高级检索
当前位置: 首页 > 详情页

Impact of chronic obstructive pulmonary disease on postoperative recurrence in patients with resected non-small-cell lung cancer

文献详情

资源类型:
WOS体系:

收录情况: ◇ SCIE

单位: [1]Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing, People’s Republic of China
出处:
ISSN:

关键词: lung neoplasms surgery pulmonary function test prognosis

摘要:
Purpose: This study aimed to determine whether the severity of chronic obstructive pulmonary disease (COPD) affects recurrence-free survival in non-small-cell lung cancer (NSCLC) patients after surgical resection. Patients and methods: A retrospective study was performed on 421 consecutive patients who had undergone lobectomy for NSCLC from January 2008 to June 2011. Classification of COPD severity was based on guidelines of the Global Initiative for Chronic Obstructive Lung Disease (GOLD). Characteristics among the three subgroups were compared and recurrence-free survivals were analyzed. Results: A total of 172 patients were diagnosed with COPD (124 as GOLD-1, 46 as GOLD-2, and two as GOLD-3). The frequencies of recurrence were significantly higher in patients with higher COPD grades (P<0.001). Recurrence-free survival at 5 years was 78.1%, 70.4%, and 46.4% in non-COPD, mild COPD, and moderate/severe COPD groups, respectively (P<0.001). By univariate analysis, the age, sex, smoking history, COPD severity, tumor size, histology, and pathological stage were associated with recurrence-free survival. Multivariate analysis showed that older age, male, moderate/severe COPD, and advanced stage were independent risk factors associated with recurrence-free survival. Conclusion: NSCLC patients with COPD are at high risk for postoperative recurrence, and moderate/severe COPD is an independent unfavorable prognostic factor.

语种:
被引次数:
WOS:
中科院(CAS)分区:
出版当年[2015]版:
大类 | 3 区 医学
小类 | 3 区 呼吸系统
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 呼吸系统
JCR分区:
出版当年[2014]版:
Q2 RESPIRATORY SYSTEM
最新[2023]版:
Q2 RESPIRATORY SYSTEM

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2014版] 出版当年五年平均[2010-2014] 出版前一年[2013版] 出版后一年[2015版]

第一作者:
第一作者单位: [1]Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing, People’s Republic of China
通讯作者:
通讯机构: [1]Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing, People’s Republic of China [*1]Department of Thoracic Surgery, China-Japan Friendship Hospital, Yinghua East Road No 2, Chaoyang District, Beijing 100029, People’s Republic of China
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:1320 今日访问量:0 总访问量:816 更新日期:2025-04-01 建议使用谷歌、火狐浏览器 常见问题

版权所有:重庆聚合科技有限公司 渝ICP备12007440号-3 地址:重庆市两江新区泰山大道西段8号坤恩国际商务中心16层(401121)