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• W2914257259 abstract "Thoracic surgeons use preoperative lung function studies to estimate operative risk. Extending the utility of these studies to the time after recovery, to ask about the long-term gain of complete resection by anatomic resection in patients with marginal lung function, is not part of present practice. In this study, Berry and coauthors [1Berry M.F. Yang C.-F.J. Hartwig M.G. et al.Impact of pulmonary function measurements on long-term survival after lobectomy for stage I non-small cell lung cancer.Ann Thorac Surg. 2015; 100: 271-277Abstract Full Text Full Text PDF PubMed Scopus (34) Google Scholar] propose to use lung function data to predict long-term survival among patients undergoing lobectomy for localized lung cancer, based on previous work by Ferguson and colleagues (their reference 13). This notion is not intuitive because lung function data like forced expiratory volume in 1 second (FEV1) are most commonly used to calculate life expectancy in patients with far more advanced lung disease, for example emphysema. Those who wonder whether survival associations are strong enough to be studied in this cohort of fewer than a thousand patients may be surprised to see a correlation between overall survival and diffusion capacity for carbon monoxide (Dlco), though less so about the lack of a correlation between survival and FEV1. In this study, Dlco is an interesting variable. Given that it has been shown in the past to predict operative mortality, the authors demonstrate here that careful thoracic surgeons who thoroughly evaluate candidates for lung resection and prefer minimally invasive resection may select among patients with low Dlco those who can survive a lobectomy. But the larger point of the study is to show that survival of lobectomy is often only a short-term gain for patients with severely limited Dlco. This work is a building block to a future in which a combined analysis of preoperative risk factors and tumor data might conceivably demonstrate that although certain patients survive lobectomy, the effects of marginal lung function and more advanced tumor curtail the beneficial effects of complete resection. Given that alternative surgical and nonsurgical therapies exist today, such hypothetical data would contribute to greater differentiation in the selection of surgical treatment for lung cancer. Impact of Pulmonary Function Measurements on Long-Term Survival After Lobectomy for Stage I Non-Small Cell Lung CancerThe Annals of Thoracic SurgeryVol. 100Issue 1PreviewPulmonary function tests predict respiratory complications after lobectomy. We evaluated the impact of pulmonary function measurements on long-term survival after lobectomy for stage I non-small cell lung cancer. Full-Text PDF" @default.
• W2914257259 created "2019-02-21" @default.
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• W2914257259 date "2015-07-01" @default.
• W2914257259 modified "2023-09-25" @default.
• W2914257259 title "Invited Commentary" @default.
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• W2914257259 doi "https://doi.org/10.1016/j.athoracsur.2015.03.005" @default.
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