{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T22:48:58Z","timestamp":1785797338323,"version":"3.56.0"},"reference-count":173,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die steigende Inzidenz maligner Lungenerkrankungen sowie neoadjuvanter Therapien und eine durch das zuk\u00fcnftige Lungenkarzinom-Screening zu erwartende Detektion von operablen Stadien erfordern vor dem Hintergrund einer Zunahme von Atemwegserkrankungen, speziell der chronisch obstruktiven Lungenerkrankung (COPD), aber auch interstitieller Lungenerkrankungen, differenzierte pr\u00e4operative Entscheidungen \u00fcber eine funktionelle Operabilit\u00e4t.<\/jats:p>\n                  <jats:p>Da das postoperative Risiko f\u00fcr kardiovaskul\u00e4re und pulmonale Komplikationen nach einer Lungenresektion mit dem Ausma\u00df der Lungenparenchymresektion und der vorbestehenden Einschr\u00e4nkung der Organfunktionen von Herz, Lunge, Niere und Stoffwechsel steigt, bed\u00fcrfen auch diese einer besonderen Beachtung. Dies gilt angesichts einer steigenden Anzahl \u00e4lterer Patienten \u00fcber 75 Jahren ebenso f\u00fcr das \u201eGebrechlichkeitssyndrom\u201c (\u201eFrailty\u201c), das einen weiteren wesentlichen Parameter bei der strukturierten Evaluation darstellt.<\/jats:p>\n                  <jats:p>Die aktuelle Empfehlung soll eine valide und fundierte Entscheidungsgrundlage \u00fcber die funktionelle Operabilit\u00e4t eines Patienten mit einem chirurgisch und onkologisch resektablen Lungentumor aus pneumologischer, thoraxchirurgischer und an\u00e4sthesiologischer Perspektive schaffen.<\/jats:p>","DOI":"10.1055\/a-2637-5718","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T23:23:32Z","timestamp":1754695412000},"page":"27-49","source":"Crossref","is-referenced-by-count":2,"title":["Die pr\u00e4operative Evaluation erwachsener thoraxchirurgischer Patienten mit onkologisch resektablen Lungentumoren \u2013 eine gemeinsame Empfehlung der DGAI, DGT und DGP"],"prefix":"10.1055","volume":"80","author":[{"given":"Jerome","family":"Defosse","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie und operative Intensivmedizin, Klinikum K\u00f6ln Merheim, Universit\u00e4t Witten\/Herdecke, K\u00f6ln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"von Dossow","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr An\u00e4sthesiologie und Schmerztherapie, Herz- und Diabeteszentrum NRW, Bad Oeynhausen, Ruhr-Universit\u00e4t Bochum, Bochum, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"Dudek","sequence":"additional","affiliation":[{"name":"Abteilung Thoraxchirurgie, Lungenklinik Hemer, Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg, Erlangen, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Halank","sequence":"additional","affiliation":[{"name":"Medizinische Klinik und Poliklinik I, Bereich Pneumologie, Universit\u00e4tsklinikum Carl Gustav Carus an der TU Dresden, Dresden, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torsten","family":"Loop","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie und Intensivmedizin, Universit\u00e4tsklinikum Freiburg, Medizinische Fakult\u00e4t, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erich","family":"Stoelben","sequence":"additional","affiliation":[{"name":"Thoraxklinik K\u00f6ln, Thoraxchirurgie, Cellitinnen-Krankenhaus St. Hildegardis-Krankenhaus, K\u00f6ln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Westhoff","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Pneumologie, Intensiv-\/Beatmungs- und Schlafmedizin, Lungenklinik Hemer, Universit\u00e4t Witten\/Herdecke, Hemer, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"ref1","first-page":"294","article-title":"[Preoperative evaluation of adult patients before elective, non-cardiothoracic surgery: A joint recommendation of the German Society for Anesthesiology and Intensive Care Medicine, the German Society for Surgery and the German Society for Internal Medicine]","volume":"73","author":"C Z\u00f6llner","year":"2024","journal-title":"Anaesthesiologie"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.thorsurg.2021.04.006","article-title":"When Is It Safe to Operate for Lung Cancer? 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