In considering their patients’ options after a mesothelioma diagnosis, oncologists weigh many factors. A patient’s age is important, but so too is the type of mesothelioma they have and how far it has advanced within their body. Now a new study out of the University of Maryland has expanded this list, indicating that a patient’s physical condition prior to undergoing surgery is one of the most important predictors of surgical outcomes.
University of Maryland Study Shows Importance of Physical Function in Mesothelioma Patients
The mesothelioma study was conducted by researchers from the University of Maryland. Led by Simon Ho, the group set out to see which of the various elements that doctors gauge consistently made the biggest long-term difference for dozens of patients set for surgery.
The group reviewed the medical records from 54 patients diagnosed with pleural mesothelioma who had undergone pleurectomy and decortication surgery, a procedure that removes affected tissue but leaves both lungs in place. Included in the factors were pre- and post-surgery lung and physical function as measured by a variety of lung tests and through the Eastern Cooperative Oncology Group (ECOG) Performance Status test.
Strong Measures of Lung Capacity, Exhalation, and Oxygenation all Predict Positive Mesothelioma Surgery Outcomes
Mesothelioma patients undergoing pleurectomy and decortication have their pleural lining removed, as well as other nearby tissue where the cancerous cells could be lurking. Though the lungs are spared, their function can be significantly impacted by the surgery. For that reason, patients who go into surgery with lungs that can, easily take on oxygen, breathe deeply, and keep their lungs filled for an extended period of time tend to recover more quickly and fare better. These abilities are measured through the tests included in the Maryland study.
Writing for the group in the online journal Disability and Rehabilitation, Ho wrote, “Preoperative ECOG was a significant predictor of postoperative patient outcomes while preoperative lung function lacked predictive ability.” Based on this, the group is now considering whether it makes sense to work to fortify lung function prior to surgery. They are also looking at the importance of rehabilitation following the significant surgery.
If you or someone you love is in need of mesothelioma treatment, the Patient Advocates at Mesothelioma.net can guide you to the state-of-the-art facilities that specialize in this challenging disease. Contact us today at 1-800-692-8608.
