From: Longitudinal changes in pulmonary function and patient-reported outcomes after lung cancer surgery
 |  |  | Before surgery | 2 weeks after surgery | 6 months after surgery | 1 year after surgery |
---|---|---|---|---|---|---|
Overall | ||||||
 FVC (mL) |  |  |  |  | ||
  Adjusted mean (SE) | 3600.3 (21.2) | 2721.4 (21.5) | 3137.7 (23.1) | 3268.8 (24.8) | ||
  Change from baseline (95% CI)a | Reference | − 879 (− 910.3, − 847.6) | − 462.6 (− 495.4, − 429.8) | − 331.6 (− 365.4, − 297.7) | ||
 FVC, % pred |  |  |  |  | ||
  Adjusted mean (SE) | 93.2 (0.5) | 70.9 (0.5) | 81.6 (0.5) | 85.2 (0.6) | ||
  Change from baseline (95% CI)a | Reference | − 23.3 (− 24.1, − 22.5) | − 12.3 (− 13.2, − 11.4) | − 8.5 (− 9.4, − 7.6) | ||
 FEV1 (mL) |  |  |  |  | ||
  Adjusted mean (SE) | 2647.0 (16.7) | 2033.1 (16.9) | 2318.3 (17.9) | 2395.2 (18.9) | ||
  Change from baseline (95% CI)a | Reference | − 613.9 (− 636.2, − 591.6) | − 328.7 (− 352.0, − 305.3) | − 251.7 (− 275.7, − 227.8) | ||
 FEV1, % pred | ||||||
  Adjusted mean (SE) | 90.4 (0.5) | 69.8 (0.5) | 79.6 (0.6) | 82.6 (0.6) | ||
  Change from baseline (95% CI)a | Reference | − 20.6 (− 21.3, − 19.9) | − 10.7 (− 11.5, − 10.0) | − 7.8 (− 8.6, − 7.0) | ||
 DLco, ml/min/mmHg |  |  |  |  | ||
  Adjusted mean (SE) | 18.6 (0.1) |  | 15.8 (0.1) | 15.9 (0.1) | ||
  Change from baseline (95% CI)a | Reference |  | − 4.0 (− 5.1, − 2.9) | − 3.3 (− 4.4, − 2.2) | ||
 DLco, % pred |  |  |  |  | ||
  Adjusted mean (SE) | 90.5 (0.6) |  | 77.5 (0.6) | 78.3 (0.6) | ||
  Change from baseline (95% CI)a | Reference |  | − 13.0 (− 14.0, − 12.0) | − 12.2 (− 13.2, − 11.2) | ||
Type of surgery | Â | Â | Â | Â | ||
 FVC (mL) |  |  |  |  | ||
 Adjusted mean (SE) |  |  |  |  | ||
  Wedge resection/segmentectomy | 3648.0 (49.2) | 2977.9 (50) | 3403.6 (52.8) | 3483.3 (56.4) | ||
  Lobectomy | 3596.2 (24.2) | 2678.7 (24.6) | 3102.5 (26.3) | 3242.0 (28.1) | ||
  Bilobectomy/pneumonectomy | 3394.4 (116.5) | 2198.8 (119.8) | 2394.8 (125.6) | 2624.3 (136.5) | ||
  P-values | 0.15 |  < 0.01 |  < 0.01 |  < 0.01 | ||
 Change from baseline (95% CI)a |  |  |  |  | ||
  Wedge resection/segmentectomy | Reference | − 670.1 (− 739, − 601.2) | − 244.4 (− 315.4, − 173.4) | − 164.7 (− 237.9, − 91.5) | ||
  Lobectomy | Reference | − 917.4 (− 952.1, − 882.7) | − 493.6 (− 530.2, − 457.0) | − 354.2 (− 391.8, − 316.6) | ||
  Bilobectomy/pneumonectomy | Reference | − 1195.6 (− 1358.3, 1032.9) | − 999.6 (− 1165.9, − 833.3) | − 770.1 (− 949.4, − 590.8) | ||
  P for interaction |  |  < 0.01 |  < 0.01 |  < 0.01 | ||
 FVC, % predicted |  |  |  |  | ||
 Adjusted mean (SE) |  |  |  |  | ||
  Wedge resection/segmentectomy | 93.4 (1.1) | 76.4 (1.1) | 87.1 (1.2) | 89.3 (1.3) | ||
  Lobectomy | 93.3 (0.5) | 70.0 (0.5) | 81.0 (0.6) | 84.7 (0.6) | ||
  Bilobectomy/pneumonectomy | 88.9 (2.6) | 60.2 (2.7) | 65.6 (2.8) | 70.8 (3.1) | ||
  P-values | 0.25 |  < 0.01 |  < 0.01 |  < 0.01 | ||
 Change from baseline (95% CI)a |  |  |  |  | ||
  Wedge resection/segmentectomy | Reference | − 17.0 (− 18.6, − 15.4) | − 6.4 (− 8.1, − 4.7) | − 4.1 (− 5.9, − 2.3) | ||
  Lobectomy | Reference | − 23.3 (− 24.1, − 22.5) | − 12.3 (− 13.2, − 11.4) | − 8.5 (− 9.4, − 7.6) | ||
  Bilobectomy/pneumonectomy | Reference | − 28.8 (− 32.6, − 24.9) | − 23.3 (− 27.3, − 19.3) | − 18.2 (− 22.5, − 13.9) | ||
  P for interaction |  |  < 0.01 |  < 0.01 |  < 0.01 | ||
 FEV1 (mL) |  |  |  |  | ||
 Adjusted mean (SE) |  |  |  |  | ||
  Wedge resection/segmentectomy | 2677.9 (38.9) | 2206.5 (39.4) | 2485.5 (41.1) | 2537.4 (43.4) | ||
  Lobectomy | 2647.2 (19.1) | 2004.8 (19.3) | 2295.1 (20.4) | 2376.9 (21.6) | ||
  Bilobectomy/pneumonectomy | 2449.9 (92.1) | 1669.6 (94.3) | 1872.2 (97.9) | 1981.1 (104.7) | ||
  P-values | 0.08 |  < 0.01 |  < 0.01 |  < 0.01 | ||
 Change from baseline (95% CI)a |  |  |  |  | ||
  Wedge resection/segmentectomy | Reference | − 471.3 (− 520.9, − 421.8) | − 192.4 (− 243.4, − 141.4) | − 140.5 (− 192.8, − 88.2) | ||
  Lobectomy | Reference | − 642.4 (− 667.4, − 617.5) | − 352.1 (− 378.4, − 325.8) | − 270.3 (− 297.2, − 243.5) | ||
  Bilobectomy/pneumonectomy | Reference | − 780.3 (− 897.4, − 663.3) | − 577.7 (− 697.2, − 458.2) | − 468.8 (− 596.9, − 340.7) | ||
  P for interaction |  |  < 0.01 |  < 0.01 |  < 0.01 | ||
 FEV1, % pred |  |  |  |  | ||
 Adjusted mean (SE) |  |  |  |  | ||
  Wedge resection/segmentectomy | 90.3 (1.2) | 74.8 (1.2) | 84.2 (1.3) | 86.3 (1.3) | ||
  Lobectomy | 90.6 (0.6) | 68.9 (0.6) | 79.0 (0.6) | 82.2 (0.7) | ||
  Bilobectomy/pneumonectomy | 85.2 (2.9) | 61.3 (3) | 66.8 (3) | 70.8 (3.2) | ||
  P-values | 0.19 |  < 0.01 |  < 0.01 |  < 0.01 | ||
 Change from baseline (95% CI)a |  |  |  |  | ||
  Wedge resection/segmentectomy | Reference | − 15.5 (− 17.1, − 13.8) | − 6.0 (− 7.7, − 4.3) | − 4.0 (− 5.8, − 2.1) | ||
  Lobectomy | Reference | − 21.7 (− 22.6, − 20.9) | − 11.6 (− 12.5, − 10.7) | − 8.4 (− 9.4, − 7.5) | ||
  Bilobectomy/pneumonectomy | Reference | − 24.0 (− 27.8, − 20.1) | − 18.4 (− 22.4, − 14.5) | − 14.4 (− 18.9, − 10) | ||
  P for interaction |  |  < 0.01 |  < 0.01 |  < 0.01 | ||
 DLco, ml/min/mmHg |  |  |  |  | ||
 Adjusted mean (SE) |  |  |  |  | ||
  Wedge resection/segmentectomy | 18.4 (0.3) |  | 16.9 (0.3) | 16.7 (0.3) | ||
  Lobectomy | 18.6 (0.1) |  | 15.6 (0.2) | 15.7 (0.1) | ||
  Bilobectomy/pneumonectomy | 18.4 (0.7) |  | 14.4 (0.8) | 15.0 (0.7) | ||
  P-values | 0.81 |  |  < 0.01 |  < 0.01 | ||
 Change from baseline (95% CI)a |  |  |  |  | ||
  Wedge resection/segmentectomy | Reference |  | − 1.5 (− 1.9, − 1.1) | − 1.7 (− 2.2, − 1.3) | ||
  Lobectomy | Reference |  | − 3.0 (− 3.2, − 2.8) | − 2.9 (− 3.1, − 2.6) | ||
  Bilobectomy/pneumonectomy | Reference |  | − 4.0 (− 5.1, − 2.9) | − 3.3 (− 4.4, − 2.2) | ||
  P-values |  |  |  < 0.01 |  < 0.01 | ||
 DLco, % pred |  |  |  |  | ||
 Adjusted mean (SE) |  |  |  |  | ||
  Wedge resection/segmentectomy | 88.4 (1.3) |  | 81.2 (1.3) | 81.1 (1.4) | ||
  Lobectomy | 91.0 (0.6) |  | 76.6 (0.7) | 77.6 (0.7) | ||
  Bilobectomy/pneumonectomy | 90.1 (3.1) |  | 71.7 (3.4) | 75.4 (3.3) | ||
  P-values | 0.21 |  |  < 0.01 | 0.05 | ||
 Change from baseline (95% CI)a |  |  |  |  | ||
  Wedge resection/segmentectomy | Reference |  | − 7.1 (− 0.3, − 5.1) | − 7.3 (− 9.5, − 5.1) | ||
  Lobectomy | Reference |  | − 14.4 (− 15.5, − 13.3) | − 13.4 (− 14.5, − 12.3) | ||
  Bilobectomy/pneumonectomy | Reference |  | − 18.5 (− 23.8, − 13.1) | − 14.8 (− 20.2, − 9.4) | ||
  P-values |  |  |  < 0.01 |  < 0.01 |