Eligibility for Lung Volume Reduction Surgery in Patients With COPD Identified in a UK Primary Care Setting

Chest
Hannah R WhittakerJennifer K Quint

Abstract

Although lung volume reduction surgery (LVRS) improves survival in appropriately selected patients with COPD, few procedures are performed. The National Institute for Health and Care Excellence has recommended a more systematic approach to identifying potential candidates. We investigated LVRS referrals from a UK primary care population and aimed to establish an accurate estimate of eligible patients and determine a strategy for identifying potential candidates systematically. Clinical Practice Research Datalink GOLD (a primary care database) and the linked Hospital Episode Statistics inpatient and Diagnostic Imaging Dataset were used. Patients with COPD who had undergone LVRS, patients who met basic eligibility criteria for further screening for LVRS, and patients meeting a more stringent eligibility criteria were identified from April 2012 to September 2015. Thoracic CT scan, pulmonary rehabilitation status, referral to respiratory outpatient clinics, and acute exacerbation of COPD requiring hospitalization were compared between actual LVRS recipients and potentially eligible patients. Among the 73,697 patients with COPD included, 36 (0.05%) received LVRS, 5,984 (8.1%) met basic eligibility criteria, and 159 (0.2%) met more s...Continue Reading

Citations

Mar 30, 2020·Drug and Therapeutics Bulletin·Jo Congleton
Jan 13, 2021·BMJ : British Medical Journal·Nicholas S Hopkinson
Mar 23, 2021·Respirology : Official Journal of the Asian Pacific Society of Respirology·Sara C ButteryLowie E G W Vanfleteren
May 1, 2021·Thoracic Surgery Clinics·Daniel P McCarthyMalcolm M DeCamp

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