Evidence map›Paper›PMID 31618297›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

Effects of a high-intensity pulmonary rehabilitation program on the minute ventilation/carbon dioxide output slope during exercise in a cohort of patients with COPD undergoing lung resection for non-small cell lung cancer.

Fabio Perrotta, Antonio Cennamo, Francesco Saverio Cerqua, Francesco Stefanelli, Andrea Bianco, Salvatore Musella, Marco Rispoli, Rosario Salvi, Ilemando Meoli

Open access · diamondAbstract read
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. VE/VCOJournal of thoracic disease · 2024
    Article
  4. Article
  5. Review
  6. Exertional ventilation/carbon dioxide output relationship in COPD: from physiological mechanisms to clinical applications.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  7. Article
  8. Food, Nutrition, Physical Activity and Microbiota: Which Impact on Lung Cancer?International journal of environmental research and public health · 2021
    Review
  9. Review
  10. Article
  11. Pulmonary rehabilitation: various diseases, many approaches, and multiple questions.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Fabio Perrotta. Dipartimento di Medicina e Scienze della Salute V. Tiberio, Università degli Studi del Molise, Campobasso, Italia.ORCID http://orcid.org/0000-0002-7223-7037
Antonio Cennamo. Dipartimento di Scienze Mediche Traslazionali, Ospedale Monaldi. Università della Campania Luigi Vanvitelli Napoli, Italia.ORCID http://orcid.org/0000-0003-3017-0185
Francesco Saverio Cerqua. Dipartimento di Scienze Mediche Traslazionali, Ospedale Monaldi. Università della Campania Luigi Vanvitelli Napoli, Italia.ORCID http://orcid.org/0000-0001-5522-5889
Francesco Stefanelli. Divisione di Pneumologia, Ospedale Monaldi, Napoli, Italia.ORCID http://orcid.org/0000-0002-1112-1882
Andrea Bianco. Dipartimento di Scienze Mediche Traslazionali, Ospedale Monaldi. Università della Campania Luigi Vanvitelli Napoli, Italia.ORCID http://orcid.org/0000-0002-4692-5901
Salvatore Musella. Divisione di Pneumologia, Ospedale Monaldi, Napoli, Italia.ORCID http://orcid.org/0000-0001-6696-2729
Marco Rispoli. Dipartimento di Anestesia and Unità di Terapia Intensiva. A.O. dei Colli, Ospedale Monaldi, Napoli, Italia.ORCID http://orcid.org/0000-0002-6553-4332
Rosario Salvi. Dipartimento di Chirurgia Toracica. A.O. dei Colli, Ospedale Monaldi, Napoli, Italia.ORCID http://orcid.org/0000-0002-2087-7198
Ilemando Meoli. Divisione di Pneumologia, Ospedale Monaldi, Napoli, Italia.ORCID http://orcid.org/0000-0002-6640-7327
Ospedale Monaldi · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Molise · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePreoperative functional evaluation is central to optimizing the identification of patients with non-small cell lung cancer (NSCLC) who are candidates for surgery. The minute ventilation/carbon dioxide output (VE/VCO2) slope has proven to be a predictor of surgical complications and mortality. Pulmonary rehabilitation programs (PRPs) could influence short-term outcomes in patients with COPD undergoing lung resection. Our objective was to evaluate the effects of a PRP on the VE/VCO2 slope in a cohort of patients with COPD undergoing lung resection for NSCLC.

methodsWe retrospectively evaluated 25 consecutive patients with COPD participating in a three-week high-intensity PRP prior to undergoing lung surgery for NSCLC, between December of 2015 and January of 2017. Patients underwent complete functional assessment, including spirometry, DLCO measurement, and cardiopulmonary exercise testing.

resultsThere were no significant differences between the mean pre- and post-PRP values (% of predicted) for FEV1 (61.5 ± 22.0% vs. 62.0 ± 21.1%) and DLCO (67.2 ± 18.1% vs. 67.5 ± 13.2%). Conversely, there were significant improvements in the mean peak oxygen uptake (from 14.7 ± 2.5 to 18.2 ± 2.7 mL/kg per min; p < 0.001) and VE/VCO2 slope (from 32.0 ± 2.8 to 30.1 ± 4.0; p < 0.01).

conclusionsOur results indicate that a high-intensity PRP can improve ventilatory efficiency in patients with COPD undergoing lung resection for NSCLC. Further comprehensive prospective studies are required to corroborate these preliminary results.

Indexed as

AgedCarbon DioxideCarcinoma, Non-Small-Cell LungExercise TestExercise TherapyFemaleForced Expiratory VolumeHumansLung NeoplasmsMaleMiddle AgedOxygen ConsumptionPulmonary Disease, Chronic ObstructiveReference ValuesRetrospective StudiesSpirometryCarbon Dioxide

Identifiers

PMID31618297
PMCPMC7447542
OpenAlexW2979773890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.