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. 2008 May 1;5(4):421–426. doi: 10.1513/pats.200802-017ET

TABLE 1.

DISTRIBUTION OF EMPHYSEMA AND RESPONSE TO LVRS IN NETT

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.