Impact of Lifestyle Diseases on Postoperative Complications and Survival in Elderly Patients with Stage I Non-Small Cell Lung Cancer

作者: Sang Seok Jeong , Pil Jo Choi , Jung Hoon Yi , Sung Sil Yoon

DOI: 10.5090/KJTCS.2017.50.2.86

关键词: Lifestyle diseaseSurgeryRisk factorSurvival analysisUnivariate analysisHazard ratioMortality rateDiseaseMedicinePerioperative

摘要: Background The influence of lifestyle diseases on postoperative complications and long-term survival in patients with non-small cell lung cancer (NSCLC) is unclear. aim this study was to determine whether were significant risk factors perioperative surgical outcomes elderly stage I NSCLC. Methods Between December 1995 November 2013, 110 aged 65 years or older who underwent resection NSCLC at Dong-A University Hospital retrospectively studied. We assessed the presence following as for mortality: diabetes, hypertension, chronic obstructive pulmonary disease, stroke, ischemic heart disease. Results mean age 71 (range, 82 years). Forty-six (41.8%) had making it most common followed by diabetes (n=23, 20.9%). in-hospital mortality rate 0.9% (n=1). 3-year 5-year rates 78% 64%, respectively. Postoperative developed 32 (29.1%), including 7 (6.4%) prolonged air leakage, 6 (5.5%) atrial fibrillation, 5 (4.5%) delirium atelectasis, 3 (2.7%) acute kidney injury pneumonia. Univariate multivariate analyses showed that a disease only independent factor complications. In analysis, univariate analysis age, smoking, body mass index, extent resection, pathologic associated impaired survival. Multivariate revealed type (hazard ratio [HR], 2.20; 95% confidence interval [CI], 1.08 4.49; p=0.030) (HR, 1.89; CI, 1.02 3.49; p=0.043) adverse impacts Conclusion This demonstrated prognostic complications, but not survival, Therefore, may be influenced

参考文章(16)
Jay F Piccirillo, Ryan M Tierney, Irene Costas, Lori Grove, Edward L Spitznagel Jr, Prognostic Importance of Comorbidity in a Hospital-Based Cancer Registry JAMA. ,vol. 291, pp. 2441- 2447 ,(2004) , 10.1001/JAMA.291.20.2441
Morihito Okada, Teruaki Koike, Masahiko Higashiyama, Yasushi Yamato, Ken Kodama, Noriaki Tsubota, Radical sublobar resection for small-sized non–small cell lung cancer: A multicenter study The Journal of Thoracic and Cardiovascular Surgery. ,vol. 132, pp. 769- 775 ,(2006) , 10.1016/J.JTCVS.2006.02.063
Bryan F. Meyers, Han-Shui Hsu, Tracey J. Guthrie, Joel D. Cooper, G.Alexander Patterson, Richard J. Battafarano, Jay F. Piccirillo, Impact of comorbidity on survival after surgical resection in patients with stage I non–small cell lung cancer The Journal of Thoracic and Cardiovascular Surgery. ,vol. 123, pp. 280- 287 ,(2002) , 10.1067/MTC.2002.119338
C. Martin Tammemagi, Christine Neslund-Dudas, Michael Simoff, Paul Kvale, Impact of comorbidity on lung cancer survival International Journal of Cancer. ,vol. 103, pp. 792- 802 ,(2003) , 10.1002/IJC.10882
Julian R. Molina, Ping Yang, Stephen D. Cassivi, Steven E. Schild, Alex A. Adjei, Non-Small Cell Lung Cancer: Epidemiology, Risk Factors, Treatment, and Survivorship Mayo Clinic proceedings. Mayo Clinic. ,vol. 83, pp. 584- 594 ,(2008) , 10.4065/83.5.584
Jiro Okami, Masahiko Higashiyama, Hisao Asamura, Tomoyuki Goya, Yoshihiko Koshiishi, Yasunori Sohara, Kenji Eguchi, Masaki Mori, Yoichi Nakanishi, Ryosuke Tsuchiya, Etsuo Miyaoka, Japanese Joint Committee of Lung Cancer Registry, Pulmonary Resection in Patients Aged 80 Years or Over with Clinical Stage I Non-small Cell Lung Cancer: Prognostic Factors for Overall Survival and Risk Factors for Postoperative Complications Journal of Thoracic Oncology. ,vol. 4, pp. 1247- 1253 ,(2009) , 10.1097/JTO.0B013E3181AE285D
S. Shiono, M. Abiko, T. Sato, Postoperative complications in elderly patients after lung cancer surgery. Interactive Cardiovascular and Thoracic Surgery. ,vol. 16, pp. 819- 823 ,(2013) , 10.1093/ICVTS/IVT034
D. Moro-Sibilot, A. Aubert, S. Diab, S. Lantuejoul, P. Fourneret, E. Brambilla, C. Brambilla, P. Y. Brichon, Comorbidities and Charlson score in resected stage I nonsmall cell lung cancer European Respiratory Journal. ,vol. 26, pp. 480- 486 ,(2005) , 10.1183/09031936.05.00146004
Maryska L.G Janssen-Heijnen, Rob M Schipper, Peter P.A Razenberg, Mariad A Crommelin, Jan-Willem W Coebergh, Prevalence of co-morbidity in lung cancer patients and its relationship with treatment: A population-based study Lung Cancer. ,vol. 21, pp. 105- 113 ,(1998) , 10.1016/S0169-5002(98)00039-7