1.A nomogram to predict major complications in patients with early-stage non-small-cell lung cancer
Shaodong WANG ; Xizhao SUI ; Fan YANG ; Hui LI ; Ke'neng CHEN ; Zhi GAO ; Yuqing HUANG ; Songlei OU ; Jun LIU ; Jun WANG ;
Chinese Journal of Thoracic and Cardiovascular Surgery 2017;33(2):87-90,102
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.