Document Detail


Lung volume reduction surgery for emphysema: out on a limb without a NETT.
MedLine Citation:
PMID:  9621865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lung volume reduction surgery (LVRS) has recently been rediscovered and offers the potential of improving the quality of life of patients with advanced emphysema. In this article, we discuss the historical and contemporary versions of LVRS. Although initial enthusiasm has been substantial, existing data seem insufficient to demonstrate the safety and efficacy of the procedure in comparison with conventional medical therapy. Fundamental questions remain regarding the long-term effects of an operation versus medical therapy, the optimal selection criteria, the best measures of efficacy, the mechanisms of improvement, the cost-effectiveness of the procedure, and the optimal surgical technique. Until such questions are answered, advising patients about the best management their emphysema will be difficult. The National Emphysema Treatment Trial will address many of these issues and should be embraced by both health-care providers and patients.
Authors:
J P Utz; R D Hubmayr; C Deschamps
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial; Review    
Journal Detail:
Title:  Mayo Clinic proceedings     Volume:  73     ISSN:  0025-6196     ISO Abbreviation:  Mayo Clin. Proc.     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-06-18     Completed Date:  1998-06-18     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  0405543     Medline TA:  Mayo Clin Proc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  552-66     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Forced Expiratory Volume
Humans
Lung Transplantation
Pneumonectomy / methods*
Pulmonary Emphysema / mortality,  surgery*
Survival Rate
Treatment Outcome
Comments/Corrections
Comment In:
Mayo Clin Proc. 1998 Jun;73(6):603   [PMID:  9621871 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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