TABLE 1.
Improvement in Exercise Capacity
|
Improvement in Health-related Quality of Life
|
|||
---|---|---|---|---|
LVRS | Medical | LVRS | Medical | |
Upper-lobe predominant emphysema on CT | ||||
Low Exercise | 30% | 0%* | 48% | 10%* |
High Exercise | 15% | 3%* | 41% | 11%* |
Non–upper-lobe predominant emphysema on CT | ||||
Low Exercise | 12% | 7% | 37% | 7%* |
High Exercise | 3% | 3% | 15% | 12% |
Definition of abbreviations: CT = computed tomography; LVRS = lung volume reduction surgery; NETT = National Emphysema Treatment Trial.
Response of patient to LVRS in the NETT. Improvement in exercise capacity is measured by cardiopulmonary exercise testing; the percentages represent the proportion of patients with a 10-watt improvement over prerandomization baseline in maximal workload attained on cycle ergometry. Improvement in health-related quality of life is measured with the St. George's Respiratory Questionnaire (SGRQ); the percentages represent the proportion of patients with an 8-point decrease (twice the MCID for improvement) in SGRQ score. Table adapted from Reference 7.
P ⩽ 0.001 in comparison of LVRS with Medical.