What question did this study set out to answer?

The study aims to validate the ACCP algorithm for determining fitness for lung resection surgeries in a clinical setting.

February 11, 2026Pulmonology0 citationsOpen Access

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American College of Chest Physicians algorithm for lung resective surgery: Real-life validation

LPL Puente-MaestuUniversidad Complutense de Madrid PBPaola BenedettiHospital General Universitario Gregorio Marañón JPJulia García de PedroUniversidad Complutense de Madrid

Key Points

The study aims to validate the ACCP algorithm for determining fitness for lung resection surgeries in a clinical setting.
Real-life application of the ACCP algorithm in patient assessments.
Data collection on mortality rates at 30 and 90 days post-surgery.
Analysis of age and pneumonectomy as risk determinants.
The algorithm is affirmed as a useful tool for surgical fitness evaluation.
Higher mortality rates observed as risk increases from 30 to 90 days.
Recommended adjustments to the algorithm for patients over 70 and those undergoing pneumonectomy.

Abstract

The ACCP algorithm remains a valid tool for the assessment of fitness for anatomical lung resection. Our data support some reworking of the algorithm (i.e. considering age >70 years and pneumonectomy in the decision algorithm as intermediate-risk determinants). Mortality continues to increase from 30 to 90 days with higher risk, and this should be considered in the risk/benefit analysis of therapeutic alternatives.

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American College of Chest Physicians algorithm for lung resective surgery: Real-life validation

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