Thymectomy for thymoma and myasthenia gravis. A survey of current surgical practice in thymic disease amongst EACTS members
| Autor: | Lucchi, M, Van Schil, P, Schmid, R, Rea, Federico, Melfi, F, Athanassiadi, K, Zielinski, M, Treasure, T, EACTS Thymic Working Group |
|---|---|
| Přispěvatelé: | EACTS Thymic Working Group |
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Thymoma Time Factors medicine.medical_treatment Practice Patterns Surveys and Questionnaires Myasthenia Gravis medicine Protocol Humans Anesthesia Cooperative Behavior Practice Patterns Physicians' Prospective cohort study Survey Neoadjuvant therapy Patient Care Team Internet Physicians' Chi-Square Distribution business.industry Myasthenia gravis Thymectomy Europe Health Care Surveys Neoadjuvant Therapy Neurology Thymus Neoplasms Surgery Cardiology and Cardiovascular Medicine medicine.disease Tissue bank Human medicine Thymus hyperplasia business Chi-squared distribution |
| Zdroj: | Interactive cardiovascular and thoracic surgery |
| ISSN: | 1569-9293 |
| Popis: | Thymic disorders, both oncological and non-oncological, are rare. Multi-institutional, randomized studies are currently not available. The Thymic Working Group of the European Association for Cardio-thoracic Surgery (EACTS) decided to perform a survey aiming to estimate the extent and type of current surgical practice in thymic diseases. A questionnaire was addressed to the thoracic and cardio-thoracic members of the society, and the answers received from 114 participants were analysed. High-volume surgeons cooperate more frequently with a dedicated neurologist and anaesthesist (P = 0.04), determine more frequently neurological scores pre- and postoperatively (P = 0.02) and do not operate on thymic hyperplasia in stage I myasthenia gravis (MG) (P = 0.04). High-volume thymoma surgeons more often use a transpleural approach for stage I thymoma < 4 cm (P = 0.01), induction therapy (P = 0.05) and are more likely to have access to a tissue bank (P = 0.04). Both in thymoma and MG surgery, cooperative prospective studies seem to be feasible in dedicated thoracic surgical associations as EACTS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|