Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1369
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dc.contributorRoss, Jamesen_US
dc.contributorLiao, Henryen_US
dc.contributorLangmaid, Rebeccaen_US
dc.contributorLior, Talien_US
dc.contributorLowe, Andrewen_US
dc.contributorWright, Gavinen_US
dc.contributorStewart, Bruceen_US
dc.date.accessioned2019-06-22T06:10:14Z-
dc.date.available2019-06-22T06:10:14Z-
dc.date.issued2017-
dc.identifier.govdoc01345en_US
dc.identifier.urihttp://hdl.handle.net/11054/1369-
dc.description.abstractLung cancer is the fifth most common cancer in Australia and the most common cause of cancer-related mortality, with a 5-year survival rate of 14%. Surgery for early-stage disease is the mainstay of curative treatment and, owing to improvements in staging and perioperative surgical management, long-term survival rates of >70% are widely reported. Lung surgery is primarily performed by cardiothoracic surgeons in Australia, although many of the surgical techniques, particularly in the era of minimally invasive surgery, have more in common with abdominal laparoscopic surgery than with modern cardiac procedures. This study reports the perioperative mortality and long-term survival of patients with non-small-cell lung cancer (NSCLC) in the Ballarat region operated on by two general surgeons with a specific interest in thoracic surgery over a 13-year period ( n = 91). Survival data were benchmarked against outcomes from St Vincent's Hospital thoracic unit, Melbourne, over the same time frame ( n = 709). Kaplan–Meier curves were employed to compare the outcomes between the two facilities. No statistically significant difference could be identified when comparing 5-year disease-free survival (60%), cancer-specific survival (76%), or overall survival (65%) for stage 1 and 2 NSCLC. These data suggest that appropriately trained general surgeons can perform NSCLC surgery in selected institutions with full intensive care unit support, where a strong mentor relationship exits with a cardiothoracic unit. This allows the treatment of these often frail and elderly patients in their own community, without detriment to their survival.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2019-05-02T04:54:55Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2019-06-22T06:10:14Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2019-06-22T06:10:14Z (GMT). No. of bitstreams: 0 Previous issue date: 2017en
dc.relation.urihttp://dx.doi.org/10.1016/j.hlc.2018.04.087en_US
dc.titleLong-term survival after surgical resection for lung cancer in a regional centre: a 13-year experience.en_US
dc.typeConferenceen_US
dc.type.specifiedPaperen_US
dc.bibliographicCitation.conferencedateNovember 16-19en_US
dc.bibliographicCitation.conferencename27th Annual Congress of the Association of Thoracic and Cardiovascular Surgeons of Asia.en_US
dc.bibliographicCitation.conferenceplaceMelbourne, Australiaen_US
dc.subject.healththesaurusPERIOPERATIVE MORTALITYen_US
dc.subject.healththesaurusNON-SMALL-CELL LUNG CANCERen_US
dc.subject.healththesaurusNSCLC SURGERYen_US
dc.subject.healththesaurusCARDIOTHORACIC UNITen_US
Appears in Collections:Research Output

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