أعرض في EDS

Equivalent Survival Between Lobectomy and Segmentectomy for Clinical Stage IA Lung Cancer

التفاصيل البيبلوغرافية
العنوان: Equivalent Survival Between Lobectomy and Segmentectomy for Clinical Stage IA Lung Cancer
المؤلفون: Felix G. Fernandez, Jeffrey P. Jacobs, Liqi Feng, Robert H. Habib, Andrzej S. Kosinski, Cameron D. Wright, Patricia A. Cowper, Betty C. Tong, Joe B. Putnam, Daniel J. Boffa, Anthony P. Furnary, Mark W. Onaitis
المصدر: The Annals of Thoracic Surgery. 110:1882-1891
بيانات النشر: Elsevier BV, 2020.
سنة النشر: 2020
مصطلحات موضوعية: Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Lung Neoplasms, Databases, Factual, Population, 030204 cardiovascular system & hematology, Medicare, 03 medical and health sciences, 0302 clinical medicine, Humans, Medicine, Stage (cooking), Propensity Score, Lung cancer, education, Survival rate, Survival analysis, Aged, Neoplasm Staging, Proportional Hazards Models, Aged, 80 and over, education.field_of_study, business.industry, Proportional hazards model, Hazard ratio, medicine.disease, United States, Confidence interval, Survival Rate, 030228 respiratory system, Female, Surgery, Radiology, Cardiology and Cardiovascular Medicine, business
الوصف: Background The oncologic efficacy of segmentectomy is controversial. We compared long-term survival in clinical stage IA (T1N0) Medicare patients undergoing lobectomy and segmentectomy in The Society of Thoracic Surgeons database. Methods The Society of Thoracic Surgeons General Thoracic Surgery Database was linked to Medicare data in 14,286 lung cancer patients who underwent segmentectomy (n = 1654) or lobectomy (n = 12,632) for clinical stage IA disease from 2002 to 2015. Cox regression was used to create a long-term survival model. Patients were then propensity matched on demographic and clinical variables to derive matched pairs. Results In Cox modeling segmentectomy was associated with survival similar to lobectomy in the entire cohort (hazard ratio, 1.04; 95% confidence interval, 0.89-1.20; P = .64) and in the matched subcohort. A subanalysis restricted to the 2009 to 2015 population (n = 11,811), when T1a tumors were specified and positron emission tomography results and mediastinal staging procedures were accurately recorded in the database, also showed that segmentectomy and lobectomy continue to have similar survival (hazard ratio, 1.00; 95% confidence interval, 0.87-1.16). Subanalysis of the pathologic N0 patients demonstrated the same results. Conclusions Lobectomy and segmentectomy for early-stage lung cancer are equally effective treatments with similar survival. Surgeons from The Society of Thoracic Surgeons database appear to be selecting patients appropriately for sublobar procedures.
تدمد: 0003-4975
DOI: 10.1016/j.athoracsur.2020.01.020
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::07e10e50ef7459776cd9dc3e5b7ac751
https://doi.org/10.1016/j.athoracsur.2020.01.020
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....07e10e50ef7459776cd9dc3e5b7ac751
قاعدة البيانات: OpenAIRE
ResultId 1
Header edsair
OpenAIRE
edsair.doi.dedup.....07e10e50ef7459776cd9dc3e5b7ac751
870
3

unknown
869.762634277344
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=edsair&AN=edsair.doi.dedup.....07e10e50ef7459776cd9dc3e5b7ac751&custid=s6537998&authtype=sso
FullText Array ( [Availability] => 0 )
Array ( [0] => Array ( [Url] => https://explore.openaire.eu/search/publication?articleId=doi_dedup___::07e10e50ef7459776cd9dc3e5b7ac751# [Name] => EDS - OpenAIRE [Category] => fullText [Text] => View record in OpenAIRE [MouseOverText] => View record in OpenAIRE ) )
Items Array ( [Name] => Title [Label] => Title [Group] => Ti [Data] => Equivalent Survival Between Lobectomy and Segmentectomy for Clinical Stage IA Lung Cancer )
Array ( [Name] => Author [Label] => Authors [Group] => Au [Data] => <searchLink fieldCode="AR" term="%22Felix+G%2E+Fernandez%22">Felix G. Fernandez</searchLink><br /><searchLink fieldCode="AR" term="%22Jeffrey+P%2E+Jacobs%22">Jeffrey P. Jacobs</searchLink><br /><searchLink fieldCode="AR" term="%22Liqi+Feng%22">Liqi Feng</searchLink><br /><searchLink fieldCode="AR" term="%22Robert+H%2E+Habib%22">Robert H. Habib</searchLink><br /><searchLink fieldCode="AR" term="%22Andrzej+S%2E+Kosinski%22">Andrzej S. Kosinski</searchLink><br /><searchLink fieldCode="AR" term="%22Cameron+D%2E+Wright%22">Cameron D. Wright</searchLink><br /><searchLink fieldCode="AR" term="%22Patricia+A%2E+Cowper%22">Patricia A. Cowper</searchLink><br /><searchLink fieldCode="AR" term="%22Betty+C%2E+Tong%22">Betty C. Tong</searchLink><br /><searchLink fieldCode="AR" term="%22Joe+B%2E+Putnam%22">Joe B. Putnam</searchLink><br /><searchLink fieldCode="AR" term="%22Daniel+J%2E+Boffa%22">Daniel J. Boffa</searchLink><br /><searchLink fieldCode="AR" term="%22Anthony+P%2E+Furnary%22">Anthony P. Furnary</searchLink><br /><searchLink fieldCode="AR" term="%22Mark+W%2E+Onaitis%22">Mark W. Onaitis</searchLink> )
Array ( [Name] => TitleSource [Label] => Source [Group] => Src [Data] => <i>The Annals of Thoracic Surgery</i>. 110:1882-1891 )
Array ( [Name] => Publisher [Label] => Publisher Information [Group] => PubInfo [Data] => Elsevier BV, 2020. )
Array ( [Name] => DatePubCY [Label] => Publication Year [Group] => Date [Data] => 2020 )
Array ( [Name] => Subject [Label] => Subject Terms [Group] => Su [Data] => <searchLink fieldCode="DE" term="%22Male%22">Male</searchLink><br /><searchLink fieldCode="DE" term="%22Pulmonary+and+Respiratory+Medicine%22">Pulmonary and Respiratory Medicine</searchLink><br /><searchLink fieldCode="DE" term="%22medicine%2Emedical%5Fspecialty%22">medicine.medical_specialty</searchLink><br /><searchLink fieldCode="DE" term="%22Lung+Neoplasms%22">Lung Neoplasms</searchLink><br /><searchLink fieldCode="DE" term="%22Databases%2C+Factual%22">Databases, Factual</searchLink><br /><searchLink fieldCode="DE" term="%22Population%22">Population</searchLink><br /><searchLink fieldCode="DE" term="%22030204+cardiovascular+system+%26+hematology%22">030204 cardiovascular system & hematology</searchLink><br /><searchLink fieldCode="DE" term="%22Medicare%22">Medicare</searchLink><br /><searchLink fieldCode="DE" term="%2203+medical+and+health+sciences%22">03 medical and health sciences</searchLink><br /><searchLink fieldCode="DE" term="%220302+clinical+medicine%22">0302 clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Humans%22">Humans</searchLink><br /><searchLink fieldCode="DE" term="%22Medicine%22">Medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Stage+%28cooking%29%22">Stage (cooking)</searchLink><br /><searchLink fieldCode="DE" term="%22Propensity+Score%22">Propensity Score</searchLink><br /><searchLink fieldCode="DE" term="%22Lung+cancer%22">Lung cancer</searchLink><br /><searchLink fieldCode="DE" term="%22education%22">education</searchLink><br /><searchLink fieldCode="DE" term="%22Survival+rate%22">Survival rate</searchLink><br /><searchLink fieldCode="DE" term="%22Survival+analysis%22">Survival analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Aged%22">Aged</searchLink><br /><searchLink fieldCode="DE" term="%22Neoplasm+Staging%22">Neoplasm Staging</searchLink><br /><searchLink fieldCode="DE" term="%22Proportional+Hazards+Models%22">Proportional Hazards Models</searchLink><br /><searchLink fieldCode="DE" term="%22Aged%2C+80+and+over%22">Aged, 80 and over</searchLink><br /><searchLink fieldCode="DE" term="%22education%2Efield%5Fof%5Fstudy%22">education.field_of_study</searchLink><br /><searchLink fieldCode="DE" term="%22business%2Eindustry%22">business.industry</searchLink><br /><searchLink fieldCode="DE" term="%22Proportional+hazards+model%22">Proportional hazards model</searchLink><br /><searchLink fieldCode="DE" term="%22Hazard+ratio%22">Hazard ratio</searchLink><br /><searchLink fieldCode="DE" term="%22medicine%2Edisease%22">medicine.disease</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+interval%22">Confidence interval</searchLink><br /><searchLink fieldCode="DE" term="%22Survival+Rate%22">Survival Rate</searchLink><br /><searchLink fieldCode="DE" term="%22030228+respiratory+system%22">030228 respiratory system</searchLink><br /><searchLink fieldCode="DE" term="%22Female%22">Female</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Radiology%22">Radiology</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiology+and+Cardiovascular+Medicine%22">Cardiology and Cardiovascular Medicine</searchLink><br /><searchLink fieldCode="DE" term="%22business%22">business</searchLink> )
Array ( [Name] => Abstract [Label] => Description [Group] => Ab [Data] => Background The oncologic efficacy of segmentectomy is controversial. We compared long-term survival in clinical stage IA (T1N0) Medicare patients undergoing lobectomy and segmentectomy in The Society of Thoracic Surgeons database. Methods The Society of Thoracic Surgeons General Thoracic Surgery Database was linked to Medicare data in 14,286 lung cancer patients who underwent segmentectomy (n = 1654) or lobectomy (n = 12,632) for clinical stage IA disease from 2002 to 2015. Cox regression was used to create a long-term survival model. Patients were then propensity matched on demographic and clinical variables to derive matched pairs. Results In Cox modeling segmentectomy was associated with survival similar to lobectomy in the entire cohort (hazard ratio, 1.04; 95% confidence interval, 0.89-1.20; P = .64) and in the matched subcohort. A subanalysis restricted to the 2009 to 2015 population (n = 11,811), when T1a tumors were specified and positron emission tomography results and mediastinal staging procedures were accurately recorded in the database, also showed that segmentectomy and lobectomy continue to have similar survival (hazard ratio, 1.00; 95% confidence interval, 0.87-1.16). Subanalysis of the pathologic N0 patients demonstrated the same results. Conclusions Lobectomy and segmentectomy for early-stage lung cancer are equally effective treatments with similar survival. Surgeons from The Society of Thoracic Surgeons database appear to be selecting patients appropriately for sublobar procedures. )
Array ( [Name] => ISSN [Label] => ISSN [Group] => ISSN [Data] => 0003-4975 )
Array ( [Name] => DOI [Label] => DOI [Group] => ID [Data] => 10.1016/j.athoracsur.2020.01.020 )
Array ( [Name] => URL [Label] => Access URL [Group] => URL [Data] => <link linkTarget="URL" linkTerm="https://explore.openaire.eu/search/publication?articleId=doi_dedup___::07e10e50ef7459776cd9dc3e5b7ac751" linkWindow="_blank">https://explore.openaire.eu/search/publication?articleId=doi_dedup___::07e10e50ef7459776cd9dc3e5b7ac751</link><br /><link linkTarget="URL" linkTerm="https://doi.org/10.1016/j.athoracsur.2020.01.020" linkWindow="_blank">https://doi.org/10.1016/j.athoracsur.2020.01.020</link> )
Array ( [Name] => Copyright [Label] => Rights [Group] => Cpyrght [Data] => CLOSED )
Array ( [Name] => AN [Label] => Accession Number [Group] => ID [Data] => edsair.doi.dedup.....07e10e50ef7459776cd9dc3e5b7ac751 )
RecordInfo Array ( [BibEntity] => Array ( [Identifiers] => Array ( [0] => Array ( [Type] => doi [Value] => 10.1016/j.athoracsur.2020.01.020 ) ) [Languages] => Array ( [0] => Array ( [Text] => Undetermined ) ) [PhysicalDescription] => Array ( [Pagination] => Array ( [PageCount] => 10 [StartPage] => 1882 ) ) [Subjects] => Array ( [0] => Array ( [SubjectFull] => Male [Type] => general ) [1] => Array ( [SubjectFull] => Pulmonary and Respiratory Medicine [Type] => general ) [2] => Array ( [SubjectFull] => medicine.medical_specialty [Type] => general ) [3] => Array ( [SubjectFull] => Lung Neoplasms [Type] => general ) [4] => Array ( [SubjectFull] => Databases, Factual [Type] => general ) [5] => Array ( [SubjectFull] => Population [Type] => general ) [6] => Array ( [SubjectFull] => 030204 cardiovascular system & hematology [Type] => general ) [7] => Array ( [SubjectFull] => Medicare [Type] => general ) [8] => Array ( [SubjectFull] => 03 medical and health sciences [Type] => general ) [9] => Array ( [SubjectFull] => 0302 clinical medicine [Type] => general ) [10] => Array ( [SubjectFull] => Humans [Type] => general ) [11] => Array ( [SubjectFull] => Medicine [Type] => general ) [12] => Array ( [SubjectFull] => Stage (cooking) [Type] => general ) [13] => Array ( [SubjectFull] => Propensity Score [Type] => general ) [14] => Array ( [SubjectFull] => Lung cancer [Type] => general ) [15] => Array ( [SubjectFull] => education [Type] => general ) [16] => Array ( [SubjectFull] => Survival rate [Type] => general ) [17] => Array ( [SubjectFull] => Survival analysis [Type] => general ) [18] => Array ( [SubjectFull] => Aged [Type] => general ) [19] => Array ( [SubjectFull] => Neoplasm Staging [Type] => general ) [20] => Array ( [SubjectFull] => Proportional Hazards Models [Type] => general ) [21] => Array ( [SubjectFull] => Aged, 80 and over [Type] => general ) [22] => Array ( [SubjectFull] => education.field_of_study [Type] => general ) [23] => Array ( [SubjectFull] => business.industry [Type] => general ) [24] => Array ( [SubjectFull] => Proportional hazards model [Type] => general ) [25] => Array ( [SubjectFull] => Hazard ratio [Type] => general ) [26] => Array ( [SubjectFull] => medicine.disease [Type] => general ) [27] => Array ( [SubjectFull] => United States [Type] => general ) [28] => Array ( [SubjectFull] => Confidence interval [Type] => general ) [29] => Array ( [SubjectFull] => Survival Rate [Type] => general ) [30] => Array ( [SubjectFull] => 030228 respiratory system [Type] => general ) [31] => Array ( [SubjectFull] => Female [Type] => general ) [32] => Array ( [SubjectFull] => Surgery [Type] => general ) [33] => Array ( [SubjectFull] => Radiology [Type] => general ) [34] => Array ( [SubjectFull] => Cardiology and Cardiovascular Medicine [Type] => general ) [35] => Array ( [SubjectFull] => business [Type] => general ) ) [Titles] => Array ( [0] => Array ( [TitleFull] => Equivalent Survival Between Lobectomy and Segmentectomy for Clinical Stage IA Lung Cancer [Type] => main ) ) ) [BibRelationships] => Array ( [HasContributorRelationships] => Array ( [0] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Felix G. Fernandez ) ) ) [1] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Jeffrey P. Jacobs ) ) ) [2] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Liqi Feng ) ) ) [3] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Robert H. Habib ) ) ) [4] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Andrzej S. Kosinski ) ) ) [5] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Cameron D. Wright ) ) ) [6] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Patricia A. Cowper ) ) ) [7] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Betty C. Tong ) ) ) [8] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Joe B. Putnam ) ) ) [9] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Daniel J. Boffa ) ) ) [10] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Anthony P. Furnary ) ) ) [11] => Array ( [PersonEntity] => Array ( [Name] => Array ( [NameFull] => Mark W. Onaitis ) ) ) ) [IsPartOfRelationships] => Array ( [0] => Array ( [BibEntity] => Array ( [Dates] => Array ( [0] => Array ( [D] => 01 [M] => 12 [Type] => published [Y] => 2020 ) ) [Identifiers] => Array ( [0] => Array ( [Type] => issn-print [Value] => 00034975 ) [1] => Array ( [Type] => issn-locals [Value] => edsair ) ) [Numbering] => Array ( [0] => Array ( [Type] => volume [Value] => 110 ) ) [Titles] => Array ( [0] => Array ( [TitleFull] => The Annals of Thoracic Surgery [Type] => main ) ) ) ) ) ) )
IllustrationInfo