Hand-assisted sputum excretion can effectively reduce postoperative pulmonary complications of esophageal cancer
This study explores whether postoperative hand-assisted expectoration can reduce postoperative pulmonary complications (PPCs) in patients with esophageal cancer. A retrospective analysis was performed on 543 patients undergoing radical esophageal cancer (EC) surgery in our hospital from October 2018...
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| Veröffentlicht in: | Annals of palliative medicine 2020-11, Vol.9 (6), p.3721-3730 |
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| container_title | Annals of palliative medicine |
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| creator | Wang, Wei Liu, Qi Yu, Yongkui Ma, Haibo Xu, Lei Zhang, Ruixiang Sun, Haibo Wang, Zongfei Zheng, Yan Chen, Peinan Liu, Shilei Yang, Funa Zou, Qiyun Sun, Aiying Chu, Xiaofei Gong, Chenfang Xing, Wenqun |
| description | This study explores whether postoperative hand-assisted expectoration can reduce postoperative pulmonary complications (PPCs) in patients with esophageal cancer.
A retrospective analysis was performed on 543 patients undergoing radical esophageal cancer (EC) surgery in our hospital from October 2018 to August 2019, 156 of whom received postoperative handassisted sputum excretion (pulmonary rehabilitation, PR) and 387 of whom who did not receive postoperative hand-assisted sputum excretion (no pulmonary rehabilitation, NPR). Because the clinical characteristics of the two groups were not balanced, we used propensity score matching (PSM) to account for the variable factors of age, gender, body mass index (BMI), chronic respiratory comorbidity, smoking index, operation time, operation method, pathological stage. The main observation index used was PPCs.
Among these 543 patients, 365 were male (67.2%), while 178 were female (32.8%). The age ranged from 30 to 82 years, with an average of 63.6±7.5 years old. In all, 342 patients (63%) underwent video-assisted thoracic surgery (VATS) surgery, while 201 patients (37%) underwent thoracotomy. Furthermore, 72 patients in the PR group received preoperative rehabilitation training and postoperative hand-assisted sputum excretion (combination pulmonary rehabilitation, CPR), while 87 patients only received postoperative hand-assisted sputum excretion (postoperative pulmonary rehabilitation, PPR). The patients in the PR group and the NPR group were uneven in terms of clinical characteristics, and we performed PSM as a result. After matching, PPC incidence in patients in the PR group was lower than that in the NPR group (P |
| doi_str_mv | 10.21037/apm-20-1267 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_crossref_primary_10_21037_apm_20_1267</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>32921107</sourcerecordid><originalsourceid>FETCH-LOGICAL-c329t-90291509cb8a0c93f69285bc9c1086ed6e59f163902facc351ab27213f43fb313</originalsourceid><addsrcrecordid>eNo9kE1LxDAQhoMorqx78yz5AVaTyfYjR1nUFRa86Lmk04lW2iYkrbj_3tbVPc0wPPPy8jB2JcUtSKHyO-O7BEQiIctP2AUArJO0UPr0uINYsFWMn0IICapYazhnCwUapBT5BfNb09eJibGJA9U8-nEYO07fGGhoXM_R9JysJRyaL2r3PFA9InHv4uA8BTOfuR_bzvUm7Dm6zrcNmvk3cmc5Rec_zDuZdo5CCpfszJo20upvLtnb48PrZpvsXp6eN_e7BKdyQ6IFaJkKjVVhBGplMw1FWqFGKYqM6oxSbWWmJs4aRJVKU0EOUtm1spWSasluDrkYXIyBbOlD000dSynKX3fl5K4EUc7uJvz6gPux6qg-wv-m1A-u0Wyb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Hand-assisted sputum excretion can effectively reduce postoperative pulmonary complications of esophageal cancer</title><source>MEDLINE</source><source>EZB Electronic Journals Library</source><creator>Wang, Wei ; Liu, Qi ; Yu, Yongkui ; Ma, Haibo ; Xu, Lei ; Zhang, Ruixiang ; Sun, Haibo ; Wang, Zongfei ; Zheng, Yan ; Chen, Peinan ; Liu, Shilei ; Yang, Funa ; Zou, Qiyun ; Sun, Aiying ; Chu, Xiaofei ; Gong, Chenfang ; Xing, Wenqun</creator><creatorcontrib>Wang, Wei ; Liu, Qi ; Yu, Yongkui ; Ma, Haibo ; Xu, Lei ; Zhang, Ruixiang ; Sun, Haibo ; Wang, Zongfei ; Zheng, Yan ; Chen, Peinan ; Liu, Shilei ; Yang, Funa ; Zou, Qiyun ; Sun, Aiying ; Chu, Xiaofei ; Gong, Chenfang ; Xing, Wenqun</creatorcontrib><description>This study explores whether postoperative hand-assisted expectoration can reduce postoperative pulmonary complications (PPCs) in patients with esophageal cancer.
A retrospective analysis was performed on 543 patients undergoing radical esophageal cancer (EC) surgery in our hospital from October 2018 to August 2019, 156 of whom received postoperative handassisted sputum excretion (pulmonary rehabilitation, PR) and 387 of whom who did not receive postoperative hand-assisted sputum excretion (no pulmonary rehabilitation, NPR). Because the clinical characteristics of the two groups were not balanced, we used propensity score matching (PSM) to account for the variable factors of age, gender, body mass index (BMI), chronic respiratory comorbidity, smoking index, operation time, operation method, pathological stage. The main observation index used was PPCs.
Among these 543 patients, 365 were male (67.2%), while 178 were female (32.8%). The age ranged from 30 to 82 years, with an average of 63.6±7.5 years old. In all, 342 patients (63%) underwent video-assisted thoracic surgery (VATS) surgery, while 201 patients (37%) underwent thoracotomy. Furthermore, 72 patients in the PR group received preoperative rehabilitation training and postoperative hand-assisted sputum excretion (combination pulmonary rehabilitation, CPR), while 87 patients only received postoperative hand-assisted sputum excretion (postoperative pulmonary rehabilitation, PPR). The patients in the PR group and the NPR group were uneven in terms of clinical characteristics, and we performed PSM as a result. After matching, PPC incidence in patients in the PR group was lower than that in the NPR group (P<0.05).
Our results show that hand-assisted sputum excretion after EC surgery can reduce PPCs.</description><identifier>ISSN: 2224-5820</identifier><identifier>EISSN: 2224-5839</identifier><identifier>DOI: 10.21037/apm-20-1267</identifier><identifier>PMID: 32921107</identifier><language>eng</language><publisher>China</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Esophageal Neoplasms - surgery ; Female ; Humans ; Lung ; Male ; Middle Aged ; Postoperative Complications - prevention & control ; Retrospective Studies ; Sputum ; Thoracic Surgery, Video-Assisted</subject><ispartof>Annals of palliative medicine, 2020-11, Vol.9 (6), p.3721-3730</ispartof><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-90291509cb8a0c93f69285bc9c1086ed6e59f163902facc351ab27213f43fb313</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32921107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Liu, Qi</creatorcontrib><creatorcontrib>Yu, Yongkui</creatorcontrib><creatorcontrib>Ma, Haibo</creatorcontrib><creatorcontrib>Xu, Lei</creatorcontrib><creatorcontrib>Zhang, Ruixiang</creatorcontrib><creatorcontrib>Sun, Haibo</creatorcontrib><creatorcontrib>Wang, Zongfei</creatorcontrib><creatorcontrib>Zheng, Yan</creatorcontrib><creatorcontrib>Chen, Peinan</creatorcontrib><creatorcontrib>Liu, Shilei</creatorcontrib><creatorcontrib>Yang, Funa</creatorcontrib><creatorcontrib>Zou, Qiyun</creatorcontrib><creatorcontrib>Sun, Aiying</creatorcontrib><creatorcontrib>Chu, Xiaofei</creatorcontrib><creatorcontrib>Gong, Chenfang</creatorcontrib><creatorcontrib>Xing, Wenqun</creatorcontrib><title>Hand-assisted sputum excretion can effectively reduce postoperative pulmonary complications of esophageal cancer</title><title>Annals of palliative medicine</title><addtitle>Ann Palliat Med</addtitle><description>This study explores whether postoperative hand-assisted expectoration can reduce postoperative pulmonary complications (PPCs) in patients with esophageal cancer.
A retrospective analysis was performed on 543 patients undergoing radical esophageal cancer (EC) surgery in our hospital from October 2018 to August 2019, 156 of whom received postoperative handassisted sputum excretion (pulmonary rehabilitation, PR) and 387 of whom who did not receive postoperative hand-assisted sputum excretion (no pulmonary rehabilitation, NPR). Because the clinical characteristics of the two groups were not balanced, we used propensity score matching (PSM) to account for the variable factors of age, gender, body mass index (BMI), chronic respiratory comorbidity, smoking index, operation time, operation method, pathological stage. The main observation index used was PPCs.
Among these 543 patients, 365 were male (67.2%), while 178 were female (32.8%). The age ranged from 30 to 82 years, with an average of 63.6±7.5 years old. In all, 342 patients (63%) underwent video-assisted thoracic surgery (VATS) surgery, while 201 patients (37%) underwent thoracotomy. Furthermore, 72 patients in the PR group received preoperative rehabilitation training and postoperative hand-assisted sputum excretion (combination pulmonary rehabilitation, CPR), while 87 patients only received postoperative hand-assisted sputum excretion (postoperative pulmonary rehabilitation, PPR). The patients in the PR group and the NPR group were uneven in terms of clinical characteristics, and we performed PSM as a result. After matching, PPC incidence in patients in the PR group was lower than that in the NPR group (P<0.05).
Our results show that hand-assisted sputum excretion after EC surgery can reduce PPCs.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Lung</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><subject>Sputum</subject><subject>Thoracic Surgery, Video-Assisted</subject><issn>2224-5820</issn><issn>2224-5839</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAQhoMorqx78yz5AVaTyfYjR1nUFRa86Lmk04lW2iYkrbj_3tbVPc0wPPPy8jB2JcUtSKHyO-O7BEQiIctP2AUArJO0UPr0uINYsFWMn0IICapYazhnCwUapBT5BfNb09eJibGJA9U8-nEYO07fGGhoXM_R9JysJRyaL2r3PFA9InHv4uA8BTOfuR_bzvUm7Dm6zrcNmvk3cmc5Rec_zDuZdo5CCpfszJo20upvLtnb48PrZpvsXp6eN_e7BKdyQ6IFaJkKjVVhBGplMw1FWqFGKYqM6oxSbWWmJs4aRJVKU0EOUtm1spWSasluDrkYXIyBbOlD000dSynKX3fl5K4EUc7uJvz6gPux6qg-wv-m1A-u0Wyb</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Wang, Wei</creator><creator>Liu, Qi</creator><creator>Yu, Yongkui</creator><creator>Ma, Haibo</creator><creator>Xu, Lei</creator><creator>Zhang, Ruixiang</creator><creator>Sun, Haibo</creator><creator>Wang, Zongfei</creator><creator>Zheng, Yan</creator><creator>Chen, Peinan</creator><creator>Liu, Shilei</creator><creator>Yang, Funa</creator><creator>Zou, Qiyun</creator><creator>Sun, Aiying</creator><creator>Chu, Xiaofei</creator><creator>Gong, Chenfang</creator><creator>Xing, Wenqun</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>202011</creationdate><title>Hand-assisted sputum excretion can effectively reduce postoperative pulmonary complications of esophageal cancer</title><author>Wang, Wei ; Liu, Qi ; Yu, Yongkui ; Ma, Haibo ; Xu, Lei ; Zhang, Ruixiang ; Sun, Haibo ; Wang, Zongfei ; Zheng, Yan ; Chen, Peinan ; Liu, Shilei ; Yang, Funa ; Zou, Qiyun ; Sun, Aiying ; Chu, Xiaofei ; Gong, Chenfang ; Xing, Wenqun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-90291509cb8a0c93f69285bc9c1086ed6e59f163902facc351ab27213f43fb313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Lung</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><topic>Sputum</topic><topic>Thoracic Surgery, Video-Assisted</topic><toplevel>online_resources</toplevel><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Liu, Qi</creatorcontrib><creatorcontrib>Yu, Yongkui</creatorcontrib><creatorcontrib>Ma, Haibo</creatorcontrib><creatorcontrib>Xu, Lei</creatorcontrib><creatorcontrib>Zhang, Ruixiang</creatorcontrib><creatorcontrib>Sun, Haibo</creatorcontrib><creatorcontrib>Wang, Zongfei</creatorcontrib><creatorcontrib>Zheng, Yan</creatorcontrib><creatorcontrib>Chen, Peinan</creatorcontrib><creatorcontrib>Liu, Shilei</creatorcontrib><creatorcontrib>Yang, Funa</creatorcontrib><creatorcontrib>Zou, Qiyun</creatorcontrib><creatorcontrib>Sun, Aiying</creatorcontrib><creatorcontrib>Chu, Xiaofei</creatorcontrib><creatorcontrib>Gong, Chenfang</creatorcontrib><creatorcontrib>Xing, Wenqun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Annals of palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Wei</au><au>Liu, Qi</au><au>Yu, Yongkui</au><au>Ma, Haibo</au><au>Xu, Lei</au><au>Zhang, Ruixiang</au><au>Sun, Haibo</au><au>Wang, Zongfei</au><au>Zheng, Yan</au><au>Chen, Peinan</au><au>Liu, Shilei</au><au>Yang, Funa</au><au>Zou, Qiyun</au><au>Sun, Aiying</au><au>Chu, Xiaofei</au><au>Gong, Chenfang</au><au>Xing, Wenqun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hand-assisted sputum excretion can effectively reduce postoperative pulmonary complications of esophageal cancer</atitle><jtitle>Annals of palliative medicine</jtitle><addtitle>Ann Palliat Med</addtitle><date>2020-11</date><risdate>2020</risdate><volume>9</volume><issue>6</issue><spage>3721</spage><epage>3730</epage><pages>3721-3730</pages><issn>2224-5820</issn><eissn>2224-5839</eissn><abstract>This study explores whether postoperative hand-assisted expectoration can reduce postoperative pulmonary complications (PPCs) in patients with esophageal cancer.
A retrospective analysis was performed on 543 patients undergoing radical esophageal cancer (EC) surgery in our hospital from October 2018 to August 2019, 156 of whom received postoperative handassisted sputum excretion (pulmonary rehabilitation, PR) and 387 of whom who did not receive postoperative hand-assisted sputum excretion (no pulmonary rehabilitation, NPR). Because the clinical characteristics of the two groups were not balanced, we used propensity score matching (PSM) to account for the variable factors of age, gender, body mass index (BMI), chronic respiratory comorbidity, smoking index, operation time, operation method, pathological stage. The main observation index used was PPCs.
Among these 543 patients, 365 were male (67.2%), while 178 were female (32.8%). The age ranged from 30 to 82 years, with an average of 63.6±7.5 years old. In all, 342 patients (63%) underwent video-assisted thoracic surgery (VATS) surgery, while 201 patients (37%) underwent thoracotomy. Furthermore, 72 patients in the PR group received preoperative rehabilitation training and postoperative hand-assisted sputum excretion (combination pulmonary rehabilitation, CPR), while 87 patients only received postoperative hand-assisted sputum excretion (postoperative pulmonary rehabilitation, PPR). The patients in the PR group and the NPR group were uneven in terms of clinical characteristics, and we performed PSM as a result. After matching, PPC incidence in patients in the PR group was lower than that in the NPR group (P<0.05).
Our results show that hand-assisted sputum excretion after EC surgery can reduce PPCs.</abstract><cop>China</cop><pmid>32921107</pmid><doi>10.21037/apm-20-1267</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Esophageal Neoplasms - surgery Female Humans Lung Male Middle Aged Postoperative Complications - prevention & control Retrospective Studies Sputum Thoracic Surgery, Video-Assisted |
| title | Hand-assisted sputum excretion can effectively reduce postoperative pulmonary complications of esophageal cancer |
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