B-Type Natriuretic Peptide-Guided Risk Assessment for Postoperative Complications in Lung Cancer Surgery
Background Since lung cancer surgery is still associated with a high complication rate, it is important to efficiently identify patients at high risk for postoperative complications following lung cancer surgery. We previously reported that elderly patients with elevated preoperative B-type natriure...
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| Veröffentlicht in: | World journal of surgery 2015-05, Vol.39 (5), p.1092-1098 |
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| creator | Nojiri, Takashi Inoue, Masayoshi Shintani, Yasushi Takeuchi, Yukiyasu Maeda, Hajime Hamasaki, Toshimitsu Okumura, Meinoshin |
| description | Background
Since lung cancer surgery is still associated with a high complication rate, it is important to efficiently identify patients at high risk for postoperative complications following lung cancer surgery. We previously reported that elderly patients with elevated preoperative B-type natriuretic peptide (BNP) levels (>30 pg/mL) have an increased risk for postoperative atrial fibrillation and cardiopulmonary complications following lung cancer surgery. The objective of this study was to evaluate the clinical utility of BNP-guided risk classification for postoperative complications after lung cancer surgery.
Methods
A total of 675 consecutive patients who underwent curative surgery for lung cancer in two specialized thoracic centers between 2007 and 2011 were included in this retrospective study. We evaluated the association between the incidence of postoperative complications and preoperative BNP levels.
Results
Univariable and multivariable stepwise logistic regression analyses revealed that an elevated preoperative BNP level was the most significant predictor of postoperative complications. All patients were classified by their preoperative BNP levels into a normal group (100 pg/mL). The incidence of postoperative complications was significantly higher in the severely and mildly elevated groups than in the control group (85 % and 47 % vs. 11 %,
P
|
| doi_str_mv | 10.1007/s00268-015-2943-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1668236476</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3642816581</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5589-aef8e8102f7be1dbb5829b6a3f9a6da9cfa6a2c92d65143867977b3f9a196dc33</originalsourceid><addsrcrecordid>eNqFkUtP3TAUhC1UBLfAD2BTWeqmG7d-JE68hKvyqK4AAVWXluOcUEMSp3bS6v77OgqtqkqIjR_yN6PxGYSOGf3IKC0-RUq5LAllOeEqE0TuoBXLBCdccPEGraiQWTozsY_exvhIKSsklXton-d5mec8W6Hvp-R-OwC-MmNwU4DRWXwDw-hqIOdTWmt86-ITPokRYuygH3HjA77xcfQDBDO6n4DXvhtaZ9PF9xG7Hm-m_gGvTW8h4LspPEDYHqLdxrQRjp73A_T17PP9-oJsrs8v1ycbYlMmRQw0JZSM8qaogNVVlZdcVdKIRhlZG2UbIw23itcyT18tZaGKoppfmZK1FeIAfVh8h-B_TBBH3blooW1ND36KmklZ8jSXQib0_X_oo59Cn9ItVMZLOlNsoWzwMQZo9BBcZ8JWM6rnGvRSg0416LkGPWvePTtPVQf1X8WfuSdALcAv18L2dUf97cvd6RktBFdJyxdtTLI-zfaf2C8m-g0BCKPP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1668242806</pqid></control><display><type>article</type><title>B-Type Natriuretic Peptide-Guided Risk Assessment for Postoperative Complications in Lung Cancer Surgery</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>SpringerLink Journals - AutoHoldings</source><creator>Nojiri, Takashi ; Inoue, Masayoshi ; Shintani, Yasushi ; Takeuchi, Yukiyasu ; Maeda, Hajime ; Hamasaki, Toshimitsu ; Okumura, Meinoshin</creator><creatorcontrib>Nojiri, Takashi ; Inoue, Masayoshi ; Shintani, Yasushi ; Takeuchi, Yukiyasu ; Maeda, Hajime ; Hamasaki, Toshimitsu ; Okumura, Meinoshin</creatorcontrib><description>Background
Since lung cancer surgery is still associated with a high complication rate, it is important to efficiently identify patients at high risk for postoperative complications following lung cancer surgery. We previously reported that elderly patients with elevated preoperative B-type natriuretic peptide (BNP) levels (>30 pg/mL) have an increased risk for postoperative atrial fibrillation and cardiopulmonary complications following lung cancer surgery. The objective of this study was to evaluate the clinical utility of BNP-guided risk classification for postoperative complications after lung cancer surgery.
Methods
A total of 675 consecutive patients who underwent curative surgery for lung cancer in two specialized thoracic centers between 2007 and 2011 were included in this retrospective study. We evaluated the association between the incidence of postoperative complications and preoperative BNP levels.
Results
Univariable and multivariable stepwise logistic regression analyses revealed that an elevated preoperative BNP level was the most significant predictor of postoperative complications. All patients were classified by their preoperative BNP levels into a normal group (<30 pg/mL), a mildly elevated group (30–100 pg/mL), and a severely elevated group (>100 pg/mL). The incidence of postoperative complications was significantly higher in the severely and mildly elevated groups than in the control group (85 % and 47 % vs. 11 %,
P
< 0.0001). Furthermore, there were more severe complications and a higher mortality rate in the severely elevated group.
Conclusions
Risk assessment using preoperative BNP levels was clinically useful for the identification of patients at high risk for postoperative complications.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-015-2943-6</identifier><identifier>PMID: 25585524</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Acute Chronic Obstructive Pulmonary Disease Exacerbation ; Acute Heart Failure ; Adult ; Aged ; Aged, 80 and over ; Area Under Curve ; Atrial Fibrillation - blood ; Atrial Fibrillation - etiology ; Biomarkers - blood ; Carcinoma, Non-Small-Cell Lung - blood ; Carcinoma, Non-Small-Cell Lung - surgery ; Cardiac Surgery ; Chronic Obstructive Pulmonary Disease ; Elevated Group ; Female ; General Surgery ; Humans ; Left Ventricular Diastolic Dysfunction ; Lung Neoplasms - blood ; Lung Neoplasms - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Myocardial Infarction - blood ; Myocardial Infarction - etiology ; Natriuretic Peptide, Brain - blood ; Original Scientific Report ; Pneumonectomy - adverse effects ; Pneumonectomy - methods ; Pneumonia - blood ; Pneumonia - etiology ; Predictive Value of Tests ; Preoperative Period ; Respiratory Distress Syndrome, Adult - blood ; Respiratory Distress Syndrome, Adult - etiology ; Retrospective Studies ; Risk Assessment - methods ; ROC Curve ; Surgery ; Thoracic Surgery ; Thoracic Surgery, Video-Assisted - adverse effects ; Thoracotomy - adverse effects ; Vascular Surgery ; Young Adult</subject><ispartof>World journal of surgery, 2015-05, Vol.39 (5), p.1092-1098</ispartof><rights>Société Internationale de Chirurgie 2015</rights><rights>2015 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5589-aef8e8102f7be1dbb5829b6a3f9a6da9cfa6a2c92d65143867977b3f9a196dc33</citedby><cites>FETCH-LOGICAL-c5589-aef8e8102f7be1dbb5829b6a3f9a6da9cfa6a2c92d65143867977b3f9a196dc33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-015-2943-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-015-2943-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,41488,42557,45574,45575,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25585524$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nojiri, Takashi</creatorcontrib><creatorcontrib>Inoue, Masayoshi</creatorcontrib><creatorcontrib>Shintani, Yasushi</creatorcontrib><creatorcontrib>Takeuchi, Yukiyasu</creatorcontrib><creatorcontrib>Maeda, Hajime</creatorcontrib><creatorcontrib>Hamasaki, Toshimitsu</creatorcontrib><creatorcontrib>Okumura, Meinoshin</creatorcontrib><title>B-Type Natriuretic Peptide-Guided Risk Assessment for Postoperative Complications in Lung Cancer Surgery</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Since lung cancer surgery is still associated with a high complication rate, it is important to efficiently identify patients at high risk for postoperative complications following lung cancer surgery. We previously reported that elderly patients with elevated preoperative B-type natriuretic peptide (BNP) levels (>30 pg/mL) have an increased risk for postoperative atrial fibrillation and cardiopulmonary complications following lung cancer surgery. The objective of this study was to evaluate the clinical utility of BNP-guided risk classification for postoperative complications after lung cancer surgery.
Methods
A total of 675 consecutive patients who underwent curative surgery for lung cancer in two specialized thoracic centers between 2007 and 2011 were included in this retrospective study. We evaluated the association between the incidence of postoperative complications and preoperative BNP levels.
Results
Univariable and multivariable stepwise logistic regression analyses revealed that an elevated preoperative BNP level was the most significant predictor of postoperative complications. All patients were classified by their preoperative BNP levels into a normal group (<30 pg/mL), a mildly elevated group (30–100 pg/mL), and a severely elevated group (>100 pg/mL). The incidence of postoperative complications was significantly higher in the severely and mildly elevated groups than in the control group (85 % and 47 % vs. 11 %,
P
< 0.0001). Furthermore, there were more severe complications and a higher mortality rate in the severely elevated group.
Conclusions
Risk assessment using preoperative BNP levels was clinically useful for the identification of patients at high risk for postoperative complications.</description><subject>Abdominal Surgery</subject><subject>Acute Chronic Obstructive Pulmonary Disease Exacerbation</subject><subject>Acute Heart Failure</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Area Under Curve</subject><subject>Atrial Fibrillation - blood</subject><subject>Atrial Fibrillation - etiology</subject><subject>Biomarkers - blood</subject><subject>Carcinoma, Non-Small-Cell Lung - blood</subject><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>Cardiac Surgery</subject><subject>Chronic Obstructive Pulmonary Disease</subject><subject>Elevated Group</subject><subject>Female</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Left Ventricular Diastolic Dysfunction</subject><subject>Lung Neoplasms - blood</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - blood</subject><subject>Myocardial Infarction - etiology</subject><subject>Natriuretic Peptide, Brain - blood</subject><subject>Original Scientific Report</subject><subject>Pneumonectomy - adverse effects</subject><subject>Pneumonectomy - methods</subject><subject>Pneumonia - blood</subject><subject>Pneumonia - etiology</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Period</subject><subject>Respiratory Distress Syndrome, Adult - blood</subject><subject>Respiratory Distress Syndrome, Adult - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Assessment - methods</subject><subject>ROC Curve</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Thoracic Surgery, Video-Assisted - adverse effects</subject><subject>Thoracotomy - adverse effects</subject><subject>Vascular Surgery</subject><subject>Young Adult</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkUtP3TAUhC1UBLfAD2BTWeqmG7d-JE68hKvyqK4AAVWXluOcUEMSp3bS6v77OgqtqkqIjR_yN6PxGYSOGf3IKC0-RUq5LAllOeEqE0TuoBXLBCdccPEGraiQWTozsY_exvhIKSsklXton-d5mec8W6Hvp-R-OwC-MmNwU4DRWXwDw-hqIOdTWmt86-ITPokRYuygH3HjA77xcfQDBDO6n4DXvhtaZ9PF9xG7Hm-m_gGvTW8h4LspPEDYHqLdxrQRjp73A_T17PP9-oJsrs8v1ycbYlMmRQw0JZSM8qaogNVVlZdcVdKIRhlZG2UbIw23itcyT18tZaGKoppfmZK1FeIAfVh8h-B_TBBH3blooW1ND36KmklZ8jSXQib0_X_oo59Cn9ItVMZLOlNsoWzwMQZo9BBcZ8JWM6rnGvRSg0416LkGPWvePTtPVQf1X8WfuSdALcAv18L2dUf97cvd6RktBFdJyxdtTLI-zfaf2C8m-g0BCKPP</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Nojiri, Takashi</creator><creator>Inoue, Masayoshi</creator><creator>Shintani, Yasushi</creator><creator>Takeuchi, Yukiyasu</creator><creator>Maeda, Hajime</creator><creator>Hamasaki, Toshimitsu</creator><creator>Okumura, Meinoshin</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>201505</creationdate><title>B-Type Natriuretic Peptide-Guided Risk Assessment for Postoperative Complications in Lung Cancer Surgery</title><author>Nojiri, Takashi ; Inoue, Masayoshi ; Shintani, Yasushi ; Takeuchi, Yukiyasu ; Maeda, Hajime ; Hamasaki, Toshimitsu ; Okumura, Meinoshin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5589-aef8e8102f7be1dbb5829b6a3f9a6da9cfa6a2c92d65143867977b3f9a196dc33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abdominal Surgery</topic><topic>Acute Chronic Obstructive Pulmonary Disease Exacerbation</topic><topic>Acute Heart Failure</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Area Under Curve</topic><topic>Atrial Fibrillation - blood</topic><topic>Atrial Fibrillation - etiology</topic><topic>Biomarkers - blood</topic><topic>Carcinoma, Non-Small-Cell Lung - blood</topic><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>Cardiac Surgery</topic><topic>Chronic Obstructive Pulmonary Disease</topic><topic>Elevated Group</topic><topic>Female</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Left Ventricular Diastolic Dysfunction</topic><topic>Lung Neoplasms - blood</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - blood</topic><topic>Myocardial Infarction - etiology</topic><topic>Natriuretic Peptide, Brain - blood</topic><topic>Original Scientific Report</topic><topic>Pneumonectomy - adverse effects</topic><topic>Pneumonectomy - methods</topic><topic>Pneumonia - blood</topic><topic>Pneumonia - etiology</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Period</topic><topic>Respiratory Distress Syndrome, Adult - blood</topic><topic>Respiratory Distress Syndrome, Adult - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Assessment - methods</topic><topic>ROC Curve</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Thoracic Surgery, Video-Assisted - adverse effects</topic><topic>Thoracotomy - adverse effects</topic><topic>Vascular Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nojiri, Takashi</creatorcontrib><creatorcontrib>Inoue, Masayoshi</creatorcontrib><creatorcontrib>Shintani, Yasushi</creatorcontrib><creatorcontrib>Takeuchi, Yukiyasu</creatorcontrib><creatorcontrib>Maeda, Hajime</creatorcontrib><creatorcontrib>Hamasaki, Toshimitsu</creatorcontrib><creatorcontrib>Okumura, Meinoshin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nojiri, Takashi</au><au>Inoue, Masayoshi</au><au>Shintani, Yasushi</au><au>Takeuchi, Yukiyasu</au><au>Maeda, Hajime</au><au>Hamasaki, Toshimitsu</au><au>Okumura, Meinoshin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>B-Type Natriuretic Peptide-Guided Risk Assessment for Postoperative Complications in Lung Cancer Surgery</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2015-05</date><risdate>2015</risdate><volume>39</volume><issue>5</issue><spage>1092</spage><epage>1098</epage><pages>1092-1098</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
Since lung cancer surgery is still associated with a high complication rate, it is important to efficiently identify patients at high risk for postoperative complications following lung cancer surgery. We previously reported that elderly patients with elevated preoperative B-type natriuretic peptide (BNP) levels (>30 pg/mL) have an increased risk for postoperative atrial fibrillation and cardiopulmonary complications following lung cancer surgery. The objective of this study was to evaluate the clinical utility of BNP-guided risk classification for postoperative complications after lung cancer surgery.
Methods
A total of 675 consecutive patients who underwent curative surgery for lung cancer in two specialized thoracic centers between 2007 and 2011 were included in this retrospective study. We evaluated the association between the incidence of postoperative complications and preoperative BNP levels.
Results
Univariable and multivariable stepwise logistic regression analyses revealed that an elevated preoperative BNP level was the most significant predictor of postoperative complications. All patients were classified by their preoperative BNP levels into a normal group (<30 pg/mL), a mildly elevated group (30–100 pg/mL), and a severely elevated group (>100 pg/mL). The incidence of postoperative complications was significantly higher in the severely and mildly elevated groups than in the control group (85 % and 47 % vs. 11 %,
P
< 0.0001). Furthermore, there were more severe complications and a higher mortality rate in the severely elevated group.
Conclusions
Risk assessment using preoperative BNP levels was clinically useful for the identification of patients at high risk for postoperative complications.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>25585524</pmid><doi>10.1007/s00268-015-2943-6</doi><tpages>7</tpages></addata></record> |
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| ispartof | World journal of surgery, 2015-05, Vol.39 (5), p.1092-1098 |
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| subjects | Abdominal Surgery Acute Chronic Obstructive Pulmonary Disease Exacerbation Acute Heart Failure Adult Aged Aged, 80 and over Area Under Curve Atrial Fibrillation - blood Atrial Fibrillation - etiology Biomarkers - blood Carcinoma, Non-Small-Cell Lung - blood Carcinoma, Non-Small-Cell Lung - surgery Cardiac Surgery Chronic Obstructive Pulmonary Disease Elevated Group Female General Surgery Humans Left Ventricular Diastolic Dysfunction Lung Neoplasms - blood Lung Neoplasms - surgery Male Medicine Medicine & Public Health Middle Aged Myocardial Infarction - blood Myocardial Infarction - etiology Natriuretic Peptide, Brain - blood Original Scientific Report Pneumonectomy - adverse effects Pneumonectomy - methods Pneumonia - blood Pneumonia - etiology Predictive Value of Tests Preoperative Period Respiratory Distress Syndrome, Adult - blood Respiratory Distress Syndrome, Adult - etiology Retrospective Studies Risk Assessment - methods ROC Curve Surgery Thoracic Surgery Thoracic Surgery, Video-Assisted - adverse effects Thoracotomy - adverse effects Vascular Surgery Young Adult |
| title | B-Type Natriuretic Peptide-Guided Risk Assessment for Postoperative Complications in Lung Cancer Surgery |
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