Guidelines for preoperative pulmonary function assessment in patients with lung cancer who will undergo surgery (The Japanese Association for Chest Surgery)
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View abstract on PubMed
Summary
This summary is machine-generated.This article presents updated guidelines for preoperative pulmonary function assessment in lung cancer surgery patients. It incorporates new evidence and clinical practices, referencing the GRADE system for recommendations.
Area Of Science
- Thoracic Surgery
- Pulmonary Medicine
- Evidence-Based Medicine
Background
- The Japanese Association of Chest Surgery last updated guidelines for preoperative pulmonary function assessment in lung cancer surgery patients in 2011.
- Clinical practice has evolved significantly over the past decade, necessitating a revision of existing guidelines.
- New evidence has emerged, requiring an update to align with current standards of care.
Purpose Of The Study
- To translate and present the revised 2021 guidelines for preoperative pulmonary function assessment in lung cancer patients undergoing surgery.
- To incorporate recent clinical practice changes and new scientific evidence into the guidelines.
- To provide a comprehensive framework for assessment and management, including specific considerations for interstitial pneumonia.
Main Methods
- Guidelines developed referencing the internationally adopted GRADE (Grading of Recommendations Assessment, Development, and Evaluation) system.
- Evidence extraction, systematic review, and quality assessment conducted by guideline review committees and the Pulmonary Function Assessment Working Group.
- Recommendations categorized into general overview, pulmonary function assessment, cardiopulmonary exercise testing, assessment for lung cancer with interstitial pneumonia, preoperative smoking cessation, and pulmonary rehabilitation.
Main Results
- The revised guidelines cover a broad spectrum of preoperative assessment and management strategies.
- Recommendations are clearly defined by the strength of recommendation, strength of evidence, and consensus rate.
- Specific focus areas include pulmonary function tests, cardiopulmonary exercise tests, and management of patients with co-existing interstitial pneumonia.
Conclusions
- The updated guidelines provide a robust framework for optimizing preoperative pulmonary function assessment in lung cancer surgery.
- Adherence to these guidelines, informed by the GRADE system, aims to improve patient outcomes.
- The guidelines emphasize the importance of considering factors like smoking cessation and pulmonary rehabilitation in preoperative management.
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