Evidence map›Paper›PMID 26273399›Full record

ArticleThoracic cancer2015

Cardiopulmonary exercise testing screening and pre-operative pulmonary rehabilitation reduce postoperative complications and improve fast-track recovery after lung cancer surgery: A study for 342 cases.

Ke Gao, Peng-Ming Yu, Jian-Hua Su, Cheng-Qi He, Lun-Xu Liu, Yu-Bin Zhou, Qiang Pu, Guo-Wei Che

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Thoracic cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 46 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 8 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03915093 nacompletednot on this mapstarted 2017, after this paper: background citation

Thoracoscopic Surgery: Effect of Designing and Implementing Educational Nursing Protocol on Patients Quality of Life

TypeinterventionalSponsorAssiut UniversityRan2017 to 2018Enrolled60ConditionsThoracoscopy, PrehabilitationArmsEducational nursing protocol, Routine hospital care
NCT04732143 naterminatednot on this mapstarted 2021, after this paper: background citation

The Effect of Preoperative Inspiratory Muscle Training Using Incentive Spirometer on Postoperative Pulmonary Complications Following Lung Resection

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2021 to 2023Enrolled25ConditionsPostoperative Respiratory ComplicationArmsInspiratory muscle training
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 8 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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  4. Effect of inspiratory muscle training associated or not to physical rehabilitation in preoperative anatomic pulmonary resection: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  8. Preoperative exercise training for patients with non-small cell lung cancer.The Cochrane database of systematic reviews · 2017
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  14. Prehabilitation beyond the trimodal standard: occupational therapy in a quadrimodal cancer care model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Ke GaoDepartment of Thoracic Surgery, West China Hospital, Sichuan University Chengdu, China ; Department of Thoracic Surgery, The No. 2 Hospital of Chengdu Chengdu, China.
Peng-Ming YuDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University Chengdu, China.
Jian-Hua SuDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University Chengdu, China.
Cheng-Qi HeDepartment of Rehabilitation Medicine, West China Hospital, Sichuan University Chengdu, China.
Lun-Xu LiuDepartment of Thoracic Surgery, West China Hospital, Sichuan University Chengdu, China.
Yu-Bin ZhouDepartment of Thoracic Surgery, West China Hospital, Sichuan University Chengdu, China.
Qiang PuDepartment of Thoracic Surgery, West China Hospital, Sichuan University Chengdu, China.
Guo-Wei CheDepartment of Thoracic Surgery, West China Hospital, Sichuan University Chengdu, China.
West China Hospital of Sichuan University · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn evaluation of cardiopulmonary exercise testing (CPET) screening and pre-operative pulmonary rehabilitation in reducing postoperative complications and improving fast-track recovery in high-risk patients who undergo resection for lung cancer.

methodsOf 342 potential lung cancer cases, 142 high-risk patients were finally divided into two groups: group R (n = 71) underwent an intensive pre-operative pulmonary rehabilitation program (PRP), followed by lobectomy; group S (n = 71) underwent only lobectomy with conventional management. Postoperative complications, average days in hospital, postoperative days in hospital, and cost were analyzed.

resultsThe 142 high-risk patients were screened by smoking history and CPET. Sixty-eight patients had bronchial hyperresponsiveness (BHR) and 47 patients had peak expiratory flow <250 L/minute by CPET. The rate of postoperative total complications in group R (16.90%) was significantly lower than in group S (83.31%) (P = 0.00), as was the rate of postoperative pulmonary complications PPC: group R (12.81%) versus S (13.55%) (P = 0.009); the PPC in the left lung (17.9%) was higher than in the right lung (2.3%) (P = 0.00). The average days in hospital in group S was significantly higher than in group R (P = 0.03). There was no difference between groups in average hospital cost (P = 0.304).

conclusionPre-operative screening using CPET is conducive to identifying high-risk patients for lung resection. Pre-operative pulmonary rehabilitation is helpful to reduce postoperative complications and improve fast-track recovery.

Indexed as

Cardiopulmonary exercise testing (CPET)fast-track recoverylung cancer surgerypulmonary rehabilitation (PR) program

Identifiers

PMID26273399
PMCPMC4511322
OpenAlexW1511939069

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.