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Outcomes of Major Lung Resection After Induction Therapy for Non-Small Cell Lung Cancer in Elderly Patients.

Publication ,  Journal Article
Yang, C-FJ; Mayne, NR; Wang, H; Meyerhoff, RR; Hirji, S; Tong, BC; Hartwig, M; Harpole, D; D'Amico, TA; Berry, M
Published in: Ann Thorac Surg
September 2016

BACKGROUND: This study analyzes the impact of age on perioperative outcomes and long-term survival of patients undergoing surgery after induction chemotherapy for non-small cell lung cancer. METHODS: Short- and long-term outcomes of patients with non-small cell lung cancer who were at least 70 years and received induction chemotherapy followed by major lung resection (lobectomy or pneumonectomy) from 1996 to 2012 were assessed using multivariable logistic regression, Kaplan-Meier, and Cox proportional hazard analysis. The outcomes of these elderly patients were compared with those of patients younger than 70 years who underwent the same treatment from 1996 to 2012. RESULTS: Of the 317 patients who met the study criteria, 53 patients were at least 70 years. The median age was 74 years (range, 70 to 82 years) in the elderly group, and induction chemoradiation was used in 24 (45%) patients. Thirty-day mortality was similar between the younger (n = 12) and elderly (n = 3) patients (5% versus 6%; p = 0.52). There were no significant differences in the incidence of postoperative complications between younger and elderly patients (49% versus 57%; p = 0.30). Patients younger than 70 years had a median overall survival (30 months; 95% confidence interval [CI], 24 to 43) and a 5-year survival (39%; 95% CI, 33 to 45) that was not significantly different from patients at least 70 years (median overall survival, 30 months; 95% CI, 18 to 68; and 5-year overall survival, 36%; 95% CI, 21 to 51). However, there was a trend toward worse survival in the elderly group after multivariable adjustment (hazard ratio, 1.43; 95% CI, 0.97 to 2.12; p = 0.071). CONCLUSIONS: Major lung resection after induction chemotherapy can be performed with acceptable short- and long-term results in appropriately selected patients at least 70 years, with outcomes that are comparable to those of younger patients.

Duke Scholars

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

September 2016

Volume

102

Issue

3

Start / End Page

962 / 970

Location

Netherlands

Related Subject Headings

  • Treatment Outcome
  • Respiratory System
  • Pneumonectomy
  • Middle Aged
  • Male
  • Lung Neoplasms
  • Induction Chemotherapy
  • Humans
  • Female
  • Combined Modality Therapy
 

Citation

APA
Chicago
ICMJE
MLA
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Yang, C.-F., Mayne, N. R., Wang, H., Meyerhoff, R. R., Hirji, S., Tong, B. C., … Berry, M. (2016). Outcomes of Major Lung Resection After Induction Therapy for Non-Small Cell Lung Cancer in Elderly Patients. Ann Thorac Surg, 102(3), 962–970. https://doi.org/10.1016/j.athoracsur.2016.03.088
Yang, Chi-Fu Jeffrey, Nicholas R. Mayne, Hanghang Wang, Ryan R. Meyerhoff, Sameer Hirji, Betty C. Tong, Matthew Hartwig, David Harpole, Thomas A. D’Amico, and Mark Berry. “Outcomes of Major Lung Resection After Induction Therapy for Non-Small Cell Lung Cancer in Elderly Patients.Ann Thorac Surg 102, no. 3 (September 2016): 962–70. https://doi.org/10.1016/j.athoracsur.2016.03.088.
Yang C-FJ, Mayne NR, Wang H, Meyerhoff RR, Hirji S, Tong BC, et al. Outcomes of Major Lung Resection After Induction Therapy for Non-Small Cell Lung Cancer in Elderly Patients. Ann Thorac Surg. 2016 Sep;102(3):962–70.
Yang, Chi-Fu Jeffrey, et al. “Outcomes of Major Lung Resection After Induction Therapy for Non-Small Cell Lung Cancer in Elderly Patients.Ann Thorac Surg, vol. 102, no. 3, Sept. 2016, pp. 962–70. Pubmed, doi:10.1016/j.athoracsur.2016.03.088.
Yang C-FJ, Mayne NR, Wang H, Meyerhoff RR, Hirji S, Tong BC, Hartwig M, Harpole D, D’Amico TA, Berry M. Outcomes of Major Lung Resection After Induction Therapy for Non-Small Cell Lung Cancer in Elderly Patients. Ann Thorac Surg. 2016 Sep;102(3):962–970.
Journal cover image

Published In

Ann Thorac Surg

DOI

EISSN

1552-6259

Publication Date

September 2016

Volume

102

Issue

3

Start / End Page

962 / 970

Location

Netherlands

Related Subject Headings

  • Treatment Outcome
  • Respiratory System
  • Pneumonectomy
  • Middle Aged
  • Male
  • Lung Neoplasms
  • Induction Chemotherapy
  • Humans
  • Female
  • Combined Modality Therapy