Is preoperative spirometry a predictive marker for postoperative complications after colorectal cancer surgery?

Yuki Tajima, Masashi Tsuruta, Masashi Yahagi, Hirotoshi Hasegawa, Koji Okabayashi, Kohei Shigeta, Takashi Ishida, Yuukou Kitagawa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Spirometry is a basic test that provides much information about pulmonary function; it is performed preoperatively in almost all patients undergoing colorectal cancer (CRC) surgery in our hospital. However, the value of spirometry as a preoperative test for CRC surgery remains unknown. The aim of this study was to determine whether spirometry is useful to predict postoperative complications (PCs) after CRC surgery. Methods: The medical records of 1236 patients who had preoperative spirometry tests and underwent CRC surgery between 2005 and 2014 were reviewed. Preoperative spirometry results, such as forced vital capacity (FVC), one-second forced expiratory volume (FEV1), %VC (FVC/predicted VC) and FEV1/FVC (%FEV1), were analyzed with regard to PCs, including pneumonia. Results: PCs were found in 383 (30.9%) patients, including 218 (56%) with surgical site infections, 67 (17%) with bowel obstruction, 62 (16%) with leakage and 20 (5.2%) with pneumonia. Of the spirometry results, %VC was correlated with PC according to logistic regression analysis (odds ratio, OR = 0.99, 95% confidence interval, CI = 0.98-0.99; P = 0.034). Multivariate analysis after adjusting for male sex, age, laparoscopic surgery, tumor location, operation time and blood loss showed that a lower %VC tends to be a risk factor for PC (OR = 0.99, 95% CI = 0.98-1.002; P = 0.159) and % VC was an independent risk factor for postoperative pneumonia in PCs (OR = 0.97, 95% CI = 0.94-0.99; P = 0.049). Conclusions: In CRC surgery, %VC may be a predictor of postoperative complications, especially pneumonia.

Original languageEnglish
Pages (from-to)815-819
Number of pages5
JournalJapanese Journal of Clinical Oncology
Volume47
Issue number9
DOIs
Publication statusPublished - 2017 Sep 1

Fingerprint

Colorectal Surgery
Spirometry
Colorectal Neoplasms
Pneumonia
Vital Capacity
Surgical Wound Infection
Forced Expiratory Volume
Laparoscopy
Medical Records
Multivariate Analysis
Logistic Models
Odds Ratio
Regression Analysis
Confidence Intervals
Lung

Keywords

  • Colorectal cancer
  • Colorectal surgery
  • Pneumonia
  • Postoperative complications
  • Spirometry

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

Cite this

Is preoperative spirometry a predictive marker for postoperative complications after colorectal cancer surgery? / Tajima, Yuki; Tsuruta, Masashi; Yahagi, Masashi; Hasegawa, Hirotoshi; Okabayashi, Koji; Shigeta, Kohei; Ishida, Takashi; Kitagawa, Yuukou.

In: Japanese Journal of Clinical Oncology, Vol. 47, No. 9, 01.09.2017, p. 815-819.

Research output: Contribution to journalArticle

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title = "Is preoperative spirometry a predictive marker for postoperative complications after colorectal cancer surgery?",
abstract = "Background: Spirometry is a basic test that provides much information about pulmonary function; it is performed preoperatively in almost all patients undergoing colorectal cancer (CRC) surgery in our hospital. However, the value of spirometry as a preoperative test for CRC surgery remains unknown. The aim of this study was to determine whether spirometry is useful to predict postoperative complications (PCs) after CRC surgery. Methods: The medical records of 1236 patients who had preoperative spirometry tests and underwent CRC surgery between 2005 and 2014 were reviewed. Preoperative spirometry results, such as forced vital capacity (FVC), one-second forced expiratory volume (FEV1), {\%}VC (FVC/predicted VC) and FEV1/FVC ({\%}FEV1), were analyzed with regard to PCs, including pneumonia. Results: PCs were found in 383 (30.9{\%}) patients, including 218 (56{\%}) with surgical site infections, 67 (17{\%}) with bowel obstruction, 62 (16{\%}) with leakage and 20 (5.2{\%}) with pneumonia. Of the spirometry results, {\%}VC was correlated with PC according to logistic regression analysis (odds ratio, OR = 0.99, 95{\%} confidence interval, CI = 0.98-0.99; P = 0.034). Multivariate analysis after adjusting for male sex, age, laparoscopic surgery, tumor location, operation time and blood loss showed that a lower {\%}VC tends to be a risk factor for PC (OR = 0.99, 95{\%} CI = 0.98-1.002; P = 0.159) and {\%} VC was an independent risk factor for postoperative pneumonia in PCs (OR = 0.97, 95{\%} CI = 0.94-0.99; P = 0.049). Conclusions: In CRC surgery, {\%}VC may be a predictor of postoperative complications, especially pneumonia.",
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T1 - Is preoperative spirometry a predictive marker for postoperative complications after colorectal cancer surgery?

AU - Tajima, Yuki

AU - Tsuruta, Masashi

AU - Yahagi, Masashi

AU - Hasegawa, Hirotoshi

AU - Okabayashi, Koji

AU - Shigeta, Kohei

AU - Ishida, Takashi

AU - Kitagawa, Yuukou

PY - 2017/9/1

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N2 - Background: Spirometry is a basic test that provides much information about pulmonary function; it is performed preoperatively in almost all patients undergoing colorectal cancer (CRC) surgery in our hospital. However, the value of spirometry as a preoperative test for CRC surgery remains unknown. The aim of this study was to determine whether spirometry is useful to predict postoperative complications (PCs) after CRC surgery. Methods: The medical records of 1236 patients who had preoperative spirometry tests and underwent CRC surgery between 2005 and 2014 were reviewed. Preoperative spirometry results, such as forced vital capacity (FVC), one-second forced expiratory volume (FEV1), %VC (FVC/predicted VC) and FEV1/FVC (%FEV1), were analyzed with regard to PCs, including pneumonia. Results: PCs were found in 383 (30.9%) patients, including 218 (56%) with surgical site infections, 67 (17%) with bowel obstruction, 62 (16%) with leakage and 20 (5.2%) with pneumonia. Of the spirometry results, %VC was correlated with PC according to logistic regression analysis (odds ratio, OR = 0.99, 95% confidence interval, CI = 0.98-0.99; P = 0.034). Multivariate analysis after adjusting for male sex, age, laparoscopic surgery, tumor location, operation time and blood loss showed that a lower %VC tends to be a risk factor for PC (OR = 0.99, 95% CI = 0.98-1.002; P = 0.159) and % VC was an independent risk factor for postoperative pneumonia in PCs (OR = 0.97, 95% CI = 0.94-0.99; P = 0.049). Conclusions: In CRC surgery, %VC may be a predictor of postoperative complications, especially pneumonia.

AB - Background: Spirometry is a basic test that provides much information about pulmonary function; it is performed preoperatively in almost all patients undergoing colorectal cancer (CRC) surgery in our hospital. However, the value of spirometry as a preoperative test for CRC surgery remains unknown. The aim of this study was to determine whether spirometry is useful to predict postoperative complications (PCs) after CRC surgery. Methods: The medical records of 1236 patients who had preoperative spirometry tests and underwent CRC surgery between 2005 and 2014 were reviewed. Preoperative spirometry results, such as forced vital capacity (FVC), one-second forced expiratory volume (FEV1), %VC (FVC/predicted VC) and FEV1/FVC (%FEV1), were analyzed with regard to PCs, including pneumonia. Results: PCs were found in 383 (30.9%) patients, including 218 (56%) with surgical site infections, 67 (17%) with bowel obstruction, 62 (16%) with leakage and 20 (5.2%) with pneumonia. Of the spirometry results, %VC was correlated with PC according to logistic regression analysis (odds ratio, OR = 0.99, 95% confidence interval, CI = 0.98-0.99; P = 0.034). Multivariate analysis after adjusting for male sex, age, laparoscopic surgery, tumor location, operation time and blood loss showed that a lower %VC tends to be a risk factor for PC (OR = 0.99, 95% CI = 0.98-1.002; P = 0.159) and % VC was an independent risk factor for postoperative pneumonia in PCs (OR = 0.97, 95% CI = 0.94-0.99; P = 0.049). Conclusions: In CRC surgery, %VC may be a predictor of postoperative complications, especially pneumonia.

KW - Colorectal cancer

KW - Colorectal surgery

KW - Pneumonia

KW - Postoperative complications

KW - Spirometry

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