0
Correspondence |

Lung Resection in the Elderly FREE TO VIEW

Yossef Aelony, MD, FCCP
Author and Funding Information

Affiliations: Harbor-UCLA Medical Center, Rancho Palos Verdes, CA,  Brigham and Women’s Hospital, Boston, MA

Correspondence to: Yossef Aelony, MD, FCCP, Clinical Professor of Medicine (Pulmonary), Harbor-UCLA, Rancho Palos Verdes, CA 90275; e-mail: y.aelony@cox.net



Chest. 2006;129(2):496-497. doi:10.1378/chest.129.2.496
Text Size: A A A
Published online

To the Editor:

The article by Mery et al in a recent issue of CHEST (July 2005)1 is an important contribution indicating that minimal resection in patients with stage I and II lung cancer may be as effective in prolonging survival as more extensive surgery in the elderly.1The authors mention that Ginsberg et al2 reported in 1983 that perioperative mortality in lung cancer patients increased from 1.3% in those patients < 59 years of age to 7% in those > 70 years of age. I was therefore disappointed that the current authors, with all the data in front of them from 14,555 resections, did not share with us an updated estimate of perioperative mortality in elderly patients who have undergone resection for early-stage cancer.

I hope the authors can provide us with these data, since the most up-to-date information is necessary to provide informed consent in all our preoperative visits.

Mery, CM, Pappas, AN, Bueno, R, et al (2005) Similar long-term survival of elderly patients with non-small cell lung cancer treated with lobectomy or wedge resection within the surveillance, epidemiology, and end results database.Chest128,237-245. [CrossRef] [PubMed]
 
Ginsberg, RJ, Hill, LD, Eagan, RT, et al Modern thirty-day operative mortality for surgical resections in lung cancer.J Thorac Cadiovasc Surg1983;86,654-658
 
To the Editor:

We appreciate the comments by Dr Aelony. The 30-day postoperative mortality rate for patients who have undergone curative resections (ie, limited resections, lobectomies, and pneumonectomies) for treatment of stage I or II non-small cell lung cancer was 0.4% for patients < 65 years old, 0.6% for those 65 to 74 years old, and 1.2% for those ≥ 75 years old (p = 0.001). These differences appeared to be due mainly to differences in survival among patients undergoing lobectomies. The perioperative mortality rate after undergoing lobectomy was 0.3% for patients < 65 years old, 0.5% for those 65 to 74 years old, and 1.5% for the elderly (p < 0.0001). The difference in perioperative mortality rate between age groups was statistically similar for patients undergoing limited resection (0%, 0.5%, and 0%, respectively).


Figures

Tables

References

Mery, CM, Pappas, AN, Bueno, R, et al (2005) Similar long-term survival of elderly patients with non-small cell lung cancer treated with lobectomy or wedge resection within the surveillance, epidemiology, and end results database.Chest128,237-245. [CrossRef] [PubMed]
 
Ginsberg, RJ, Hill, LD, Eagan, RT, et al Modern thirty-day operative mortality for surgical resections in lung cancer.J Thorac Cadiovasc Surg1983;86,654-658
 
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543