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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To analyze the factors that determine the risk of morbidity and mortality associated with lung resection in patients with bronchogenic carcinoma&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Prospective multicenter study conducted between October 1&#44; 1993 and September 30&#44; 1997 in the 19 hospitals that make up the Bronchogenic Carcinoma Cooperative Group&#46; During the study period&#44; 2994 patients with bronchogenic carcinoma underwent surgery&#46; The morbidity and mortality data at 30 days from all centers were recorded in a single registry&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Major resection was performed in 2491 patients&#44; whereas 212 underwent minor resection&#46; The resection had to be extended in 296 and exploratory thoracotomy was carried out in 291&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Postoperative complications were reported in 1057 patients&#40;35&#46;2&#37;&#41;&#46; Complications directly related to surgery were the most common &#40;22&#46;9&#37;&#41;&#44; followed by respiratory &#40;19&#46;5&#37;&#41; and cardiovascular &#40;10&#46;7&#37;&#41; complications&#46; Of the patients with complications&#44; 654 patients &#40;21&#46;8&#37;&#41; had only 1&#44; whereas 403&#40;13&#46;4&#37;&#41; had more than 1&#46; After classification of complications&#44; 21&#37; were found to be minor and 14&#46;2&#37; were major&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Mortality at 30 days was 6&#46;8&#37; &#40;204 patients&#41;&#44; and strongly linked to the presentation of major complications&#8212;40&#46;8&#37; of those with such complications died&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Surgical treatment of bronchogenic carcinoma in Spain is associated with high morbidity and mortality&#46; The morbidity reported in the present study lies in the middle of the ranges found in the literature&#44; whereas mortality lies at the high end of the range&#46; The presence of major complications and&#47;or multiple complications should be considered as strong risk factors&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la morbilidad y mortalidad asociadas a la cirug&#237;a de ex&#233;resis pulmonar por carcinoma broncog&#233;nico&#44; como par&#225;metros definitorios del riesgo inherente a este tratamiento&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo y multic&#233;ntrico&#44; realizado en los 19 hospitales integrantes del Grupo Cooperativo de Carcinoma Broncog&#233;nico entre el 1 de octubre de 1993 y el 30 de septiembre de 1997&#46; En este tiempo fueron sometidos a toracotom&#237;a 2&#46;994 pacientes con carcinoma broncog&#233;nico&#46; La morbilidad y mortalidad a los 30 d&#237;as se recogieron mediante un registro de datos unificado para todos los hospitales&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se practicaron 2&#46;491 ex&#233;resis mayores y 212 menores&#46; Se precis&#243; resecci&#243;n extendida en 296 pacientes&#44; mientras que en 291 se efectu&#243; toracotom&#237;a exploradora&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En 1&#46;057 pacientes &#40;35&#44;2&#37;&#41; se objetivaron complicaciones postoperatorias&#44; de las que las m&#225;s frecuentes fueron las relacionadas directamente con la intervenci&#243;n quir&#250;rgica &#40;22&#44;9&#37;&#41;&#44; seguidas por las respiratorias &#40;19&#44;5&#37;&#41; y las cardiovasculares &#40;10&#44;7&#37;&#41;&#46; En 654 casos &#40;21&#44;8&#37;&#41; las complicaciones fueron de car&#225;cter &#250;nico&#44; mientras que 403 &#40;13&#44;4&#37;&#41; presentaron m&#225;s de una&#46; Atendiendo a su categor&#237;a&#44; el 21&#37; de las complicaciones fueron menores&#44; en tanto que las complicaciones mayores sucedieron en el 14&#44;2&#37; de los casos&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">El an&#225;lisis de la mortalidad en los 30 primeros d&#237;as mostr&#243; una incidencia del 6&#44;8&#37; &#40;204 pacientes&#41;&#44; y estuvo notablemente vinculada con la aparici&#243;n de complicaciones mayores &#40;40&#44;8&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En nuestro medio el tratamiento quir&#250;rgico del carcinoma broncog&#233;nico genera una morbilidad y una mortalidad elevadas&#44; en el rango de las habitualmente referidas en relaci&#243;n con la morbilidad y en el l&#237;mite alto cuando se considera la mortalidad&#46; La presencia de complicaciones mayores y&#47;o su multiplicidad deben considerarse elementos sustancialmente moduladores del incremento del riesgo&#46;</p>"
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Original Articles
Risk Factors in Bronchogenic Carcinoma Surger
José Luis Duquea,
Corresponding author
jduque@hcuv.sacyl.es

Correspondence: Dr. J.L. Duque. Servicio de Cirugía Torácica. Hospital Universitario de Valladolid. Avda. Ramón y Cajal, 3. 47003 Valladolid. España
, Ramon Rami-Portab, Ana Almarazc, Manuel Castanedod, Jorge Freixinete, Antonio Fernández de Rotaf, the Bronchogenic Carcinoma Cooperative Group (GCCB-S) of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR) 1
a Servicio de Cirugía Torácica, Hospital Universitario, Valladolid, Spain
b Servicio de Cirugía Torácica, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain
c Servicio de Medicina Preventiva, Hospital Universitario, Valladolid, Spain
d Servicio de Cirugía Torácica, Hospital Universitario, Valladolid, Spain
e Servicio de Cirugía Torácica, Hospital Dr. Negrín, Las Palmas de Gran Canaria, Las Palmas, Spain
f Servicio de Cirugía Torácica, Hospital Carlos Haya, Málaga, Spain
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            "correspondencia" => "Correspondence&#58; Dr&#46; J&#46;L&#46; Duque&#46; Servicio de Cirug&#237;a Tor&#225;cica&#46; Hospital Universitario de Valladolid&#46; Avda&#46; Ram&#243;n y Cajal&#44; 3&#46; 47003 Valladolid&#46; Espa&#241;a"
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    "fechaRecibido" => "2006-01-09"
    "fechaAceptado" => "2006-09-19"
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          "clase" => "keyword"
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            0 => "Bronchogenic carcinoma"
            1 => "Risk factors"
            2 => "Morbidity"
            3 => "Mortality"
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            0 => "Carcinoma broncog&#233;nico"
            1 => "Par&#225;metros de riesgo"
            2 => "Morbilidad"
            3 => "Mortalidad"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To analyze the factors that determine the risk of morbidity and mortality associated with lung resection in patients with bronchogenic carcinoma&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Prospective multicenter study conducted between October 1&#44; 1993 and September 30&#44; 1997 in the 19 hospitals that make up the Bronchogenic Carcinoma Cooperative Group&#46; During the study period&#44; 2994 patients with bronchogenic carcinoma underwent surgery&#46; The morbidity and mortality data at 30 days from all centers were recorded in a single registry&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Major resection was performed in 2491 patients&#44; whereas 212 underwent minor resection&#46; The resection had to be extended in 296 and exploratory thoracotomy was carried out in 291&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Postoperative complications were reported in 1057 patients&#40;35&#46;2&#37;&#41;&#46; Complications directly related to surgery were the most common &#40;22&#46;9&#37;&#41;&#44; followed by respiratory &#40;19&#46;5&#37;&#41; and cardiovascular &#40;10&#46;7&#37;&#41; complications&#46; Of the patients with complications&#44; 654 patients &#40;21&#46;8&#37;&#41; had only 1&#44; whereas 403&#40;13&#46;4&#37;&#41; had more than 1&#46; After classification of complications&#44; 21&#37; were found to be minor and 14&#46;2&#37; were major&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Mortality at 30 days was 6&#46;8&#37; &#40;204 patients&#41;&#44; and strongly linked to the presentation of major complications&#8212;40&#46;8&#37; of those with such complications died&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Surgical treatment of bronchogenic carcinoma in Spain is associated with high morbidity and mortality&#46; The morbidity reported in the present study lies in the middle of the ranges found in the literature&#44; whereas mortality lies at the high end of the range&#46; The presence of major complications and&#47;or multiple complications should be considered as strong risk factors&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Analizar la morbilidad y mortalidad asociadas a la cirug&#237;a de ex&#233;resis pulmonar por carcinoma broncog&#233;nico&#44; como par&#225;metros definitorios del riesgo inherente a este tratamiento&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo y multic&#233;ntrico&#44; realizado en los 19 hospitales integrantes del Grupo Cooperativo de Carcinoma Broncog&#233;nico entre el 1 de octubre de 1993 y el 30 de septiembre de 1997&#46; En este tiempo fueron sometidos a toracotom&#237;a 2&#46;994 pacientes con carcinoma broncog&#233;nico&#46; La morbilidad y mortalidad a los 30 d&#237;as se recogieron mediante un registro de datos unificado para todos los hospitales&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se practicaron 2&#46;491 ex&#233;resis mayores y 212 menores&#46; Se precis&#243; resecci&#243;n extendida en 296 pacientes&#44; mientras que en 291 se efectu&#243; toracotom&#237;a exploradora&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En 1&#46;057 pacientes &#40;35&#44;2&#37;&#41; se objetivaron complicaciones postoperatorias&#44; de las que las m&#225;s frecuentes fueron las relacionadas directamente con la intervenci&#243;n quir&#250;rgica &#40;22&#44;9&#37;&#41;&#44; seguidas por las respiratorias &#40;19&#44;5&#37;&#41; y las cardiovasculares &#40;10&#44;7&#37;&#41;&#46; En 654 casos &#40;21&#44;8&#37;&#41; las complicaciones fueron de car&#225;cter &#250;nico&#44; mientras que 403 &#40;13&#44;4&#37;&#41; presentaron m&#225;s de una&#46; Atendiendo a su categor&#237;a&#44; el 21&#37; de las complicaciones fueron menores&#44; en tanto que las complicaciones mayores sucedieron en el 14&#44;2&#37; de los casos&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">El an&#225;lisis de la mortalidad en los 30 primeros d&#237;as mostr&#243; una incidencia del 6&#44;8&#37; &#40;204 pacientes&#41;&#44; y estuvo notablemente vinculada con la aparici&#243;n de complicaciones mayores &#40;40&#44;8&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">En nuestro medio el tratamiento quir&#250;rgico del carcinoma broncog&#233;nico genera una morbilidad y una mortalidad elevadas&#44; en el rango de las habitualmente referidas en relaci&#243;n con la morbilidad y en el l&#237;mite alto cuando se considera la mortalidad&#46; La presencia de complicaciones mayores y&#47;o su multiplicidad deben considerarse elementos sustancialmente moduladores del incremento del riesgo&#46;</p>"
      ]
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        "nota" => "<p class="elsevierStyleNotepara">The coordinators and members of the GCCB-S are listed at the end of the article&#46;</p>"
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        "nota" => "<p class="elsevierStyleNotepara">This study was partially funded by the grants FIS97&#47;0011 and FEPAR-1995&#46; Additional financial support was provided by the government &#40;Junta&#41; of the autonomous community of Castile-Leon and the Menarini Foundation&#46;</p>"
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ISSN: 15792129
Original language: English
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2014 March 55 12 67
2014 February 43 13 56
2014 January 45 9 54
2013 December 34 11 45
2013 November 39 7 46
2013 October 37 4 41
2013 September 38 9 47
2013 August 34 6 40
2013 July 50 10 60
2013 June 37 6 43
2013 May 31 4 35
2013 April 18 2 20
2013 March 6 1 7
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Archivos de Bronconeumología

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