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A retrospective hospital-based cohort study of the association between preoperative cardiopulmonary exercise test (CPEX) variables and short-term postoperative morbidity following oesophagectomy.
The aim of this study is to examine the correlations between preoperative CPEX variables (VO2max and Anaerobic Threshold) and 30 day postoperative all cause morbidity in a sample large enough to allow (should significant associations exist) calculation of a threshold value. Secondary aims are to examine associations between the VO2max, AT and cardiopulmonary, non-cardiopulmonary complications as well as specific complications (atrial fibrillation, pneumonia, and anastomotic leak) as well as 30 and 90 day mortality.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cardiopulmonary exercise testing | Diagnostic Test | Aerobic fitness measured using a cycle ergometer and metabolic cart |
| Measure | Description | Time Frame |
|---|---|---|
| All cause postoperative morbidity | Classified using Esophageal Complications Consensus Group (ECCG) definitions [1] and graded using Clavien-Dindo severity classification [2]. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiopulmonary complications | Classified using ECCG definitions and graded using Clavien-Dindo severity classification. | 30 days |
| Non-cardiopulmonary complications | Classified using ECCG definitions and graded using Clavien-Dindo severity classification. |
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Inclusion Criteria:
i. male and female ii. underwent an oesophagectomy iii. completed a pre-operative CPEX test
Exclusion Criteria:
i. patients that were unable to complete a full CPEX test ii. emergency or palliative surgery iii. pharyngolaryngo-oesophagectomy iv. oesophagectomy and gastrectomy
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Patients that underwent oeosphagectomy at the Norfolk and Norwich Hospital between September 2011 to March 2017
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Norfolk and Norwich University Hospital | Norwich | Norfolk | NR4 7UY | United Kingdom |
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| Label | URL |
|---|---|
| \[1\] | View source |
| \[2\] | View source |
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| ID | Term |
|---|---|
| D004938 | Esophageal Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D005080 | Exercise Test |
| ID | Term |
|---|---|
| D006334 | Heart Function Tests |
| D003935 | Diagnostic Techniques, Cardiovascular |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| 30 days |
| Mortality | All cause mortality. | 30 days |
| Mortality | All cause mortality. | 90 days |
| Pneumonia | Classified using ECCG definitions and graded using Clavien-Dindo severity classification. | 30 days |
| Atrial fibrillation | Classified using ECCG definitions and graded using Clavien-Dindo severity classification. | 30 days |
| Anastomotic leak | Classified using ECCG definitions and graded using Clavien-Dindo severity classification. | 30 days |
| D006258 |
| Head and Neck Neoplasms |
| D004066 | Digestive System Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D012129 | Respiratory Function Tests |
| D003948 | Diagnostic Techniques, Respiratory System |
| D016552 | Ergometry |
| D008919 | Investigative Techniques |