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The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi最新文献

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Commentary: Time for a multi-institutional study for congenitally corrected transposition of great arteries? 评论:是时候多机构研究先天性纠正大动脉转位了?
Maryam Alomair, David J Barron
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引用次数: 0
Long-term patient-reported outcomes after non-small cell lung cancer resection. 非小细胞肺癌切除术后患者报告的长期预后。
Brendan T Heiden, Melanie P Subramanian, Jingxia Liu, Angela Keith, Kathryn E Engelhardt, Bryan F Meyers, Varun Puri, Benjamin D Kozower

Objectives: Patient-reported outcomes (PROs) are critical tools for evaluating patients before and after lung cancer resection. In this study, we assessed patient-reported pain, dyspnea, and functional status up to 1 year postoperatively.

Methods: This study included patients who underwent surgery for non-small cell lung cancer at a single institution (2017-2020). We collected PROs using the National Institutes of Health Patient Reported Outcome Measurement Information System (PROMIS). Data were prospectively collected and merged with our institutional Society of Thoracic Surgeons data. Using multivariable linear mixed effect models, we compared PROMIS scores for preoperative and several postoperative visits.

Results: From 2017 until 2020, 334 patients underwent lung cancer resection with completed PROMIS assessments. Pain interference, physical function, and dyspnea severity scores were worse 1 month after surgery (P < .001). Pain interference and physical function scores returned to baseline by 6 months after surgery. However, dyspnea severity scores remained persistently worse up to 1 year after surgery (1-month difference, 8.8 ± 1.9; 6-month difference, 3.6 ± 2.2; 1-year difference, 4.9 ± 2.8; P < .001). Patients who received a thoracotomy had worse physical function and pain interference scores 1 month after surgery compared with patients who received a minimally invasive operation; however, there were no differences in PROs by 6 months after surgery.

Conclusions: PROs are important metrics for assessing patients before and after lung cancer resection. Patients may report persistent dyspnea up to 1 year after resection. Additionally, patients undergoing thoracotomy initially report worse pain and physical function but these impairments improve by 6 months after surgery.

目的:患者报告的预后(pro)是评估肺癌切除术前后患者的关键工具。在这项研究中,我们评估了术后1年患者报告的疼痛、呼吸困难和功能状态。方法:本研究纳入了在单一机构(2017-2020)接受非小细胞肺癌手术的患者。我们使用美国国立卫生研究院患者报告结果测量信息系统(PROMIS)收集PROs。前瞻性地收集数据并与我们的机构胸外科学会数据合并。使用多变量线性混合效应模型,我们比较了术前和术后几次就诊的PROMIS评分。结果:从2017年到2020年,334例患者接受了肺癌切除术并完成了PROMIS评估。术后1个月疼痛干扰、身体功能和呼吸困难严重程度评分更差(P)结论:PROs是评估肺癌切除术前后患者的重要指标。患者可能报告持续呼吸困难长达1年切除术后。此外,接受开胸手术的患者最初报告疼痛和身体功能加重,但这些损伤在手术后6个月得到改善。
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引用次数: 0
Your Support Makes an Impact 你的支持会产生影响
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引用次数: 0
Your Support Advances Careers 你的支持促进职业发展
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引用次数: 0
Reply: The boat, the sword, and the opacity of Chinese transplant data. 回答:船,剑,和中国移植数据的不透明。
R. Sade, A. Carpenter, T. D’amico, D. Drake, J. Entwistle, Shuddhadeb Ray
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引用次数: 0
Should we tolerate biased critiques in cardiothoracic surgery journals? 我们应该容忍心胸外科杂志上有偏见的评论吗?
N. Dong, Xingjian Hu, Hai-Bo Wang, Jingyu Chen, Song Wan
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引用次数: 2
Commentary: Board certification as a prerequisite for independent practice: Who is to say? 评注:董事会认证作为独立执业的先决条件:谁说了算?
M. Moon
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引用次数: 0
Reply: Tying off brain vessels: Can that be ok? 回复:捆扎脑血管:可以吗?
R. Sade, J. Entwistle, D. Drake, K. Fenton, Michael A Smith
{"title":"Reply: Tying off brain vessels: Can that be ok?","authors":"R. Sade, J. Entwistle, D. Drake, K. Fenton, Michael A Smith","doi":"10.1016/j.jtcvs.2022.04.041","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2022.04.041","url":null,"abstract":"","PeriodicalId":22594,"journal":{"name":"The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74443591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Independent practice should require thoracic board certification. 独立执业需要胸椎委员会认证。
David H. Adams, D. Pandis, S. Keshavjee
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引用次数: 0
Discussion. 讨论。
G. V. van Arsdell
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引用次数: 0
期刊
The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi
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