Title
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High postoperative risk after pneumonectomy in elderly patients with right-sided lung cancer
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Author
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Abstract
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The present study investigated postoperative mortality (POM), its predictors and relationship with long-term survival in patients who underwent surgery for lung cancer. The 30-day mortality after thoracotomy in 1,830 patients from the Flemish multicentre hospital-based lung cancer registry was analysed according to patient, tumour, treatment and hospital characteristics and compared with 5-yr survival figures for the same patients. Overall POM was 4.4%. In univariate analysis age, extent of surgery and low hospital volume were associated with a higher POM. In multiple regression analysis age, extent of surgery and side of the pneumonectomy proved to be independent predictors of POM. In patients aged >70 yrs who underwent right-sided pneumonectomy POM was 17.8%. Overall, mortality was comparable to published series from referral centres. Age and extent of resection are the main predictors of postoperative mortality in lung-cancer patients. In the operable elderly patient, age alone does not justify denying the survival benefit experienced by resection of lung cancer. The high mortality after right-sided pneumonectomy in elderly patients warrants caution, as the treatment benefit may become marginal. |
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Language
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English
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Source (journal)
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The European respiratory journal / European Respiratory Society [Lausanne] - Copenhagen, 1988, currens
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Publication
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Copenhagen
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2002
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ISSN
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0903-1936
[print]
1399-3003
[online]
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DOI
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10.1183/09031936.02.00226202
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Volume/pages
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19
:1
(2002)
, p. 141-145
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ISI
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000173549500024
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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