Safety of curative-intent lung cancer surgery in older patients (octogenarians): A contemporary multicentre cohort study

Jenny King, Marcus Taylor, Richard Booton, Phil Crosbie, Dinakshi Shah, Matthew Evison, Cassandra Ng, Kandadai Rammohan, Rajesh Shah, Michael Shackcloth, Stuart W. Grant, Nicola Sinnott

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Despite octogenarians representing an ever-increasing proportion of patients with lung cancer, there is a paucity of evidence describing outcomes after lung resection for these patients. We aimed to evaluate short and mid-term outcomes for octogenarians after lung resection. Materials and Methods: A total of 5,470 consecutive patients undergoing lung resection for primary lung cancer from 2012-2019 in two UK centres were included. Primary outcomes were perioperative, 90-day, and one-year mortality in the octogenarian vs. non-octogenarian cohort. Appropriate statistical tests were used to compare outcomes between octogenarian and non-octogenarian patients. Secondary outcomes were post-operative complications and to validate the performance of the Thoracoscore model in the octogenarian cohort. Results: Overall, 9.4% (n=513) of patients were aged ≥80. The rates of 90-day mortality, one-year mortality, and post-operative atrial fibrillation were significantly higher for octogenarians. The one-year mortality rate for octogenarians fell significantly over time (2012-2015: 16.5% vs 2016-2019: 10.2%, p=0.034). Subgroup analysis (2016-2019 only) demonstrated no significant difference in peri-operative, 90-day, or one-year mortality between octogenarian and non-octogenarian patients. Validation of the Thoracoscore model demonstrated modest discrimination and acceptable calibration. Discussion: Mortality for octogenarians fell significantly over time in this study. Indeed, when confined to the most recent time period, comparable rates of both 90-day and one-year mortality for octogenarian and non-octogenarian patients were seen. Whilst preventative strategies to reduce the incidence of post-operative atrial fibrillation in octogenarians should be considered, these findings demonstrate that following appropriate patient selection, octogenarians can safely undergo lung resection for lung cancer.

Original languageEnglish
Article number101635
JournalJournal of Geriatric Oncology
Volume14
Issue number8
Early online date7 Oct 2023
DOIs
Publication statusPublished - 1 Nov 2023

Keywords

  • Lung cancer
  • Octogenarians
  • Outcomes
  • Surgery
  • Lung Neoplasms/surgery
  • Humans
  • Postoperative Complications/epidemiology
  • Aged, 80 and over
  • Treatment Outcome
  • Aged
  • Retrospective Studies
  • Atrial Fibrillation

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