Lack of Utility of Thoracoscore in Evaluating Fitness for Surgery in Lung Cancer.

Simple item page
dc.contributor.authorThangakunam, Balamugesh
dc.contributor.authorSamuel, Johnson
dc.contributor.authorIbrahim, Basharet
dc.contributor.authorAitchison, Doug
dc.date.accessioned2015-12-30T10:43:17Z
dc.date.available2015-12-30T10:43:17Z
dc.date.issued2015-01
dc.description.abstractBackground. The thoracic surgery scoring system (Thoracoscore) is a multivariate scoring system with nine parameters used for predicting inpatient mortality after thoracic surgery. In clinical practice, the value of the thoracoscore in evaluating the fitness of individual patients for surgery is not clear. Objective. The study objective was to evaluate the performance of thoracoscore in evaluating fitness for surgery for lung cancer and compare it with cardiopulmonary exercise test (CPEX). Methods. We retrospectively analysed data over a 2-year period from the CPEX database of patients referred for preoperative assessment prior to surgery for lung cancer. Results. Twenty-two patients who had borderline lung function impairment had CPEX to assess fitness for surgery. Fifteen (68%) were deemed fit and went on to have thoracic surgery while 7 (32%) were considered high risk and were turned down. The predicted death rate based on thoracoscore for patients who had surgery was 3.5+2.8 as compared to 3.4+2.0 for patients who did not have surgery (p>0.05). The mean peak VO2 (peak oxygen uptake during CPEX) among those who had surgery was significantly higher than those who did not have surgery (14.2 mL/kg/min versus 10.1 mL/kg/min). There was no correlation of thoracoscore with lung function parameters, duration of hospital stay and peak VO2. Conclusions. Our study showed that CPEX remains a standard and useful tool for functional assessment prior to lung cancer resection. There is no correlation between thoracoscore and either CPEX or pulmonary function parameters. Thoracoscore should not be used to assess fitness for surgery.en_US
dc.identifier.citationThangakunam Balamugesh, Samuel Johnson, Ibrahim Basharet, Aitchison Doug. Lack of Utility of Thoracoscore in Evaluating Fitness for Surgery in Lung Cancer. The Indian Journal of Chest Diseases and Allied Sciences, 2015 Jan; 57(1): 13-15.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/169309
dc.language.isoenen_US
dc.source.urihttps://medind.nic.in/iae/t15/i1/iaet15i1p13.pdfen_US
dc.subjectExercise testingen_US
dc.subjectScoringen_US
dc.subjectSurgeryen_US
dc.titleLack of Utility of Thoracoscore in Evaluating Fitness for Surgery in Lung Cancer.en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijcdas2015v57n1p13.pdf
Size:
69.09 KB
Format:
Adobe Portable Document Format
Description:
Original article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Indian Journal of Chest Diseases & Allied Sciences