How tumor stage affects surgeons' surveillance strategies after lung cancer surgery.

Abstract:

:The factors that influence decision making among surgeons are not well understood. We evaluated how tumor stage in patients subjected to potentially curative surgery for lung cancer affects the self-reported follow-up strategies employed by practicing surgeons. Hypothetical patient profiles and a detailed questionnaire based on these profiles were mailed to the 3,700 members of the Society of Thoracic Surgeons. The effect of TNM stage on the surveillance strategies chosen by the respondents was analyzed. All of the ten most commonly employed surveillance modalities were ordered significantly more frequently with increasing TNM stage, although the differences are small. Only 23% of respondents modified their strategies according to the patient's TNM stage. This effect persisted through 5 years of follow-up. We conclude that most surgeons performing surveillance after potentially curative surgery for otherwise healthy patients with lung cancer use the same follow-up strategy irrespective of TNM stage. These data should help in the design of prospective trials of this topic.

journal_name

Chest

journal_title

Chest

authors

Johnson FE,Naunheim KS,Coplin MA,Virgo KS

doi

10.1378/chest.111.1.99

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

99-102

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)46787-X

journal_volume

111

pub_type

杂志文章

相关文献

CHEST文献大全
  • Gas exchange and pulmonary hemodynamics during lung resection in patients at increased risk: relationship with preoperative exercise testing.

    abstract:STUDY OBJECTIVES:To evaluate the intraoperative evolution of patients with COPD during lung resection and to test whether exercise testing could be helpful in the prediction of the intraoperative course. DESIGN:Prospective study. SETTING:University teaching hospital. PATIENTS:Forty patients (mean [+/- SD] age, 65 +/...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.3.852

    authors: Ribas J,Jiménez MJ,Barberà JA,Roca J,Gomar C,Canalís E,Rodriguez-Roisin R

    更新日期:2001-09-01 00:00:00

  • Coronary artery bypass surgery in patients less than 40 years of age.

    abstract::Coronary bypass patients less than 40 years of age were identified and compared with a control group previously studied at our hospital. In patients less than 40 years, the average age was 35 years. Men comprised 90.1 percent of group 1, and 83.4 percent of group 2. Operative mortality was 2.89 percent for group 1 and...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.94.6.1138

    authors: Kelly ME,DeLaria GA,Najafi H

    更新日期:1988-12-01 00:00:00

  • Comparison of acetazolamide and medroxyprogesterone as respiratory stimulants in hypercapnic patients with COPD.

    abstract:BACKGROUND:Acetazolamide and medroxyprogesterone acetate (MPA) are two respiratory stimulants that can be used in patients with stable hypercapnic COPD. DESIGN AND METHODS:The effects of acetazolamide, 250 mg bid, and MPA, 30 mg bid, on daytime and nighttime blood gas values and the influences on the hypercapnic and h...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.123.5.1450

    authors: Wagenaar M,Vos P,Heijdra Y,Teppema L,Folgering H

    更新日期:2003-05-01 00:00:00

  • Efficacy of 67Ga-scintigraphy in predicting the diagnostic yield of transbronchial lung biopsy in pulmonary sarcoidosis.

    abstract::Nineteen consecutive patients with clinically suspected sarcoidosis underwent 67Ga-scintigraphy prior to transbronchial lung biopsy (TBLB) to determine if 67Ga uptake in lung parenchyma would increase the diagnostic yield of the biopsy procedure. Biopsies were obtained from the areas showing parenchymal uptake on the ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.82.1.7

    authors: Ackart RS,Munzel TL,Rodriguez JJ,Donlan CJ,Klayton RJ,Foreman DR

    更新日期:1982-07-01 00:00:00

  • Pneumonia in allogenic and autologous bone marrow recipients. A retrospective study.

    abstract::Pulmonary infections, which frequently occur during the early and late period following bone marrow transplantation for hematologic malignancies, are associated with significant morbidity and mortality. In this study the incidence, the infectious causes of pneumonia and the mortality related to pneumonia in 130 alloge...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.2.371

    authors: Gentile G,Micozzi A,Girmenia C,Iori AP,Donati PP,Capria S,Martino P

    更新日期:1993-08-01 00:00:00

  • A predictive equation for determination of resting energy expenditure in mechanically ventilated patients.

    abstract:STUDY OBJECTIVE:To evaluate an equation that estimates resting energy expenditure from two easily obtained measurements--expired carbon dioxide and minute ventilation, and compare the results of this equation with standard methods of estimating and measuring caloric expenditure in mechanically ventilated patients. DES...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.105.2.544

    authors: Sherman MS

    更新日期:1994-02-01 00:00:00

  • Severity scoring in the critically ill: part 2: maximizing value from outcome prediction scoring systems.

    abstract::Part 2 of this review of ICU scoring systems examines how scoring system data should be used to assess ICU performance. There often are two different consumers of these data: lCU clinicians and quality leaders who seek to identify opportunities to improve quality of care and operational efficiency, and regulators, pay...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.11-0331

    authors: Breslow MJ,Badawi O

    更新日期:2012-02-01 00:00:00

  • Oropharyngeal Gram-negative bacillary carriage: a survey of 120 healthy individuals.

    abstract:BACKGROUND:The presence of aerobic Gram-negative bacilli (AGNB) in the oropharynx can be either temporary or persistent. Prolonged colonization (ie, carriage) is distinguished from transient presence (ie, acquisition), which often occurs in healthy individuals but less frequently in those with underlying disease. Preva...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.115.6.1570

    authors: Mobbs KJ,van Saene HK,Sunderland D,Davies PD

    更新日期:1999-06-01 00:00:00

  • Abnormal swallowing reflex and COPD exacerbations.

    abstract:BACKGROUND:It is unclear whether an abnormal swallowing reflex affects COPD exacerbations. This study investigated the prevalence of abnormal swallowing reflexes and its relationship with COPD exacerbation prospectively. We also clarified its association with gastroesophageal reflux disease (GERD) and airway bacterial ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-0482

    authors: Terada K,Muro S,Ohara T,Kudo M,Ogawa E,Hoshino Y,Hirai T,Niimi A,Chin K,Mishima M

    更新日期:2010-02-01 00:00:00

  • Systolic time intervals in chronic hypertension: Alterations and response to treatment.

    abstract::Systolic time interval studies were performed to evaluate left ventricular performance in 28 patients with untreated systemic hypertension but without clinical heart failure. The pre-ejection period (PEP) was significantly prolonged (p smaller than 0.001) and left ventricular ejectime time (LVET) was shortened (p smal...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.68.1.51

    authors: Dodek A,Burg JR,Kloster FR

    更新日期:1975-07-01 00:00:00

  • Relationship of indices of inflammation and thrombogenesis to arrhythmia burden in paroxysmal atrial fibrillation.

    abstract:BACKGROUND:Atrial fibrillation (AF) is associated with a high risk of stroke. The contribution of arrhythmia to events is clear in sustained forms of AF, but in paroxysmal AF, presently available data have yet to identify what proportion of time spent in AF (ie, arrhythmia burden [AFB]) is of clinical relevance. We aim...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-1426

    authors: Watson T,Arya A,Sulke N,Lip GY

    更新日期:2010-04-01 00:00:00

  • Allergic bronchopulmonary aspergillosis.

    abstract::Allergic bronchopulmonary aspergillosis (ABPA) is an immunologic pulmonary disorder caused by hypersensitivity to Aspergillus fumigatus. Clinically, a patient presents with chronic asthma, recurrent pulmonary infiltrates, and bronchiectasis. The population prevalence of ABPA is not clearly known, but the prevalence in...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.08-2586

    authors: Agarwal R

    更新日期:2009-03-01 00:00:00

  • Interpreting periodic lung function tests in individuals: the relationship between 1- to 5-year and long-term FEV1 changes.

    abstract:STUDY OBJECTIVE:Spirometry is performed to monitor lung health, but variability between tests can hinder recognition of excessive FEV(1) declines. We sought to describe the relationship between FEV(1) changes over 1 to 5 years and FEV(1) declines over longer terms, using 21,821 test results from 1,884 workers who parti...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.2.493

    authors: Wang ML,Avashia BH,Petsonk EL

    更新日期:2006-08-01 00:00:00

  • Gender differences in the clinical characteristics among Japanese patients with obstructive sleep apnea syndrome.

    abstract:BACKGROUND:Gender differences in the prevalence of various manifestations of obstructive sleep apnea syndrome (OSAS) is not as great as previously believed. The aim of the present study was to clarify the clinical patient characteristics of Japanese women and men with OSAS. METHODS:A cross-sectional case-match control...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-1414

    authors: Yukawa K,Inoue Y,Yagyu H,Hasegawa T,Komada Y,Namba K,Nagai N,Nemoto S,Sano E,Shibusawa M,Nagano N,Suzuki M

    更新日期:2009-02-01 00:00:00

  • Comparing cost of indwelling pleural catheter vs talc pleurodesis for malignant pleural effusion.

    abstract:BACKGROUND:Malignant pleural effusion is associated with short life expectancy and significant morbidity. A randomized controlled trial comparing indwelling pleural catheters (IPCs) with talc pleurodesis found that IPCs reduced in-hospital time and the need for additional procedures but were associated with excess adve...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.13-2481

    authors: Penz ED,Mishra EK,Davies HE,Manns BJ,Miller RF,Rahman NM

    更新日期:2014-10-01 00:00:00

  • Improvement in arterial oxygenation by saralasin infusion in man.

    abstract::Simultaneous hemodynamic and blood gas measurements were performed in 26 hypertensive adults, who were cigarette smokers, before and after a 30-minute infusion of saralasin (5 microgram/kg/min) which is a highly specific competitive antagonist of angiotensin II (AII). The arterial pressure fell in nine, rose in seven ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.4.492

    authors: Mookherjee S,Obeid AI,Ashutosh K,Warner RA,Smulyan H

    更新日期:1979-04-01 00:00:00

  • Cannonball-Like Lung Nodules in a Patient With a Colorectal Tumor.

    abstract:CASE PRESENTATION:A 72-year-old man underwent endoscopic resection of a 10-mm polypoid sessile lesion of the rectum. Histologic examination found a well-differentiated, low-grade (G1), neuroendocrine tumor. A thoracoabdominal CT scan was performed for staging purposes. The chest CT scan revealed a so-called cannonball-...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.05.007

    authors: Scamporlino A,Mengoli MC,Calabrese O,Della Casa G,Aramini B,Spallanzani A,Morandi U,Stefani A

    更新日期:2019-10-01 00:00:00

  • Psychosocial issues in the assessment and management of patients undergoing lung transplantation.

    abstract::This review examines psychosocial issues among lung transplant patients from the time of assessment through the posttransplant period. Although psychological factors are recognized as being important in the transplant evaluation, no standard approach to psychological assessment currently exists. Lung transplant candid...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.129.5.1367

    authors: Barbour KA,Blumenthal JA,Palmer SM

    更新日期:2006-05-01 00:00:00

  • Long-term Outcomes After Stepping Down Asthma Controller Medications: A Claims-Based, Time-to-Event Analysis.

    abstract:BACKGROUND:Long-term outcomes after stepping down asthma medications are not well described. METHODS:This study was a retrospective time-to-event analysis of individuals diagnosed with asthma who stepped down their asthma controller medications using a US claims database spanning 2000 to 2012. Four-month intervals wer...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.15-0301

    authors: Rank MA,Johnson R,Branda M,Herrin J,van Houten H,Gionfriddo MR,Shah ND

    更新日期:2015-09-01 00:00:00

  • Feasibility of the detection of the sentinel lymph node in peripheral non-small cell lung cancer with radio isotopic and blue dye techniques.

    abstract:STUDY OBJECTIVES:The objective of this study was to evaluate the feasibility of the sentinel lymph node (SLN) biopsy in peripheral clinically stage I or II non-small cell lung cancer (NSCLC) using (99m)Tc colloid and a hand-held gamma detection probe, associated with a blue dye technique. DESIGN:Prospective study. SE...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.2.443

    authors: Tiffet O,Nicholson AG,Khaddage A,Prévot N,Ladas G,Dubois F,Goldstraw P

    更新日期:2005-02-01 00:00:00

  • Video-assisted thoracoscopic surgery is a promising treatment for solitary fibrous tumor of the pleura.

    abstract:STUDY OBJECTIVES:Solitary fibrous tumors of the pleura (SFTPs) are slow-growing neoplasms. Approximately 800 cases have been reported in the literature to date. The aim of this study was to address our experience with the management of SFTPs and to evaluate the advantage of video-assisted thoracoscopic surgery (VATS) i...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.3.1144

    authors: Takahama M,Kushibe K,Kawaguchi T,Kimura M,Taniguchi S

    更新日期:2004-03-01 00:00:00

  • Outcome after right middle lobe syndrome.

    abstract::The long-term pulmonary consequences of right middle lobe syndrome (RMLS) in childhood are not known. Therefore, outcome was evaluated in 17 children with RMLS diagnosed in early childhood (mean age, 3.3 years; SD, 1.1 year). Mean age at follow-up was 10.1 years (SD, 2.6 years). RMLS was defined as atelectasis of the ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.1.150

    authors: De Boeck K,Willems T,Van Gysel D,Corbeel L,Eeckels R

    更新日期:1995-07-01 00:00:00

  • Association of Psychological Disorders With 30-Day Readmission Rates in Patients With COPD.

    abstract:BACKGROUND:There is a growing understanding of the prevalence and impact of psychological disorders on COPD. However, the role of these disorders in early readmission is unclear. METHODS:We analyzed data from 5% fee-for-service Medicare beneficiaries diagnosed with COPD (International Classification of Diseases, Ninth...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.15-0449

    authors: Singh G,Zhang W,Kuo YF,Sharma G

    更新日期:2016-04-01 00:00:00

  • Influence of maternal smoking on variability of peak expiratory flow rate in school children.

    abstract::Diurnal variability of peak expiratory flow rates (PEFRs) was assessed in 1,237 children. The PEFR was measured twice daily over a 1-week period. As an index of variability, the log of a week's mean of daily amplitude was calculated. Linear regression analyses revealed a significant positive association between matern...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.4.1133

    authors: Frischer T,Kühr J,Meinert R,Karmaus W,Urbanek R

    更新日期:1993-10-01 00:00:00

  • Sulfasalazine-induced pulmonary disease.

    abstract::We report the findings in two patients with sulfasalazine-induced pulmonary disease. The first patient developed pulmonary interstitial fibrosis after more than 4 yr of treatment for Crohn's disease. Pulmonary symptoms and chest roentgenographic and pulmonary function abnormalities gradually reversed after stopping th...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.4.1033

    authors: Hamadeh MA,Atkinson J,Smith LJ

    更新日期:1992-04-01 00:00:00

  • Pregnancy in a woman with severe pulmonary fibrosis secondary to hard metal disease.

    abstract::The effect of interstitial pulmonary fibrosis on pregnancy is unclear. We present the findings in a 31-year-old woman with severe pulmonary fibrosis (vital capacity, 37 percent of predicted) secondary to hard metal disease who went through a successful term pregnancy. The patient was a grinder of tungsten-carbide dril...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.3.663

    authors: Ratto D,Balmes J,Boylen T,Sharma OP

    更新日期:1988-03-01 00:00:00

  • Diaphragmatic dysfunction in siblings with hereditary motor and sensory neuropathy (Charcot-Marie-Tooth disease).

    abstract::Hereditary motor and sensory neuropathy (Charcot-Marie-Tooth disease) is characterized by chronic degeneration of peripheral nerves and roots, resulting in distal muscle atrophy, beginning in the feet and legs and later involving the hands. The association of this disease with diaphragmatic dysfunction has not been re...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.91.4.567

    authors: Chan CK,Mohsenin V,Loke J,Virgulto J,Sipski ML,Ferranti R

    更新日期:1987-04-01 00:00:00

  • The physiologic evaluation of patients with lung cancer being considered for resectional surgery.

    abstract::The preoperative physiologic assessment of a patient being considered for surgical resection of lung cancer must consider the immediate perioperative risks from comorbid cardiopulmonary disease, the long-term risks of pulmonary disability, and the threat to survival due to inadequately treated lung cancer. As with any...

    journal_title:Chest

    pub_type: 指南,杂志文章,实务指引

    doi:10.1378/chest.123.1_suppl.105s

    authors: Beckles MA,Spiro SG,Colice GL,Rudd RM,American College of Chest Physicians.

    更新日期:2003-01-01 00:00:00

  • Comparative Effectiveness and Safety of LABA-LAMA vs LABA-ICS Treatment of COPD in Real-World Clinical Practice.

    abstract:BACKGROUND:Long-acting β2-agonists (LABAs) and long-acting muscarinic antagonists (LAMAs) are recommended as initial maintenance treatments for COPD, with their combination (LABA-LAMA) advocated as the disease progresses. Randomized trials comparing the effectiveness of this combination with the alternative combination...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.03.005

    authors: Suissa S,Dell'Aniello S,Ernst P

    更新日期:2019-06-01 00:00:00

  • Expanded clinical presentation of community-acquired methicillin-resistant Staphylococcus aureus pneumonia.

    abstract:BACKGROUND:Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) has been documented to cause community-acquired pneumonias (CAP), notable for necrotizing features. The frequency of occurrence, risk factors, and optimal treatment of CA-MRSA CAP are unclear. METHODS:This was a retrospective analysis ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-1562

    authors: Lobo LJ,Reed KD,Wunderink RG

    更新日期:2010-07-01 00:00:00