Simplified comorbidity score for elderly patients undergoing thoracoscopic surgery for lung cancer
Purpose We investigated the efficiency of the Simplified Comorbidity Score (SCS) for predicting postoperative complications and prognosis in elderly patients undergoing video-assisted thoracoscopic surgery (VATS) for lung cancer. Methods We reviewed 216 patients aged 75 years or older, who underwent...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2017-06, Vol.47 (6), p.718-725 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Haruki, Tomohiro Yurugi, Yohei Wakahara, Makoto Matsuoka, Yuki Miwa, Ken Araki, Kunio Taniguchi, Yuji Nakamura, Hiroshige |
| description | Purpose
We investigated the efficiency of the Simplified Comorbidity Score (SCS) for predicting postoperative complications and prognosis in elderly patients undergoing video-assisted thoracoscopic surgery (VATS) for lung cancer.
Methods
We reviewed 216 patients aged 75 years or older, who underwent pulmonary resection by VATS for lung cancer between January, 2005 and December, 2012. The SCS assigns different scores to patients’ comorbidities; namely, smoking (
n
= 7); diabetes mellitus (
n
= 5); renal insufficiency (
n
= 4); and respiratory, neoplastic, and cardiovascular comorbidities or alcoholism (
n
= 1 each). Patients were divided into a high SCS group (SCS ≥ 9;
n
= 154) and a low SCS group ( |
| doi_str_mv | 10.1007/s00595-016-1427-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835356906</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1835356906</sourcerecordid><originalsourceid>FETCH-LOGICAL-c368t-c4244bfe5c7bbc5145be3947105e757ac5099e8bdc110a73590170020b19a93e3</originalsourceid><addsrcrecordid>eNp9kMFO3TAQRa0KVF6BD-imyrKbtDOxHcdLhIBWQuqiZW3ZzuTVKIlTO1m8v8fwoEtWI82ce6U5jH1G-IYA6nsGkFrWgG2NolE1fGA7FLytmw75CduBFlhjo_GMfcr5EaARHcBHdtaoVmuhYcfc7zAtYxgC9ZWPU0wu9GE9VNnHRNUQU0VjT2k8VItdA81rrra5LPYxzPtq_RuT9bHAS_BV3tKe0uElNW7l7O3sKV2w08GOmS5f5zl7uL35c_2jvv919_P66r72vO3W2otGCDeQ9Mo5L1FIR1wLhSBJSWW9BK2pc71HBKu41ICqvAQOtdWc-Dn7euxdUvy3UV7NFLKncbQzxS0b7LjkstXQFhSPqE8x50SDWVKYbDoYBPOs1hzVmqLWPKs1UDJfXus3N1H_P_HmsgDNEcjlNBcT5jFuaS4vv9P6BMWjhUQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1835356906</pqid></control><display><type>article</type><title>Simplified comorbidity score for elderly patients undergoing thoracoscopic surgery for lung cancer</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Haruki, Tomohiro ; Yurugi, Yohei ; Wakahara, Makoto ; Matsuoka, Yuki ; Miwa, Ken ; Araki, Kunio ; Taniguchi, Yuji ; Nakamura, Hiroshige</creator><creatorcontrib>Haruki, Tomohiro ; Yurugi, Yohei ; Wakahara, Makoto ; Matsuoka, Yuki ; Miwa, Ken ; Araki, Kunio ; Taniguchi, Yuji ; Nakamura, Hiroshige</creatorcontrib><description>Purpose
We investigated the efficiency of the Simplified Comorbidity Score (SCS) for predicting postoperative complications and prognosis in elderly patients undergoing video-assisted thoracoscopic surgery (VATS) for lung cancer.
Methods
We reviewed 216 patients aged 75 years or older, who underwent pulmonary resection by VATS for lung cancer between January, 2005 and December, 2012. The SCS assigns different scores to patients’ comorbidities; namely, smoking (
n
= 7); diabetes mellitus (
n
= 5); renal insufficiency (
n
= 4); and respiratory, neoplastic, and cardiovascular comorbidities or alcoholism (
n
= 1 each). Patients were divided into a high SCS group (SCS ≥ 9;
n
= 154) and a low SCS group (<9;
n
= 62), for a comparative analysis of differences in perioperative factors and prognoses.
Results
Limited resection was more frequent in the high SCS group (58 %) than in the low SCS group (40 %;
P
= 0.02). Postoperative complications were more frequent in the high SCS group (45 %) than in the low SCS group (15 %;
P
< 0.01). A logistic regression analysis revealed that a high SCS was significantly predictive of postoperative complications (odds ratio 2.7;
P
= 0.02). The 5-year overall survival rate was 79 % for the low SCS group and 52 % for the high SCS group (
P
< 0.01).
Conclusions
The SCS can predict the likelihood of postoperative complications and prognosis of elderly patients with VATS-treated lung cancers.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-016-1427-0</identifier><identifier>PMID: 27699490</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Aged ; Aged, 80 and over ; Carcinoma, Non-Small-Cell Lung - epidemiology ; Carcinoma, Non-Small-Cell Lung - surgery ; Cardiovascular Diseases - epidemiology ; Comorbidity ; Diabetes Mellitus - epidemiology ; Female ; Forecasting ; Humans ; Lung Neoplasms - epidemiology ; Lung Neoplasms - surgery ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pneumonectomy - methods ; Postoperative Complications - epidemiology ; Prevalence ; Prognosis ; Renal Insufficiency - epidemiology ; Retrospective Studies ; Smoking - epidemiology ; Surgery ; Surgical Oncology ; Thoracic Surgery, Video-Assisted</subject><ispartof>Surgery today (Tokyo, Japan), 2017-06, Vol.47 (6), p.718-725</ispartof><rights>Springer Japan 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-c4244bfe5c7bbc5145be3947105e757ac5099e8bdc110a73590170020b19a93e3</citedby><cites>FETCH-LOGICAL-c368t-c4244bfe5c7bbc5145be3947105e757ac5099e8bdc110a73590170020b19a93e3</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/s00595-016-1427-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-016-1427-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27699490$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haruki, Tomohiro</creatorcontrib><creatorcontrib>Yurugi, Yohei</creatorcontrib><creatorcontrib>Wakahara, Makoto</creatorcontrib><creatorcontrib>Matsuoka, Yuki</creatorcontrib><creatorcontrib>Miwa, Ken</creatorcontrib><creatorcontrib>Araki, Kunio</creatorcontrib><creatorcontrib>Taniguchi, Yuji</creatorcontrib><creatorcontrib>Nakamura, Hiroshige</creatorcontrib><title>Simplified comorbidity score for elderly patients undergoing thoracoscopic surgery for lung cancer</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purpose
We investigated the efficiency of the Simplified Comorbidity Score (SCS) for predicting postoperative complications and prognosis in elderly patients undergoing video-assisted thoracoscopic surgery (VATS) for lung cancer.
Methods
We reviewed 216 patients aged 75 years or older, who underwent pulmonary resection by VATS for lung cancer between January, 2005 and December, 2012. The SCS assigns different scores to patients’ comorbidities; namely, smoking (
n
= 7); diabetes mellitus (
n
= 5); renal insufficiency (
n
= 4); and respiratory, neoplastic, and cardiovascular comorbidities or alcoholism (
n
= 1 each). Patients were divided into a high SCS group (SCS ≥ 9;
n
= 154) and a low SCS group (<9;
n
= 62), for a comparative analysis of differences in perioperative factors and prognoses.
Results
Limited resection was more frequent in the high SCS group (58 %) than in the low SCS group (40 %;
P
= 0.02). Postoperative complications were more frequent in the high SCS group (45 %) than in the low SCS group (15 %;
P
< 0.01). A logistic regression analysis revealed that a high SCS was significantly predictive of postoperative complications (odds ratio 2.7;
P
= 0.02). The 5-year overall survival rate was 79 % for the low SCS group and 52 % for the high SCS group (
P
< 0.01).
Conclusions
The SCS can predict the likelihood of postoperative complications and prognosis of elderly patients with VATS-treated lung cancers.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Non-Small-Cell Lung - epidemiology</subject><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Comorbidity</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Female</subject><subject>Forecasting</subject><subject>Humans</subject><subject>Lung Neoplasms - epidemiology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pneumonectomy - methods</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prevalence</subject><subject>Prognosis</subject><subject>Renal Insufficiency - epidemiology</subject><subject>Retrospective Studies</subject><subject>Smoking - epidemiology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery, Video-Assisted</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFO3TAQRa0KVF6BD-imyrKbtDOxHcdLhIBWQuqiZW3ZzuTVKIlTO1m8v8fwoEtWI82ce6U5jH1G-IYA6nsGkFrWgG2NolE1fGA7FLytmw75CduBFlhjo_GMfcr5EaARHcBHdtaoVmuhYcfc7zAtYxgC9ZWPU0wu9GE9VNnHRNUQU0VjT2k8VItdA81rrra5LPYxzPtq_RuT9bHAS_BV3tKe0uElNW7l7O3sKV2w08GOmS5f5zl7uL35c_2jvv919_P66r72vO3W2otGCDeQ9Mo5L1FIR1wLhSBJSWW9BK2pc71HBKu41ICqvAQOtdWc-Dn7euxdUvy3UV7NFLKncbQzxS0b7LjkstXQFhSPqE8x50SDWVKYbDoYBPOs1hzVmqLWPKs1UDJfXus3N1H_P_HmsgDNEcjlNBcT5jFuaS4vv9P6BMWjhUQ</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Haruki, Tomohiro</creator><creator>Yurugi, Yohei</creator><creator>Wakahara, Makoto</creator><creator>Matsuoka, Yuki</creator><creator>Miwa, Ken</creator><creator>Araki, Kunio</creator><creator>Taniguchi, Yuji</creator><creator>Nakamura, Hiroshige</creator><general>Springer Japan</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>7X8</scope></search><sort><creationdate>20170601</creationdate><title>Simplified comorbidity score for elderly patients undergoing thoracoscopic surgery for lung cancer</title><author>Haruki, Tomohiro ; Yurugi, Yohei ; Wakahara, Makoto ; Matsuoka, Yuki ; Miwa, Ken ; Araki, Kunio ; Taniguchi, Yuji ; Nakamura, Hiroshige</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-c4244bfe5c7bbc5145be3947105e757ac5099e8bdc110a73590170020b19a93e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Non-Small-Cell Lung - epidemiology</topic><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Comorbidity</topic><topic>Diabetes Mellitus - epidemiology</topic><topic>Female</topic><topic>Forecasting</topic><topic>Humans</topic><topic>Lung Neoplasms - epidemiology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pneumonectomy - methods</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prevalence</topic><topic>Prognosis</topic><topic>Renal Insufficiency - epidemiology</topic><topic>Retrospective Studies</topic><topic>Smoking - epidemiology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Thoracic Surgery, Video-Assisted</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haruki, Tomohiro</creatorcontrib><creatorcontrib>Yurugi, Yohei</creatorcontrib><creatorcontrib>Wakahara, Makoto</creatorcontrib><creatorcontrib>Matsuoka, Yuki</creatorcontrib><creatorcontrib>Miwa, Ken</creatorcontrib><creatorcontrib>Araki, Kunio</creatorcontrib><creatorcontrib>Taniguchi, Yuji</creatorcontrib><creatorcontrib>Nakamura, Hiroshige</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haruki, Tomohiro</au><au>Yurugi, Yohei</au><au>Wakahara, Makoto</au><au>Matsuoka, Yuki</au><au>Miwa, Ken</au><au>Araki, Kunio</au><au>Taniguchi, Yuji</au><au>Nakamura, Hiroshige</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simplified comorbidity score for elderly patients undergoing thoracoscopic surgery for lung cancer</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>47</volume><issue>6</issue><spage>718</spage><epage>725</epage><pages>718-725</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purpose
We investigated the efficiency of the Simplified Comorbidity Score (SCS) for predicting postoperative complications and prognosis in elderly patients undergoing video-assisted thoracoscopic surgery (VATS) for lung cancer.
Methods
We reviewed 216 patients aged 75 years or older, who underwent pulmonary resection by VATS for lung cancer between January, 2005 and December, 2012. The SCS assigns different scores to patients’ comorbidities; namely, smoking (
n
= 7); diabetes mellitus (
n
= 5); renal insufficiency (
n
= 4); and respiratory, neoplastic, and cardiovascular comorbidities or alcoholism (
n
= 1 each). Patients were divided into a high SCS group (SCS ≥ 9;
n
= 154) and a low SCS group (<9;
n
= 62), for a comparative analysis of differences in perioperative factors and prognoses.
Results
Limited resection was more frequent in the high SCS group (58 %) than in the low SCS group (40 %;
P
= 0.02). Postoperative complications were more frequent in the high SCS group (45 %) than in the low SCS group (15 %;
P
< 0.01). A logistic regression analysis revealed that a high SCS was significantly predictive of postoperative complications (odds ratio 2.7;
P
= 0.02). The 5-year overall survival rate was 79 % for the low SCS group and 52 % for the high SCS group (
P
< 0.01).
Conclusions
The SCS can predict the likelihood of postoperative complications and prognosis of elderly patients with VATS-treated lung cancers.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27699490</pmid><doi>10.1007/s00595-016-1427-0</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-1291 |
| ispartof | Surgery today (Tokyo, Japan), 2017-06, Vol.47 (6), p.718-725 |
| issn | 0941-1291 1436-2813 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1835356906 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Aged, 80 and over Carcinoma, Non-Small-Cell Lung - epidemiology Carcinoma, Non-Small-Cell Lung - surgery Cardiovascular Diseases - epidemiology Comorbidity Diabetes Mellitus - epidemiology Female Forecasting Humans Lung Neoplasms - epidemiology Lung Neoplasms - surgery Male Medicine Medicine & Public Health Original Article Pneumonectomy - methods Postoperative Complications - epidemiology Prevalence Prognosis Renal Insufficiency - epidemiology Retrospective Studies Smoking - epidemiology Surgery Surgical Oncology Thoracic Surgery, Video-Assisted |
| title | Simplified comorbidity score for elderly patients undergoing thoracoscopic surgery for lung cancer |
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