Predictors of Complications in Lung Cancer Surgery for Elderly Patients
Author Information
Author(s): Saetang Mantana, Kunapaisal Thitikan, Wasinwong Wirat, Boonthum Parin, Sriyanaluk Bussarin, Nuanjun Kanjana
Primary Institution: Prince of Songkla University, Hat-Yai, Songkhla, Thailand
Hypothesis
What are the key predictors of severe postoperative complications in elderly patients undergoing lung cancer surgery?
Conclusion
Older age is associated with higher rates of postoperative complications, but comorbidities and surgical factors are significant contributors.
Supporting Evidence
- 29.3% of patients experienced postoperative complications.
- Older age and COPD were significant predictors of complications.
- Conversion to open thoracotomy significantly increased complication rates.
Takeaway
Older people having lung surgery might have more problems afterward, especially if they have other health issues like COPD or if the surgery is more complicated.
Methodology
This retrospective cohort study analyzed postoperative complications in elderly patients who underwent lung cancer surgery, using logistic regression and ROC curves to identify risk factors.
Potential Biases
Potential biases due to retrospective data collection and missing records.
Limitations
The study is retrospective, which may lead to missing data, and it was conducted at a single institution, limiting generalizability.
Participant Demographics
239 elderly patients, median age 71 years, 62.9% male, with 25.7% having COPD.
Statistical Information
P-Value
0.011
Confidence Interval
95% CI: 1.02–1.15
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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