{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:24:09Z","timestamp":1772159049748,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T00:00:00Z","timestamp":1567555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T00:00:00Z","timestamp":1567555200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T00:00:00Z","timestamp":1567555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003252","name":"Lunds Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003252","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The survival outcome in lung cancer patients with chronic kidney disease (CKD) has not been well evaluated. The aim of this study was to evaluate the survival outcomes following non\u2010small cell lung cancer (NSCLC) surgery in patients with CKD as a preoperative comorbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among 671 patients who underwent surgery for NSCLC between 2007 and 2014 at our hospital, 55 (8%) had CKD and we retrospectively analyzed the survival outcomes of these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most patients with CKD were elderly and male. Patients with CKD had a higher frequency of smoking habit, cardiovascular disease, and pulmonary diseases, and a notably lower pulmonary function, resulting in receiving limited pulmonary resection. There were no marked differences in the frequency of surgical complications between patients with and without CKD (<jats:italic>p<\/jats:italic>\u2009=\u20090.16). Squamous cell carcinoma was more frequently diagnosed in patients with CKD than in those without it. The 5\u2010year disease\u2010free survival rates in patients with and without CKD were 60.0% and 69.7% (<jats:italic>p<\/jats:italic>\u2009=\u20090.06), respectively, and the 5\u2010year overall survival rates were 68.9% and 80.0%, respectively, showing significant differences (<jats:italic>p<\/jats:italic>\u2009=\u20090.01). The rate of receiving supportive care was higher in patients with CKD when recurrence observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CKD is associated with a poorer overall survival in patients who undergo lung cancer resection for recurrent disease. As patients with CKD tend to have a poor respiratory function, thoracic surgeons should carefully select the resection type to balance the therapeutic benefit and invasiveness.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05143-3","type":"journal-article","created":{"date-parts":[[2019,9,4]],"date-time":"2019-09-04T20:04:27Z","timestamp":1567627467000},"page":"3249-3258","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Long\u2010Term Outcomes of Pulmonary Resection for Lung Cancer Patients with Chronic Kidney Disease"],"prefix":"10.1002","volume":"43","author":[{"given":"Yoko","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery Osaka University Graduate School of Medicine L5\u20102\u20102 Yamadaoka 565\u20100871 Suita\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryu","family":"Kanzaki","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery Osaka University Graduate School of Medicine L5\u20102\u20102 Yamadaoka 565\u20100871 Suita\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kanou","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery Osaka University Graduate School of Medicine L5\u20102\u20102 Yamadaoka 565\u20100871 Suita\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoko","family":"Ose","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery Osaka University Graduate School of Medicine L5\u20102\u20102 Yamadaoka 565\u20100871 Suita\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soichiro","family":"Funaki","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery Osaka University Graduate School of Medicine L5\u20102\u20102 Yamadaoka 565\u20100871 Suita\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Minami","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery Osaka University Graduate School of Medicine L5\u20102\u20102 Yamadaoka 565\u20100871 Suita\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Shintani","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery Osaka University Graduate School of Medicine L5\u20102\u20102 Yamadaoka 565\u20100871 Suita\u2010City Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21166"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010016\u20101355\u2010z"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010016\u20101436\u2010z"},{"key":"e_1_2_8_5_1","unstructured":"National Kidney Foundation(2002)K\/DOQI clinical practice guidelines for chronic kidney disease: evaluation classification and stratification. 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