A nomogram to predict major complications in patients with early-stage non-small-cell lung cancer

VernacularTitle:早期非小细胞肺癌VATS根治术并发症预测模型的建立——前瞻性多中心研究
Author: Shaodong WANG ; Xizhao SUI ; Fan YANG ; Hui LI ; Ke'neng CHEN ; Zhi GAO ; Yuqing HUANG ; Songlei OU ; Jun LIU ; Jun WANG ;
Keywords: Carcinoma,non-small-cell lung; Video-assisted thoracic surgery; Postoperative complication Nomogram
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2017;33(2):87-90,102
CountryChina
Language:Chinese
Abstract: Objective To develop an easy-to-use nomogram to assist clinicians in predicting major postoperative morbidity in those non-small-cell lung canccr patients who underwent VATS lobectomy.Methods A perspective multi-center study was developed to analyze the major postoperative complications of 612 non-small-cell lung cancer patients who underwent VATS lobectomy.Muhivariable logistic regression was used to model postoperative morbidity and built the nomogram to accurately predict the major complications.Results There were 606 (99％) survivors and 6 (1％) mortality.A total of 32 patients suffered from major complications.Using logistic regression to predict major complications,preoperative model for ASA score,age ≥70 years and operation time ＞ 150 nin were found to be the significant predictors(P ＜ 0.05) of morbidity and were included in our model.Conclusion We propose a nomogram to enable clinicians to better estimate morbidity in patients with VATS lobectomy.