Surgical Treatment for Non-Small Cell Lung Cancer in Patients on Hemodialysis due to Chronic Kidney Disease: Clinical Outcome and Intermediate-Term Results

Park, Byung Jo; Shin, Sumin; Kim, Hong Kwan; Choi, Yong Soo; Kim, Young Tae; Shim, Young Mog

doi:10.5090/kjtcs.2015.48.3.193

Cited by 10 publications

(6 citation statements)

References 12 publications

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“…Dialysis patients were more likely than non-dialysis patients to develop adverse events within 30 days postoperatively (morbidity 28.6 vs 10.7%, respectively; P < 0.001; mortality 12.7 vs 1.5%; P < 0.001). Several small-scale studies [40–50] evaluated surgical risk associated with hemodialysis in patients undergoing pulmonary resection (Table 3), and a 2017 study of the Japan NCD clearly showed high mortality and morbidity in this population [1]. The small-scale studies showed that hyperkalemia was the most frequent complication after pulmonary resection (Table 4).…”

Section: Resultsmentioning

confidence: 99%

“…of ptsSurgical procedureApproachMorbidity (%)Ohta [40]19921PnOpen1 (100)Yamamoto [41]19961LbOpen1 (100)Tsuchida [42]20017LbOpen7 (100)Ciriaco [43]20056*Lb 5, Pn 1, Weg 1Open4 (57)Yajima [44]20051LbOpen1 (100)Obuchi [45]200911Lb 9, Pn 1, Weg 1VATS 4, Open 73 (27)Akiba [46]20102Lb 1, Wed 1VATS0 (0)Takahama [47]201024Lb 22, Sg 1, Weg 1Open13 (59)Matsuoka [48]20135Lb 4, Sg 1VATS2 (40)Caroli [49]20151LbVATS0 (0)Park [50]20157Lb 5, Weg 2VATS 4, Open 33 (42) No number, pts patients, Pn pneumonectomy, Lb lobectomy, Sg segmentectomy, Weg wedge resection*One patient had two operations …”

Section: Resultsmentioning

confidence: 99%

“…Some small studies reported a 5-year overall survival rate of 28–43% [45, 47, 50], while 5-year overall survival after induction of hemodialysis was approximately 41.5–60.8% [36, 37]. Survival is worse for patients with diabetes than for those without diabetes (20.7–34%) [63].…”

Section: Resultsmentioning

confidence: 99%

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Recommendations for perioperative management of lung cancer patients with comorbidities

Tsubochi

Shibano

Endo

2017

Gen Thorac Cardiovasc Surg

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ObjectivesTo improve surgical outcomes, clinicians must provide optimal perioperative care for comorbidities identified as significant factors in risk models for patients undergoing lung cancer surgery.MethodsWe reviewed trends in perioperative care for idiopathic pulmonary fibrosis, cardiovascular diseases, and end-stage renal diseases in patients undergoing lung cancer surgery, as large clinical databases indicate that these comorbidities are significant risk factors for lung cancer surgery. Articles identified by keyword searches were included in the analysis.ResultsSignificant predictive factors for acute exacerbation of idiopathic pulmonary fibrosis were identified. However, no effective perioperative care was identified for prevention of acute exacerbation of interstitial pneumonia. The timing of coronary revascularization and antithrombotic management for cardiovascular diseases are subjects of ongoing research, and acid–base balance is essential in the management of hemodialysis patients with end-stage renal diseases.ConclusionsTo improve surgical outcomes for lung cancer patients, future studies should continue to study optimal perioperative management of comorbidities.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Recommendations for perioperative management of lung cancer patients with comorbidities

Tsubochi

Shibano

Endo

2017

Gen Thorac Cardiovasc Surg

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“…ESKD is not considered an absolute contraindication for tumor resection surgery. The 5‐year survival rate was 28% as compared to 47.5% in general population 67–69 . Post‐surgical outcomes in ESKD patients undergoing gastrectomy and hepatectomy for gastric and hepatocellular cancer, respectively, are not different from the general population , 70,71 .…”

Section: Surgery In Eskdmentioning

confidence: 90%

When ESKD complicates cancer screening and cancer treatment

Yasin

Holley

2020

Seminars in Dialysis

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End-stage kidney disease (ESKD) affects the recommended screening, incidence, treatment, and mortality of cancer. Cancer occurring in a patient with ESKD can influence candidacy for kidney transplantation as well as dialysis decision-making and cancer treatment. Certain cancers are more common among ESKD patients, notably, viral-mediated cancers that are associated with human papilloma or hepatitis viruses, and urothelial cancers associated with analgesic and Balkan nephropathies. Solid tumors are not believed to occur more frequently in ESKD patients. The presence of ESKD may confer a higher risk of post-surgical complications as well as mortality. The cost-effectiveness of cancer screening depends upon individual cancer risk and estimated overall survival. The high mortality associated with ESKD argues against routine cancer screening in dialysis patients. Cancer treatment in ESKD may be complicated by the need to avoid, adjust doses of and/or coordinate the timing of administration of imaging contrast, chemotherapy, and immunotherapy with dialysis treatments. There is a general dearth of information on the treatment of cancer in ESKD patients. These issues will be discussed, and some general guidelines presented based upon the current literature.

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“…Evidence from small patient series shows that pulmonary resection for non-small cell lung cancer in patients receiving hemodialysis is associated with high rates of morbidity and mortality (75% and 10%, respectively) (Akiba et al 2010 ; Ciriaco et al 2005 ; Matsuoka et al 2013a ; Park et al 2015 ). Although radical lung resection appears to be safe in selected patients, careful metabolic, hematologic, and pharmacological management is mandatory during the perioperative period.…”

Section: Preadmission Carementioning

confidence: 99%

Recommendations from the Italian intersociety consensus on Perioperative Anesthesia Care in Thoracic surgery (PACTS) part 1: preadmission and preoperative care

et al. 2020

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Introduction Anesthetic care in patients undergoing thoracic surgery presents specific challenges that necessitate standardized, multidisciplionary, and continuously updated guidelines for perioperative care. Methods A multidisciplinary expert group, the Perioperative Anesthesia in Thoracic Surgery (PACTS) group, comprising 24 members from 19 Italian centers, was established to develop recommendations for anesthesia practice in patients undergoing thoracic surgery (specifically lung resection for cancer). The project focused on preoperative patient assessment and preparation, intraoperative management (surgical and anesthesiologic care), and postoperative care and discharge. A series of clinical questions was developed, and PubMed and Embase literature searches were performed to inform discussions around these areas, leading to the development of 69 recommendations. The quality of evidence and strength of recommendations were graded using the United States Preventative Services Task Force criteria. Results Recommendations for preoperative care focus on risk assessment, patient preparation (prehabilitation), and the choice of procedure (open thoracotomy vs. video-assisted thoracic surgery). Conclusions These recommendations should help pulmonologists to improve preoperative management in thoracic surgery patients. Further refinement of the recommendations can be anticipated as the literature continues to evolve.

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Surgical Treatment for Non-Small Cell Lung Cancer in Patients on Hemodialysis due to Chronic Kidney Disease: Clinical Outcome and Intermediate-Term Results

Cited by 10 publications

References 12 publications

Recommendations for perioperative management of lung cancer patients with comorbidities

Recommendations for perioperative management of lung cancer patients with comorbidities

When ESKD complicates cancer screening and cancer treatment

Recommendations from the Italian intersociety consensus on Perioperative Anesthesia Care in Thoracic surgery (PACTS) part 1: preadmission and preoperative care

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