Key result
Preoperative pulmonary dysfunction is linked to increased postoperative complications following oesophagectomy.
Why the study?
The predictive value of strict preoperative assessment of organ function for postoperative morbidity and mortality in oesophageal cancer surgery was unclear.
Does preoperative assessment of organ function predict postoperative morbidity in patients with oesophageal cancer?
Population
178 patients operated on for oesophageal cancer 1989-1993 in Japan
Comparison
Preoperative organ function assessment vs postoperative morbidity outcomes
Design
Retrospective study at a teaching hospital
Authors
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Supports preoperative pulmonary assessment for oesophagectomy risk stratification; hypothesis-generating for optimization trials before practice change.
Observational (n=178)
No
Does preoperative assessment of organ function predict postoperative morbidity in patients with oesophageal cancer?
p-value: p=0.001
Accurate preoperative assessment of pulmonary function is a valuable indicator of postoperative morbidity in patients undergoing surgery for oesophageal cancer.
Kuwano et al. (2002) conducted an observational in Oesophageal cancer (n=178). Preoperative pulmonary dysfunction vs. Normal preoperative pulmonary function was evaluated on Postoperative development of complications (p=0.001). Preoperative pulmonary dysfunction was significantly associated with the development of all postoperative complications (p=0.001) and pulmonary complications (p=0.04) following oesophagectomy.
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