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  1. 20 医学系研究科・医学部
  2. 20A 学術誌論文
  3. 20A1 雑誌掲載論文

Impact of pulmonary rehabilitation on postoperative complications in patients with lung cancer and chronic obstructive pulmonary disease

http://hdl.handle.net/10295/00006184
http://hdl.handle.net/10295/00006184
403eea14-ec71-4be8-868e-4be53e4a09bd
名前 / ファイル ライセンス アクション
iA_2022_49.pdf iA_2022_49.pdf (182.9 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2023-02-19
タイトル
タイトル Impact of pulmonary rehabilitation on postoperative complications in patients with lung cancer and chronic obstructive pulmonary disease
言語 en
言語
言語 eng
主題
主題Scheme Other
主題 Chronic obstructive pulmonary disease
主題
主題Scheme Other
主題 lung cancer
主題
主題Scheme Other
主題 pulmonary rehabilitation
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
作成者 Saito, Hajime

× Saito, Hajime

en Saito, Hajime

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Hatakeyama, Kazutoshi

× Hatakeyama, Kazutoshi

en Hatakeyama, Kazutoshi

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Konno, Hayato

× Konno, Hayato

en Konno, Hayato

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Matsunaga, Toshiki

× Matsunaga, Toshiki

en Matsunaga, Toshiki

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Shimada, Yoichi

× Shimada, Yoichi

en Shimada, Yoichi

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Minamiya, Yoshihiro

× Minamiya, Yoshihiro

en Minamiya, Yoshihiro

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内容記述
内容記述タイプ Abstract
内容記述 BackgroundGiven the extent of the surgical indications for pulmonary lobectomy in breathless patients, preoperative care and evaluation of pulmonary function are increasingly necessary. The aim of this study was to assess the contribution of preoperative pulmonary rehabilitation (PR) for reducing the incidence of postoperative pulmonary complications in non-small cell lung cancer (NSCLC) patients with chronic obstructive pulmonary disease (COPD). MethodsThe records of 116 patients with COPD, including 51 patients who received PR, were retrospectively analyzed. Pulmonary function testing, including slow vital capacity (VC) and forced expiratory volume in onesecond (FEV1), was obtained preoperatively, after PR, and at one and sixmonths postoperatively. The recovery rate of postoperative pulmonary function was standardized for functional loss associated with the different resected lung volumes. Propensity score analysis generated matched pairs of 31 patients divided into PR and non-PR groups. ResultsThe PR period was 18.712.7days in COPD patients. Preoperative pulmonary function was significantly improved after PR (VC 5.3%, FEV1 5.5%; P<0.05). The FEV1 recovery rate onemonth after surgery was significantly better in the PR (101.6%; P<0.001) than in the non-PR group (93.9%). In logistic regression analysis, predicted postoperative FEV1, predicted postoperative %FEV1, and PR were independent factors related to postoperative pulmonary complications after pulmonary lobectomy (odds ratio 18.9, 16.1, and 13.9, respectively; P<0.05). Conclusions PR improved the recovery rate of pulmonary function after lobectomy in the early period, and may decrease postoperative pulmonary complications.
言語 en
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
書誌情報 en : Thoracic Cancer

巻 8, 号 5, p. 451-460, 発行日 2017
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1759-7706
出版者
出版者 John Wiley and Sons Inc
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1111/1759-7714.12466
権利情報
権利情報 © 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd451This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium,provided the original work is properly cited and is not used for commercial purposes.Thoracic Cancer ISSN 1759-7706
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