{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:47:43Z","timestamp":1792054063363,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postoperative pulmonary complications (PPCs) increase surgical morbidity and mortality. While the predictive value of preoperative pulmonary function tests (PFTs) in noncardiac surgery remains unclear, we evaluated whether abnormal PFT patterns and spirometric indices are independently associated with PPCs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed adult patients undergoing noncardiac surgery under general or spinal anesthesia between June and November 2022 with preoperative spirometry. PFTs were classified as normal or abnormal using lower limit of normal criteria. PPCs within 7 postoperative days were defined using European Perioperative Clinical Outcome criteria. Associations were assessed using multivariable logistic regression before and after propensity score\u2013based overlap weighting. Continuous spirometric indices were also analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 729 patients, 64 (8.8%) had abnormal PFTs. PPCs were significantly more frequent in the abnormal PFTs group (29.7% vs. 8.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). After overlap weighting, abnormal PFTs remained independently associated with PPCs (adjusted odds ratio [aOR] 4.05, 95% CI 1.72\u20139.53;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), along with open surgery (aOR 8.94, 95% CI 2.38\u201333.59;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Lower FEV\n                      <jats:sub>1<\/jats:sub>\n                      and %FEV\n                      <jats:sub>1<\/jats:sub>\n                      were consistently associated with increased PPC risk across all models, whereas associations with FVC and FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC were inconsistent.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Abnormal preoperative PFTs and reduced FEV\n                      <jats:sub>1<\/jats:sub>\n                      are independently associated with PPCs after noncardiac surgery. Preoperative spirometry aids perioperative risk stratification, particularly for invasive surgery.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1759-7714.70333","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:55:39Z","timestamp":1782194139000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Pulmonary Function and Postoperative Pulmonary Complications in Noncardiac Surgery: A Propensity Score\u2013Weighted Analysis"],"prefix":"10.1111","volume":"17","author":[{"given":"Sung Ae","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Samsung Changwon Hospital Sungkyunkwan University School of Medicine  Changwon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee Eun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Samsung Changwon Hospital Sungkyunkwan University School of Medicine  Changwon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7050-9134","authenticated-orcid":false,"given":"Moon Ok","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Samsung Changwon Hospital Sungkyunkwan University School of Medicine  Changwon South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aex002"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181fc6e0a"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(09)70081-9"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0113656"},{"key":"e_1_2_10_6_1","article-title":"Neuraxial Blockade for the Prevention of Postoperative Mortality and Major Morbidity: An Overview of Cochrane Systematic Reviews","volume":"2014","author":"Guay J.","year":"2014","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_7_1","first-page":"99","article-title":"Pulmonary Function Tests for the Prediction of Postoperative Pulmonary Complications","volume":"119","author":"Dankert A.","year":"2022","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0209347"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2019.11.032"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0271953"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s005950170023"},{"key":"e_1_2_10_12_1","first-page":"333","article-title":"Risk Factors for Postoperative Pulmonary Complications and Prolonged Hospital Stay in Pulmonary Resection Patients: A Retrospective Study","volume":"71","author":"Bevilacqua Filho C. T.","year":"2021","journal-title":"Brazilian Journal of Anesthesiology"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-144-8-200604180-00009"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.5152\/ttd.2014.4505"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00080312"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00034805"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-018-0657-7"},{"key":"e_1_2_10_18_1","first-page":"12","article-title":"A Comparative Study of Postoperative Pulmonary Complications Using Fast Track Regimen and Conservative Analgesic Treatment: A Randomized Clinical Trial","volume":"10","author":"Sokouti M.","year":"2011","journal-title":"Tanaffos"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.01.016"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000003256"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000118"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.4097\/kja.24420"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00161011"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2020.04.011"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15187"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m540"}],"container-title":["Thoracic Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.70333","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1759-7714.70333","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.70333","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:18:08Z","timestamp":1792052288000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1759-7714.70333"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":25,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/1759-7714.70333"],"URL":"https:\/\/doi.org\/10.1111\/1759-7714.70333","archive":["Portico"],"relation":{},"ISSN":["1759-7706","1759-7714"],"issn-type":[{"value":"1759-7706","type":"print"},{"value":"1759-7714","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2026-01-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70333"}}