Influence of comorbidity on outcome after pulmonary resection in the elderly

Beshay, Morris; Dorn, Patrick; Ris, Hans-Beat; Schmid, Ralph A (2007). Influence of comorbidity on outcome after pulmonary resection in the elderly. Asian cardiovascular and thoracic annals, 15(4), pp. 297-302. Chen Yuan (Singapore): Asia Pub. EXchange

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The aim of this study was to determine the influence of comorbidity on outcome after pulmonary resection in patients over 75 years old. Three hundred and thirty-three patients with non-small-cell lung cancer operated on between 1998 and 2002 were divided into 3 age groups: < 60 years (group 1), 60-75 years (group 2), > 75 years (group 3). Overall operative mortality was 0.3%; 30-day mortality was 1%. There were more major complications with re-operation in groups 1 and 2, but minor complications occurred significantly more frequently in group 3 (36% vs 16%). Overall mean hospital stay was 12 days, with no significant difference among groups. Three-year survival rates were: 80%, 70%, and 65% in groups 1, 2, and 3, respectively, with no significant difference among groups. Age or the presence of comorbidity should not be considered contraindications for lung resection. With proper patient selection and careful preoperative evaluation, many major complications after pneumonectomy are avoidable.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery
UniBE Contributor:	Schmid, Ralph
ISSN:	0218-4923
ISBN:	17664201
Publisher:	Asia Pub. EXchange
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 15:01
Last Modified:	05 Dec 2022 14:18
PubMed ID:	17664201
URI:	https://boris.unibe.ch/id/eprint/26393 (FactScience: 70113)