Evidence map›Paper›PMID 41439853›Full record

ArticleAdvances in respiratory medicine2025

Preoperative Six-Minute Walking Distance as a Predictor of Postoperative Complications in Patients Undergoing Lobectomy for Non-Small-Cell Lung Cancer.

Naoki Maki, Takahiro Yanagihara, Ashoka Indranatha Wijesinghe, Kazuto Sugai, Tomoyuki Kawamura, Yusuke Saeki, Shinsuke Kitazawa, Naohiro Kobayashi, Shinji Kikuchi, Yukinobu Goto and 4 more

Abstract read
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Article in Advances in respiratory medicine, 2025. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Naoki MakiFaculty of Rehabilitation, R Professional University of Rehabilitation, 2-12-31 Kawaguchi, Tsuchiura 300-0032, Ibaraki, Japan.ORCID 0000-0002-3504-7154
Takahiro YanagiharaDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.ORCID 0000-0001-5047-6558
Ashoka Indranatha WijesingheDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.
Kazuto SugaiDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.ORCID 0000-0002-5639-7663
Tomoyuki KawamuraDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.
Yusuke SaekiDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.
Shinsuke KitazawaDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.ORCID 0000-0001-6321-6384
Naohiro KobayashiDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.ORCID 0000-0002-1663-8039
Shinji KikuchiDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.
Yukinobu GotoDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.ORCID 0000-0003-0348-973X
Harumi SakamotoFaculty of Rehabilitation, R Professional University of Rehabilitation, 2-12-31 Kawaguchi, Tsuchiura 300-0032, Ibaraki, Japan.
Keisuke TaniguchiFaculty of Rehabilitation, R Professional University of Rehabilitation, 2-12-31 Kawaguchi, Tsuchiura 300-0032, Ibaraki, Japan.
Hideo IchimuraDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.ORCID 0000-0002-2779-0108
Yukio SatoDepartment of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba 305-8577, Ibaraki, Japan.

Funding

the Japan Society for the Promotion of Science and Technology (JSPS) KAKENHI 24K14356The Smoking Research Foundation 2023G016
6 · The paper itself

Abstract

introductionMinimally invasive video-assisted thoracic surgery (VATS) for lung cancer has become a widely used approach. However, postoperative pulmonary complications (PCs) such as pneumonia, atelectasis, and lung fistula remain significant challenges, particularly in older adult patients with multiple comorbidities. The 6-minute walk test (6MWT) has been suggested as a predictor of postoperative outcomes in various surgical settings, but its relationship with postoperative complications following VATS lobectomy for lung cancer has not been thoroughly explored. The aim of this study was to determine if preoperative 6MWD predicted the occurrence of 30-day PCs among patients undergoing VATS lobectomy for non-small-cell lung cancer.

methodsThis retrospective study examined 66 patients who underwent VATS lobectomy for lung cancer. Participants were categorized into two groups: those with postoperative pulmonary complications (

resultsThe study found that preoperative 6MWT ≤ 450 m was a significant predictor of postoperative pulmonary complications (odds ratio: 5.674, 95% CI: 1.206-26.684,

conclusionsThe preoperative 6MWT distance is a useful predictor of postoperative pulmonary complications in patients undergoing VATS lobectomy for lung cancer. Patients with a 6MWT ≤ 450 m may be at higher risk for complications such as pneumonia, atelectasis, and lung fistula. Incorporating preoperative 6MWT as a risk stratification tool could help guide clinical decisions and rehabilitation efforts to improve postoperative outcomes in this patient population.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsPneumonectomyPostoperative ComplicationsThoracic Surgery, Video-AssistedWalk TestAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsPreoperative PeriodRetrospective Studies6-minute walk testlung cancerpostoperative complicationspreoperative assessmentrisk predictionvideo-assisted thoracic surgery

Identifiers

PMID41439853
PMCPMC12729872

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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.