Table 4.
Adherence of survey respondents to ACCP physiologic evaluation for lung cancer resection guidelines
| Guideline Component | Adherence |
|---|---|
|
| |
| Order spirometry | 98% |
| Assess for cardiac risk factors / inquire about functional status / calculate ThRCRI composite | 98% |
| Refer patients with cardiovascular risk factors to a cardiologist | 52% |
| Order DLCO testing | 84% |
| Calculate ppoFEV1 | 76% |
| Calculate ppoDLCO | 57% |
| If the ppoFEV1 and/or ppoDLCO is <30%, the patient is further evaluated via cardiopulmonary exercise testing (CPET) | 40% |
| If the ppoFEV1 and/or ppoDLCO is <60%, the patient is further evaluated via either 6 minute walk test, stair climbing test, or shuttle walk test | 30% |
| Refer patients with borderline lung function to pulmonary rehabilitation | 21% |
ThRCRI: Thoracic Revised Cardiac Risk Index; ppoFEV1: predicted postoperative forced expiratory volume in 1 second; ppoDLCO: predicted postoperative diffusion capacity of the lungs for carbon monoxide