{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T10:43:09Z","timestamp":1786617789756,"version":"build-2736575974"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Prolonged air leak (PAL) is a major cause of morbidities and increased treatment costs following lung resection. The Goddard score (GS) quantifies pulmonary emphysema on computed tomography, a risk factor for PAL, from 0 to 24.<\/jats:p><jats:p>We evaluated the GS as a predictor of PAL in pulmonary segmentectomies by retrospectively analyzing 131 patients with anatomical segmentectomy. We identified predictors of PAL and performed logistic regression.<\/jats:p><jats:p>Eighty-three percent of patients had a history of smoking. The mean air leak duration was 4.2 days; 16% had PAL (&gt;7 days). Median GS was 1. The optimal cutoff was GS \u2265 6 (area under the curve AUC\u2009=\u20090.625). GS did not correlate with air leak duration. In combination, body mass index, cumulative pack-years, immunosuppression, adhesiolysis, operation time, and GS \u2265 6 best predicted PAL with AUC\u2009=\u20090.914. Omitting GS still leads to an AUC\u2009=\u20090.864.<\/jats:p><jats:p>The GS does not add enough information to be of practical value in anatomic segmentectomies, but it is of academic significance to quantify and compare lung emphysema in the context of clinical studies.<\/jats:p>","DOI":"10.1055\/a-2516-4020","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T19:10:01Z","timestamp":1739560201000},"page":"427-431","source":"Crossref","is-referenced-by-count":2,"title":["Role of the Goddard Score in Predicting Prolonged Air Leak in Pulmonary Segmentectomies"],"prefix":"10.1055","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5563-122X","authenticated-orcid":false,"given":"Thomas","family":"Galetin","sequence":"additional","affiliation":[{"name":"University Witten Herdecke Faculty of Health, Witten, Germany"},{"name":"Department of Thoracic Surgery, Florence-Nightingale-Krankenhaus, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisann","family":"Rheinhold","sequence":"additional","affiliation":[{"name":"University Witten Herdecke Faculty of Health, Witten, Germany"},{"name":"Department of Thoracic Surgery, Florence-Nightingale-Krankenhaus, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Klamer","sequence":"additional","affiliation":[{"name":"University Witten Herdecke Faculty of Health, Witten, Germany"},{"name":"Department of Thoracic Surgery, Florence-Nightingale-Krankenhaus, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Alkhatam","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Florence-Nightingale-Krankenhaus, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aris","family":"Koryllos","sequence":"additional","affiliation":[{"name":"University Witten Herdecke Faculty of Health, Witten, Germany"},{"name":"Department of Thoracic Surgery, Florence-Nightingale-Krankenhaus, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,2,14]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1093\/icvts\/ivaa140","article-title":"Ninety-day hospital costs associated with prolonged air leak following lung resection","volume":"31","author":"A Brunelli","year":"2020","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"866","DOI":"10.21037\/jtd-21-2011","article-title":"Risk factors, complications and costs of prolonged air leak after video-assisted thoracoscopic surgery for primary lung cancer","volume":"15","author":"F Ponholzer","year":"2023","journal-title":"J Thorac 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Oncol"},{"issue":"08","key":"ref6","doi-asserted-by":"crossref","first-page":"1966","DOI":"10.21037\/jtd.2016.06.70","article-title":"Prognostic significance of CT-emphysema score in patients with advanced squamous cell lung cancer","volume":"8","author":"Y S Kim","year":"2016","journal-title":"J Thorac Dis"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"874","DOI":"10.21037\/jtd.2018.01.97","article-title":"Prognostic significance of CT-determined emphysema in patients with small cell lung cancer","volume":"10","author":"H Y Lee","year":"2018","journal-title":"J Thorac Dis"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.athoracsur.2023.10.010","article-title":"Significance of the Goddard score in predicting complications related to air leak after lobectomy","volume":"118","author":"A Kagimoto","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"12","key":"ref11","doi-asserted-by":"crossref","first-page":"1326","DOI":"10.1164\/rccm.200510-1677OC","article-title":"Predictors of mortality in patients with emphysema and severe airflow obstruction","volume":"173","author":"F J Martinez","year":"2006","journal-title":"Am J Respir Crit Care Med"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"909","DOI":"10.21037\/jtd-22-818","article-title":"Prolonged air leak after robotic lung resection: a narrative review","volume":"15","author":"P Muriana","year":"2023","journal-title":"J Thorac Dis"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.thorsurg.2020.04.008","article-title":"Management of complications after lung resection: prolonged air leak and bronchopleural fistula","volume":"30","author":"J M Clark","year":"2020","journal-title":"Thorac Surg Clin"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2516-4020.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T22:36:21Z","timestamp":1754087781000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2516-4020"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,14]]},"references-count":11,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2025,8,1]]},"published-print":{"date-parts":[[2025,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2516-4020","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,14]]}}}