and Lung Cancer

Hong,

Wei,

Tang

et al. 2023

HSF

View full text Add to dashboard Cite

Lung cancer is currently the most prevalent and fatal malignant tumor in China. Additionally, the incidence of coronary heart disease is steadily increasing. Both diseases exhibit a higher risk of mortality with age, particularly among elderly patients. Moreover, these diseases are interconnected and share common risk factors. However, the treatment options for patients suffering from both lung cancer and coronary heart disease lack clarity and standardized criteria. This article critically examines the literature on surgical interventions for patients with lung cancer complicated by coronary artery disease during the period from January 2021 to December 2022. It summarizes the safety and effectiveness of these interventions and highlights the various surgical options available for different patient profiles.

show abstract

“…[3][4][5] Patients with ILD have considerably higher perioperative morbidity and mortality compared with non-ILD patients undergoing thoracic and non-thoracic surgery. [6][7][8][9][10] Idiopathic pulmonary fibrosis (IPF) is the most common subgroup of ILD. 2,11 The diagnosis of IPF comprises the highest overall mortality risk factor of ILD-related conditions.…”

Section: Re ´Sumementioning

confidence: 99%

Perioperative risk factors in patients with idiopathic pulmonary fibrosis: a historical cohort study

McDowell

Karamchandani

Lehman

et al. 2020

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose Perioperative complications of patients with idiopathic pulmonary fibrosis (IPF) are not well described. The aim of this study was to identify risk factors associated with adverse postoperative outcomes in IPF patients. Methods We performed a single-centre historical cohort study of adult patients with IPF who underwent surgery between 2008 and 2018. We analyzed the prognostic utility of select perioperative factors for postoperative acute exacerbation of IPF (AE-IPF), acute respiratory worsening (ARW), pneumonia, and 30-day and one-year mortality using univariable and multivariable regression analyses. To adjust for multiple interactions, the false discovery rate (Q value) was utilized to appropriately adjust P values and a Q value \ 0.05 was considered to be significant.

show abstract

Recommendations for perioperative management of lung cancer patients with comorbidities

Cited by 5 publications

References 59 publications

Risk assessments for broncho-pleural fistula and respiratory failure after lung cancer surgery by National Clinical Database Japan

Risk assessments for broncho-pleural fistula and respiratory failure after lung cancer surgery by National Clinical Database Japan

A Review of Advances in the Surgical Treatment of Coronary Heart Disease and Lung Cancer

Perioperative risk factors in patients with idiopathic pulmonary fibrosis: a historical cohort study

Contact Info

Product

Resources

About