Why the study?
The association between cardiorespiratory fitness and perioperative morbidity and long-term mortality in operable patients with early-stage non-small cell lung cancer was not established.
Does low cardiorespiratory fitness increase perioperative morbidity and long-term mortality in operable patients with early-stage NSCLC?
Does low cardiorespiratory fitness increase perioperative morbidity and long-term mortality in operable patients with early-stage NSCLC?
Low cardiorespiratory fitness is a significant predictor of increased perioperative morbidity and long-term mortality in patients undergoing surgery for early-stage NSCLC.
Supports preoperative CRF assessment in operable NSCLC; leaves open whether fitness interventions improve outcomes.
INTRODUCTION: This study aimed to investigate the association between cardiorespiratory fitness (CRF) and perioperative morbidity and long-term mortality in operable patients with early-stage non-small cell lung cancer (NSCLC). PATIENTS AND METHODS: This prospective study included consecutive patients with early-stage NSCLC who underwent presurgical cardiopulmonary exercise testing between November 2014 and December 2019 (registration number: ChiCTR2100048120). Logistic and Cox proportional hazards regression were applied to evaluate the correlation between CRF and perioperative complications and long-term mortality, respectively. Propensity score overlap weighting was used to adjust for the covariates. We performed sensitivity analyses to determine the stability of our results. RESULTS: = 0.002) compared to higher CRF. CONCLUSION: The study found that low CRF is significantly associated with increased perioperative morbidity and long-term mortality in operable patients with early-stage NSCLC.
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Dun et al. (2023) studied this question.
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