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The Changing Landscape of Lung Cancer Resection Outcomes Over the Past two Decades
Charles-Antoine Guay1, Alexandre Suhani1, Laurie Perreault2
1Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec City, Québec, Canada.; Department of Medicine, Université Laval, Québec City, Québec, Canada.
Clinical Lung Cancer
|September 9, 2025
Summary
Long-term survival after lung cancer surgery has improved significantly over two decades, with no change in early complications. Risk factors like age, smoking, and socioeconomic status impact outcomes.
Area of Science:
- Oncology
- Thoracic Surgery
- Public Health
Background:
- Lung cancer resection is a critical treatment modality.
- Advances in cancer management may impact patient prognosis.
- Assessing long-term survival trends is essential.
Purpose of the Study:
- To evaluate changes in long-term survival for lung cancer resection patients over 20 years.
- To identify risk factors influencing postoperative prognosis.
Main Methods:
- Single-center retrospective study of non-small cell lung cancer patients (2008-2020).
- Exclusion of patients with prior lung cancer, metastases, or other tumor types.
- Multivariate analysis to determine short- and long-term outcome predictors.
Main Results:
- No significant improvement in 30-day postoperative complications or mortality rates.
- Significant improvement in long-term mortality: HR 0.72 (2012-2015) and 0.59 (2016-2020) vs. 2008-2011.
- Factors associated with worse outcomes: older age, current smoking, pneumonectomy, advanced stage, lower socioeconomic status.
Conclusions:
- Long-term survival after lung cancer resection has improved over two decades.
- Early postoperative complication rates remain stable.
- Continued development of curative treatments and addressing socioeconomic disparities are crucial for improving lung cancer outcomes.

