From: Wedge resection versus lobectomy in T1 lung cancer patients: a propensity matched analysis
Before matching | After matching (missing cases are excluded from variables used in matching procedure) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Characteristic (Number missing for Lobectomy and Wedge groups respectively, if not zero, before matching) | Lobectomy (n = 431) | Wedge resection (n = 187) | SMD | p | Lobectomy (n = 152) | Wedge resection (n = 152) | SMD | p | |||
PRE-OPERATIVE | Age, years | Age in years Over 70 | 68 [62, 74] 189 (43.9%) | 72 [68, 78] 123 (65.8%) | 0.54 0.45 | < 0.001 < 0.001 | 72 [67,76] 100 (65.8%) | 72 [68,77] 97 (63.8%) | 0.15 0.04 | 0.21 0.72 | |
Sex | Female | 226 (52.4%) | 106 (56.7%) | 0.09 | 0.38 | 85 (55.9%) | 83 (54.6%) | 0.026 | 0.91 | ||
BMI (8, 1) | Overall | 26 [23, 29] | 27 [23, 30] | 0.05 | 0.54 | 26.5 [23, 30] | 26.5 [23, 30] | 0.10 | 0.38 | ||
Underweight | 7 (1.6%) | 7 (3.7%) | 0.15 | 0.34 | 4 (2.6%) | 7 (4.6%) | 0.18 | 0.51 | |||
Normal | 156 (36.2%) | 66 (35.3%) | 50 (32.9%) | 50 (32.9%) | |||||||
Overweight | 169 (39.2%) | 68 (36.4%) | 64 (42.1%) | 54 (35.5%) | |||||||
Obese | 91 (21.1%) | 45 (24.1%) | 33 (21.7%) | 40 (26.3%) | |||||||
Smoking status (1, 0) | Never | 48 (11.1%) | 16 (8.6%) | 0.09 | 0.41 | 15 (9.9%) | 14 (9.2%) | 0.02 | > 0.99 | ||
Current/ex | 382 (88.6%) | 171 (91.4%) | 137 (90.1%) | 138 (90.8%) | |||||||
Urea, mmol/L (8, 0) | 5.5 [4.4, 6.6] | 6.1 [4.6, 7.5] | 0.10 | 0.28 | 5.7 [4.7, 6.7] | 6.2 [4.6,7.4] | 0.01 | 0.91 | |||
Creatinine, µmol/L (7, 0) | 80 [70, 98] | 83 [66, 97] | 0.10 | 0.25 | 80 [69, 95] | 83 [66, 97] | 0.08 | 0.46 | |||
Haemoglobin, g/dl (7, 0) | 13.8 [12.8, 14.7] | 13.6 [12.3, 14.6] | 0.05 | 0.61 | 13.7 [12.6, 14.5] | 13.6 [12.3, 14.5] | 0.11 | 0.33 | |||
Diabetes status (1. 0) | No | 379 (87.9%) | 159 (85.0%) | 0.09 | 0.35 | 127 (83.6%) | 130 (85.5%) | 0.06 | 0.75 | ||
Yes (any) | 51 (11.9%) | 28 (15.0%) | 25 (16.4%) | 22 (14.5%) | |||||||
Ischaemic heart disease (7, 5) | Yes | 72 (16.7%) | 43 (23.0%) | 0.17 | 0.07 | 36 (23.7%) | 34 (22.4%) | 0.03 | 0.92 | ||
Cardiac failure (6, 5) | Yes | 6 (1.4%) | 8 (4.3%) | 0.18 | 0.051 | 0 | 7 (4.6%) | 0.31 | 0.022 | ||
Previous stroke (2, 2) | 39 (9.0%) | 16 (8.6%) | 0.02 | 0.98 | 22 (14.5%) | 10 (6.6%) | 0.26 | 0.042 | |||
ECOG Performance Status (7, 3) | Fully active | 265 (61.5%) | 86 (46.0%) | 0.35 | 0.001 | 82 (53.9%) | 75 (49.3%) | 0.12 | 0.79 | ||
Mobile > 50% | 27 (6.3%) | 25 (13.4%) | 12 (7.9%) | 16 (10.5%) | |||||||
Light work | 124 (28.8%) | 67 (35.8%) | 54 (35.5%) | 56 (36.8%) | |||||||
Limited/immobile | 8 (1.9%) | 6 (3.2%) | 4 (2.6%) | 5 (3.3%) | |||||||
ASA grade (42, 25) | Normal healthy | 175 (40.6%) | 38 (20.3%) | 0.51 | < 0.001 | 59 (38.8%) | 37 (24.3%) | 0.41 | - | ||
Mild disease | 161 (37.4%) | 80 (42.8%) | 58 (38.2%) | 65 (42.8%) | |||||||
Severe disease | 52 (12.1%) | 43 (23.0%) | 16 (10.5%) | 32 (21.1%) | |||||||
Incapacitating/life threatening | 1 (0.2%) | 1 (0.5%) | 0 | 0 | |||||||
FEV1% predicted (39, 25) | 86 [70, 98] | 75 [59, 90] | 0.36 | < 0.001 | 77 [64, 93] | 76.5 [60, 92] | 0.01 | 0.91 | |||
FVC % predicted (70, 37) | 100 [86, 112] | 98 [85, 115] | 0.09 | 0.26 | 96 [83, 110] | 98 [85, 113] | 0.11 | 0.37 | |||
Operative priority | Elective | 357 (82.8%) | 155 (82.9%) | 0.002 | > 0.99 | 130 (85.5%) | 126 (82.9%) | 0.07 | 0.64 | ||
Emergency/urgent | 74 (17.2%) | 32 (17.1%) | 22 (14.5%) | 26 (17.1%) | |||||||
POST OPERATIVE | ITU length of stay (54, 18) | 1 [1, 2] | 1 [1, 2] | 0.001 | 0.53 | 1 [1, 2] max = 76 days | 1 [1, 2] max = 62 days | 0.07 | 0.26 | ||
Total length of stay | 7 [5, 10] max 76 days | 5 [4, 8] max 48 days | 0.25 | 0.004 | 7 [6, 10] max 76 days | 5.5 [4, 8] max 48 days | 0.35 | 0.002 | |||
Post op complications | Yes | 72 (17.4%) | 22 (11.8%) | 0.14 | 0.15 | 31 (20.4%) | 17 (11.2%) | 0.26 | 0.041 | ||
Ventilation (1, 0) | Yes | 13 (3.0%) | 7 (3.7%) | 0.04 | 0.83 | 6 (3.9%) | 6 (3.9%) | < 0.001 | > 0.99 | ||
Air leak | Yes | 47 (10.9%) | 15 (8.0%) | 0.10 | 0.34 | 20 (13.2%) | 11 (7.2%) | 0.20 | 0.13 | ||
Pleural effusion | Yes | 6 (1.4%) | 2 (1.1%) | 0.03 | > 0.99 | 2 (1.3%) | 2 (1.3%) | < 0.001 | > 0.99 | ||
Infection | Yes | 41 (9.5%) | 16 (8.6%) | 0.03 | 0.82 | 21 (13.8%) | 13 (8.6%) | 0.17 | 0.20 | ||
Return to theatre | Yes | 9 (2.1%) | 1 (0.5%) | 0.14 | 0.29 | 2 (1.3%) | 1 (0.7%) | 0.07 | > 0.99 | ||
Histology (1, 0) | Adenocarcinoma | 247 (57.3%) | 101 (54.0%) | 0.34 | 0.04 | 88 (57.9%) | 81 (53.3%) | 0.32 | - | ||
Squamous cell | 90 (20.9%) | 57 (30.5%) | 36 (23.7%) | 46 (30.3%) | |||||||
Non-small-cell | 18 (4.2%) | 3 (1.6%) | 5 (3.3%) | 3 (2.0%) | |||||||
Brochiolo-alveolar | 14 (3.2%) | 1 (0.5%) | 5 (3.3%) | 1 (0.7%) | |||||||
Small cell | 3 (0.7%) | 3 (1.6%) | 0 | 3 (2.0%) | |||||||
Undifferentiated | 1 (0.2%) | 0 | 0 | 0 (0.4%) | |||||||
Other | 1 (0.2%) | 0 | 17 (11.2%) | 18 (11.8%) | |||||||
Post-operative T-stage (32, 18) | T1 | 285 (66.1%) | 131 (70.1%) | 0.21 | 0.12 | 95 (62.5%) | 108 (71.1%) | 0.32 | 0.036 | ||
T2 | 98 (22.7%) | 29 (15.5%) | 40 (26.3%) | 22 (14.5%) | |||||||
T3-4 | 15 (3.5%) | 9 (4.8%) | 6 (3.9%) | 9 (5.9%) | |||||||
Post-operative N-stage (38, 41) | N0 | 318 (73.8%) | 115 (61.5%) | 0.05 | 0.66 | 115 (75.7%) | 91 (59.9%) | 0.16 | 0.28 | ||
N1-2-X | 75 (17.4%) | 31 (16.6%) | 23 (15.1%) | 27 (17.8%) | |||||||
Post-operative M-stage (83, 47) | M0 | 253 (58.7%) | 88 (47.1%) | 0.21 | 0.10 | 85 (55.9%) | 70 (46.1%) | 0.12 | 0.68 | ||
M1 | 5 (1.2%) | 3 (1.6%) | 2 (1.3%) | 2 (1.3%) | |||||||
MX | 90 (20.9%) | 49 (26.2%) | 37 (24.3%) | 39 (25.7%) | |||||||
SURVIVAL | In-hospital mortality | 6 (1.4%) | 0 | 0.17 | 0.19 | 2 (1.3%) | 0 | 0.16 | 0.50 | ||
Survival | 30 days | 426/431 98.8% | 187/187 100% | 0.15 | 0.33 | 151/152 99.3% | 152/152 100% | 0.12 | > 0.99 | ||
1 year | 386/411 93.9% | 152/171 88.9% | 0.18 | 0.057 | 133/145 91.7% | 128/140 91.4% | 0.01 | 0.96 | |||
5 years | 133/207 64.3% | 21/58 36.2% | 0.58 | < 0.001 | 47/71 66.2% | 20/52 38.5% | 0.58 | 0.003 | |||
10 years | 22/50 44.0% | 0/11 0% | 1.25 | 0.005 | 3/8 37.5% | 0/9 0% | 1.10 | 0.082 |