Cardiopulmonary exercise testing for the prediction of morbidity risk after rectal cancer surgery  

Oleh:

West, M.A. ; Parry, M.G. ; Lythgoe, D. ; Barben, C.P.

Jenis: Article from Article - diterbitkan di jurnal ilmiah internasional
Dalam koleksi: BJS: British Journal of Surgery vol. 101 no. 09 (Aug. 2014), page 1166-1172.
Topik: colorectal surgery; morbidity; mortality; elder patients; colorectal cancer; kanker usus besar; rectal surgery; major surgery; trauma; medical care; physiological tolerance; risk prediction; cardiopulmonary exercise

Ketersediaan

Perpustakaan FK Nomor Panggil: B15.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Background This study investigated the relationship between objectively measured physical fitness variables derived by cardiopulmonary exercise testing (CPET) and in-hospital morbidity after rectal cancer surgery. Methods Patients scheduled for rectal cancer surgery underwent preoperative CPET (reported blind to patient characteristics) with recording of morbidity (recorded blind to CPET variables). Non-parametric receiver operating characteristic (ROC) curves and logistic regression were used to assess the relationship between CPET variables and postoperative morbidity. Results Of 105 patients assessed, 95 (72 men) were included; ten patients had no surgery and were excluded (3 by choice, 7 owing to unresectable metastasis). Sixty-eight patients had received neoadjuvant treatment. ROC curve analysis of oxygen uptake ( V ? o2) at estimated lactate threshold ( ? ^ L) and peak V ? o2 gave an area under the ROC curve of 0·87 (95 per cent confidence interval 0·78 to 0·95; P?

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