HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Tom J. Spyt David A. Waller Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Oey, I. F. Articles by Waller, D. A. Search for Related Content PubMed PubMed Citation Articles by Oey, I. F. Articles by Waller, D. A. Related Collections Lung - other

Eur J Cardiothorac Surg 2003;24:614-619
© 2003 Elsevier Science NL

The long-term health status improvements seen after lung volume reduction surgery

Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK

Received 24 October 2002; received in revised form 7 May 2003; accepted 24 June 2003.

^* Corresponding author. Tel.: +44-116-256-3959; fax: +44-116-236-7768
e-mail: ingeroey{at}hotmail.com

Objectives: To correlate the long-term changes in respiratory physiology, body mass index (BMI) and health status after lung volume reduction surgery (LVRS). Patients/methods: From 1995 to 2002 77 patients; 48 male: 29 female, median age 59 (41–72) years, have undergone LVRS (simultaneous bilateral in 27; staged bilateral in 3; unilateral in 47). FEV₁, total lung capacity (TLC), residual volume (RV) and RV/TLC ratio were measured preoperatively and at 3 months, 6 months, 1 year, 2 years, 3 years and 4 years post surgery. At the same time interval health status was assessed by Euroquol and Short Form 36 (SF 36) questionnaires. Seventeen patients have died within 4 years of their operation (30 day mortality 5%). Results: The changes in FEV₁ are only significantly improved for 1 year post LVRS, while the improvements in TLC and RV remain significant up to 3 years postoperatively. The improvements in BMI also persist for 3 years. The best scores in Euroquol and SF 36 are obtained 6 months after LVRS but are only significantly improved up to 1 year. Conclusion: The physiological effects of volume LVRS are lasting but initial improvements in health status decline more rapidly.

Key Words: Emphysema • Lung volume reduction surgery • Health status

This article has been cited by other articles:

				P. Vaughan, I. F. Oey, M. C. Steiner, M. D.L. Morgan, and D. A. Waller A prospective analysis of the inter-relationship between lung volume reduction surgery and body mass index Eur. J. Cardiothorac. Surg., December 1, 2007; 32(6): 839 - 842. [Abstract] [Full Text] [PDF]

				P. Vaughan, I. Oey, A. Nakas, A. Martin-Ucar, J. Edwards, and D. Waller Is there a role for therapeutic lobectomy for emphysema? Eur. J. Cardiothorac. Surg., March 1, 2007; 31(3): 486 - 490. [Abstract] [Full Text] [PDF]

				Z J McKeough,, J A Alison, M S Bayfield, and P. Bye Reduction in resting energy expenditure following lung volume reduction surgery in subjects with chronic obstructive pulmonary disease Chronic Respiratory Disease, October 1, 2004; 1(4): 197 - 202. [Abstract] [PDF]