Lung volume reduction surgery since the National Emphysema Treatment Trial: Study of Society of Thoracic Surgeons Database

Lung volume reduction surgery since the National Emphysema Treatment Trial: Study of Society of Thoracic Surgeons Database
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DOI:
10.1016/j.jtcvs.2014.02.005
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发表时间:
2014-12-01
影响因子:
6
通讯作者:
Maloney, James D.
Maloney, James D.
中科院分区:
医学1区
文献类型:
--
作者:
Decker, Marquita R.;Leverson, Glen E.;Maloney, James D.

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目的:国家肺气肿治疗试验表明,肺减容手术是一种有效的治疗肺气肿的选择患者。由于慢性下呼吸道疾病是美国第三大死亡原因,本研究试图评估自国家肺气肿治疗试验以来全国范围内肺减容手术的实践模式和结果。方法:对2003年1月至2011年6月胸外科学会数据库中报道的肺减容手术进行统计分析,评估手术量、术前和手术特点及结果。使用卡方检验和双侧t检验与国家肺气肿治疗试验发表的数据进行比较。结果:在8.5年的时间里,538例患者接受了肺减容手术,每年在胸外科学会数据库中报告20 - 118例。与国家肺气肿治疗试验的受试者相比,胸外科学会数据库中的受试者更年轻(P
Objectives: The National Emphysema Treatment Trial demonstrated that lung volume reduction surgery is an effective treatment for emphysema in select patients. With chronic lower respiratory disease being the third leading cause of death in the United States, this study sought to assess practice patterns and outcomes for lung volume reduction surgery on a national level since the National Emphysema Treatment Trial.Methods: Aggregate statistics on lung volume reduction surgery reported in the Society of Thoracic Surgeons Database from January 2003 to June 2011 were analyzed to assess procedure volume, preoperative and operative characteristics, and outcomes. Comparisons with published data from the National Emphysema Treatment Trial were made using chi-square and 2-sided t tests.Results: In 8.5 years, 538 patients underwent lung volume reduction surgery, with 20 to 118 cases reported in the Society of Thoracic Surgeons Database per year. When compared with subjects in the National Emphysema Treatment Trial, subjects in the Society of Thoracic Surgeons Database were younger (P