Influencing Factor of Postoperation Fast-track Recovery and in Hospital Cost after Lobctomy for Lung Cancer

Background and objective It is unknown that the postoperation fast-track recovery and in hospital cost of the lobectomy in lung cancer, we explored the influencing factor of postoperative fast-track recovery and in hospital cost after undergoing lobectomy for lung cancer. Methods We retrospectively reviewed the medical records of all patients (n=176) who underwent lobectomy for lung cancer between January 2010 and November 2011 by a thoracic surgeon. Results The hospital costs of video-assisted thoracic surgery (VATS) lobectomy (47,308.21 ¥) is significantly higher than open lobectomy (45,664.31 ¥)(P=0.007). The hospital costs of body mass index (BMI) ≥ 24 kg/m2 (51,186.99 ¥) is significantly higher than BMI < 24 kg/m2 (41,701.64 ¥)(P=0.032). The hospital stay of VATS lobectomy (5.70 d) is significantly less than open lobectomy (7.10 d)(P<0.001). Conclusion These findings indicate that preoperative pulmonary rehabilitation and VATS lobectomy is contributed to fast-track recovery for patients who undergo lobectomy, but increase the hospital costs

The Effects of Traditional Chinese Exercise in Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis

<div><p>Background</p><p>Chronic obstructive pulmonary disease (COPD) is a major public health problem worldwide. However, several studies that have assessed the role of traditional Chinese exercise in the management of this disease include broad variations in sample sizes and results. Therefore, this meta-analysis was conducted to assess the effects of traditional Chinese exercise on patients with COPD.</p><p>Methods</p><p>Two investigators independently identified and extracted data from selected articles. A computerized search of electronic databases through August 2015 was conducted. Mean differences (MDs) and 95% confidence intervals (CIs) were calculated to analyze the combined data. The methodological quality was evaluated using the Cochrane risk-of-bias tool. Heterogeneity was assessed with the I² test.</p><p>Results</p><p>Ten randomized, controlled trials (RCTs) involving 622 patients met the inclusion criteria. There were significant improvements in the 6-minute walking distance test (6 MWD;MWD = 12.10 m; 95% CI, 7.56–16.65 m; p<0.001); forced expiratory volume in one second (FEV1% predicted; WMD = 9.02; 95% CI, 6.80–11.23; p<0.00001); forced expiratory volume in 1 second/forced vital capacity (FEV(1)/FVC) ratio (Tiffenau Index; WMD = 6.67; 95% CI, 5.09–8.24; p<0.00001); and quality of life, as evaluated by the Chronic Respiratory Disease Questionnaire (CRDQ; WMD = 0.85 score; 95% CI, 0.52–1.18; p<0.00001).</p><p>Conclusions</p><p>Traditional Chinese exercise could provide an effective alternative method for managing COPD. Larger and higher-quality trials are required.</p></div

Characteristics of the randomized controlled trials included in the meta-analysis.

<p>Characteristics of the randomized controlled trials included in the meta-analysis.</p

Effects of traditional Chinese exercise on health-related quality of life.

<p><b>A meta-analysis of RCTs evaluating the effects of traditional Chinese exercise on health-related quality of life using a fixed effects model.</b></p

Effects of traditional Chinese exercise on the forced vital capacity rate in one second.

<p>A meta-analysis of RCTs evaluating the effects of traditional Chinese exercise on the Tiffenau Index using the fixed effects model.</p

Effects of traditional Chinese exercise on forced expiratory volume in one second.

<p>Meta-analysis of RCTs evaluating the effects of traditional Chinese exercise on FEV1 using a fixed effects model.</p

Sensitivity analyses of the 6 MWD and Tiffenau index, excluding low-quality trials.

<p>Sensitivity analyses of the 6 MWD and Tiffenau index, excluding low-quality trials.</p

Effects of traditional Chinese exercise on 6-minute walking distance.

<p>The subgroup meta-analysis of RCTs evaluating the effects of traditional Chinese exercise on the 6 MWD using a fixed effects model.</p

Search strategy and flow chart of the screened, excluded and analyzed articles.

<p>Search strategy and flow chart of the screened, excluded and analyzed articles.</p