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Can non-performance of radical systematic mediastinal lymphadenectomy be justified in elderly lung cancer patients? An evaluation using propensity-based survival analysis☆
Author(s) -
Toshiki Okasaka,
Noriyasu Usami,
Tetsuo Taniguchi,
Koji Kawaguchi,
Takehiko Okagawa,
Haruko Suzuki,
Keitaro Matsuo,
Kohei Yokoi
Publication year - 2010
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2010.01.017
Subject(s) - medicine , lymphadenectomy , lung cancer , hazard ratio , propensity score matching , mediastinal lymph node , dissection (medical) , confidence interval , lymph node , proportional hazards model , surgery , population , pneumonectomy , cancer , oncology , metastasis , environmental health
The increasing age of the population has raised the importance of determining the minimally required surgical treatment for elderly lung cancer patients. Despite a number of previous studies, the therapeutic impact of a radical mediastinal lymphadenectomy (RLA) associated with a pulmonary resection for lung cancer remains controversial. Herein, we investigated the impact of lymph node dissection on the overall survival for elderly lung cancer patients and assessed whether the non-performance of an RLA could be justified in the surgical treatment for these elderly patients.

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