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Editorials |

Outcome of Lung Surgery : What Patients Don’t Like

Gaetano Rocco, MD, FCCP; Roger Vaughan, MD
Author and Funding Information

Affiliations: Sheffield, United Kingdom
 ,  Dr. Rocco and Dr. Vaughan are from the Department of Thoracic Surgery, Northern General Hospital, Sheffield.

Correspondence to: Gaetano Rocco, MD, FCCP, Department of Thoracic Surgery, Chesterman Unit, Northern General Hospital, Herries Rd, Sheffield S5 7AU, United Kingdom; e-mail: grocco@tany.fsnet.co.uk



Chest. 2000;117(6):1531-1532. doi:10.1378/chest.117.6.1531
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The article by Cykert et al, published in this issue of CHEST (see page 1551), is focused on patients’ preferences regarding the possible outcome of lung surgery, and their impact on the final decision of undergoing surgical treatment. The conclusions of this study—if confirmed by larger series—may effect a change in everyday surgical practice.

Firstly—covering a methodologic aspect—it might suggest a revision of standard methods of evaluating postsurgical functional results, not only considering the immediate postoperative period (30 days postoperatively or “transient states”) but, also, long-term functional results—so-called “fixed functional outcomes”—which were felt to be onerous enough to deter patients from the surgical option, and have the potential to expose both the patients and the community to increased health costs.

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