Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?
Abstract
:1. Introduction
2. Materials and Methods
2.1. Surgical Procedure: VATS–Bullectomy with Partial Pleurectomy
2.2. Assessment of Pulmonary Function
2.3. SF-36 Health Survey
2.4. Statistical Analysis
3. Results
3.1. Pulmonary Function
3.2. SF-36 Scores of Patients Who Underwent VBPP
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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VBPP Group (n = 25) | CT Group (n = 25) | |
---|---|---|
Gender | ||
Male | 20 (80) | 22 (88) |
Female | 5 (20) | 3 (12) |
Age mean (range) years | 26.1 (18–42) | 27 (19–40) |
Height (m) | 1.8 | 1.8 |
Weight (Kg) | 64.9 | 65.7 |
BMI (kg/m2) | 19.9 | 20.1 |
Smoking history | ||
Smokers | 3 (12) | 5 (20) |
Non-smokers | 22 (88) | 20 (80) |
History of pneumothorax | ||
First episode | 19 (76) | 21 (84) |
Recurrence | 6 (24) | 4 (16) |
Complications | ||
Hemothorax | 1 (4) | 0 (0) |
Prolonged air leak | 5 (20) | 3 (12) |
None | 19 (76) | 22 (88) |
FVC (L) | FEV1 (L) | FEV1/FVC (%) | |||||||
---|---|---|---|---|---|---|---|---|---|
Predicted | % Predicted | LLN | Predicted | % Predicted | LLN | Predicted | % Predicted | LLN | |
VBPP Mean (SD) | 4.89 (0.35) | 90.95 (5.34) | 4.20 (0.76) | 4.09 (0.41) | 88.48 (5.71) | 3.28 (0.87) | 83.66 (5.88) | 97.09 (2.22) | 74 (0.76) |
CT Mean (SD) | 4.88 (0.33) | 91.19 (4.86) | 4.31 (0.77) | 3.82 (0.44) | 89.64 (4.12) | 3.3 (0.89) | 78.54 (9.01) | 98.47 (4.58) | 73.8 (0.74) |
p-Value | 0.9364 | 0.8985 | 0.6967 | 0.0931 | 0.5286 | 0.9018 | 0.0759 | 0.3026 | 0.4713 |
SF-36 Domains | VBPP Group (n = 25) Mean (SD) | CT Group (n = 25) Mean (SD) | p-Value | German Normative Data Mean (SD) | p-Value (Difference) VBPP vs. German Normative Data |
---|---|---|---|---|---|
Physical functioning (PF) | 90.6 (9.5) | 91.2(7.4) | 0.8043 | 94.4 (10.8) | 0.0841 (−3.8) |
Role physical (RP) | 87.0 (26.1) | 88.25(24.1) | 0.887 | 90.8 (24.6) | 0.4510 (−3.8) |
Bodily pain (BP) | 78.8 (23.2) | 81.96 (22.3) | 0.6260 | 75.4 (22.5) | 0.4604 (+3.4) |
General health (GH) | 69.8 (15.6) | 73.28 (15.0) | 0.4227 | 73.0 (16.8) | 0.3502 (−3.2) |
Vitality (VT) | 54.4 (20.2) | 58.24 (17.5) | 0.4760 | 61.4 (17.0) | 0.0460 * (−7.0) |
Social functioning (SF) | 88.5 (13.5) | 87.66 (13.0) | 0.8319 | 89.0 (16.4) | 0.8807 (−0.5) |
Role emotion (RE) | 89.3 (18.6) | 88.25 (15.6) | 0.8297 | 92.5 (20.6) | 0.4456 (−3.2) |
Mental health (MH) | 67.2 (14.5) | 69.4(13.8) | 0.5920 | 74.2 (15.5) | 0.0271 * (−7.0) |
Physical component summary score (PCS) | 52.4 (6.3) | 53.47 (8.5) | 0.6154 | 52.3 (6.9) | 0.9433 (+0.1) |
Mental component summary score (MCS) | 46.1 (7.9) | 47.65 (7.2) | 0.4578 | 50.6 (7.8) | 0.0049 * (−4.5) |
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Fung, S.; Ashmawy, H.; Schauer, A.; Eichler, M.; Safi, S.; Dizdar, L.; Rehders, A.; Knoefel, W.T.; Fluegen, G. Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function? Healthcare 2021, 9, 1463. https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare9111463
Fung S, Ashmawy H, Schauer A, Eichler M, Safi S, Dizdar L, Rehders A, Knoefel WT, Fluegen G. Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function? Healthcare. 2021; 9(11):1463. https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare9111463
Chicago/Turabian StyleFung, Stephen, Hany Ashmawy, Anja Schauer, Martin Eichler, Sami Safi, Levent Dizdar, Alexander Rehders, Wolfram Trudo Knoefel, and Georg Fluegen. 2021. "Does Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy for Primary Spontaneous Pneumothorax Impair Health-Related Quality of Life and Pulmonary Function?" Healthcare 9, no. 11: 1463. https://0-doi-org.brum.beds.ac.uk/10.3390/healthcare9111463