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Ann Thorac Surg 2005;80:1026-1027
© 2005 The Society of Thoracic Surgeons


Original article: General thoracic

Invited commentary

Hans G. Fieguth, MD

Department of Cardiothoracic Surgery, Klinikum der Johan Wolfgang Goethe Universitat, Frankfurt am Main, 60 590 Germany

(Email: fieguth@em.uni-frankfurt.de).

The first 20% of the full text of this article appears below.


    Introduction
 
The article by Birim and coworkers [1] evaluates treatment options for these patients by a retrospective analysis of a single center experience covering more than a decade.

Severe limitations are associated this approach, but a number of findings warrant further investigation and could affect clinical practice. First, patient distribution needs to be mentioned, with approximately 25% of patients with stage I or II nonsmall cell lung cancer (NSCLC) not undergoing surgery, mainly for functional reasons, especially insufficient predicted pulmonary reserve. Because neither lung function, represented by forced expiratory volume in 1 second, nor comorbidity, expressed as CCI score, proved to be . . . [Full Text of this Article]







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Copyright © 2005 by The Society of Thoracic Surgeons.