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Outcomes after lobectomy and pneumonectomy in lungcancer patients aged 70 years or older
- Source :
- TURKISH JOURNAL OF MEDICAL SCIENCES. 47:307-312
- Publication Year :
- 2017
- Publisher :
- The Scientific and Technological Research Council of Turkey (TUBITAK-ULAKBIM) - DIGITAL COMMONS JOURNALS, 2017.
-
Abstract
- Background/aim For the early stage of nonsmall-cell lung cancer, surgical resection provides the best survival, but the surgical risk generally increases with age because of the increased prevalence of comorbidities, especially cardiovascular disorders. The aim of this study was to compare survival and mortality rates of two groups with different ages, younger and older than 70 years, who went curative resection for nonsmall-cell lung cancer. Materials and methods We analyzed the patients who underwent curative lung cancer surgery in the Department of Thoracic Surgery of Gaziantep University Research Hospital between January 1997 and November 2014. Patients were divided into 2 groups according to their ages. Results A total of 497 patients were included in data analysis (381 were under 70 years old and 116 of them were ≥70 years old). The older group showed a 1.4-fold increased risk of mortality hazard ratio when the probability of survival was analyzed by histological type, lymph node involvement, disease stage, and age. Conclusion There was no distinct increase in 30-day mortality rates of patients with nonsmall-cell lung cancer who were ≥70 years old, but the hazard rate for long-term survival was higher in the older group. Curative pulmonary resections due to lung cancer should be carefully performed in septuagenarians.
- Subjects :
- Adult
Male
medicine.medical_specialty
Lung Neoplasms
medicine.medical_treatment
Kaplan-Meier Estimate
030204 cardiovascular system & hematology
Young Adult
03 medical and health sciences
Pneumonectomy
Postoperative Complications
0302 clinical medicine
Carcinoma, Non-Small-Cell Lung
Internal medicine
medicine
Humans
Young adult
Lung cancer
Survival rate
Aged
Aged, 80 and over
Lung cancer surgery
business.industry
Mortality rate
Hazard ratio
General Medicine
Middle Aged
medicine.disease
Cardiothoracic surgery
030220 oncology & carcinogenesis
Female
business
Subjects
Details
- ISSN :
- 13036165 and 13000144
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- TURKISH JOURNAL OF MEDICAL SCIENCES
- Accession number :
- edsair.doi.dedup.....a25cb0063cd079c058da19de37e48141