Evidence map›Paper›PMID 30612207›Full record

ArticleSurgery today2019

The maximum dimension of the inferior vena cava is a significant predictor of postoperative mortality in lung cancer patients with idiopathic interstitial pneumonia.

Mariko Fukui, Kazuya Takamochi, Kazuhiro Suzuki, Akihiro Hotta, Katsutoshi Ando, Takeshi Matsunaga, Shiaki Oh, Izumi Kawagoe, Kenji Suzuki

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Article in Surgery today, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Mariko FukuiDepartment of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
Kazuya TakamochiDepartment of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
Kazuhiro SuzukiDepartment of Radiology, Juntendo University School of Medicine, Tokyo, Japan.
Akihiro HottaDepartment of Radiology, Juntendo University School of Medicine, Tokyo, Japan.
Katsutoshi AndoDepartment of Respiratory Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Takeshi MatsunagaDepartment of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
Shiaki OhDepartment of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan.
Izumi KawagoeDepartment of Anesthesiology, Juntendo University School of Medicine, Tokyo, Japan.
Kenji SuzukiDepartment of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan. kjsuzuki@juntendo.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral vascular measurements in computed tomography (CT) were reported to be indicators of pulmonary hypertension in chronic obstructive pulmonary disease (COPD) patients. We evaluated the usefulness of these parameters as predictors of postoperative mortality in lung cancer patients with IIP.

methodsThis retrospective study was performed on 1888 patients. The following CT findings were evaluated: diameter of the main pulmonary artery, ascending aorta, and the short axis of the inferior vena cava (IVC). Univariate and multivariate analyses were conducted to determine predictors of surgical mortality.

resultsIn the IIP patients, the 90-day mortality was 0.8%, and the 2-year mortality was 5.8%. Regarding the 90-day mortality in patients with IIP, a multivariate analysis revealed a short axis of IVC > 21 mm [odds ratio (OR) 6.4, p < 0.01) and the risk score reported by Japanese Association for Chest Surgery (JACS) (OR 1.4, p = 0.01) as independent predictors. Regarding the 2-year mortality in patients with IIP, a multivariate analysis revealed IVC > 21 mm (OR 2.3, p < 0.04), %VC < 80% (OR 2.4, p = 0.02), and pathological cancer stages II and III vs. I (OR 7.2, p < 0.001) as independent predictors.

conclusionsEnlargement of the IVC as measured by CT was a significant predictor of mortality after surgery for lung cancer with IIP patients.

Indexed as

AgedAnalysis of VarianceFemaleForecastingHumansIdiopathic Interstitial PneumoniasLung NeoplasmsMaleMiddle AgedNeoplasm StagingPostoperative PeriodRetrospective StudiesThoracic Surgical ProceduresTime FactorsTomography, X-Ray ComputedVena Cava, InferiorIdiopathic interstitial pneumoniaInferior vena cavaLung cancerSurgical mortality

Identifiers

PMID30612207

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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.