Impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: A nationwide study in Korea
Background The number of patients with operable lung cancer with a history of percutaneous coronary intervention (PCI) has increased. However, cardiovascular outcomes and mortality, according to the time from PCI to surgery, and the follow‐up time after surgery are largely unknown. Here, we aimed to...
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doaj-e0ec7c1644ba4aa4be17da44fb7fde5e2020-11-25T03:19:57ZengWileyThoracic Cancer1759-77061759-77142020-09-011192517252810.1111/1759-7714.13563Impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: A nationwide study in KoreaDong Woog Yoon0Dong Wook Shin1Jong Ho Cho2Jong‐Hwan Lee3Jeong Hoon Yang4Kyungdo Han5Sang Hyun Park6Department of Thoracic and Cardiovascular Surgery Armed Forces Capital Hospital Seongnam South KoreaSupportive Care Center/Department of Family Medicine, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South KoreaDepartment of Thoracic and Cardiovascular Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South KoreaDepartment of Anesthesiology and Pain Medicine, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South KoreaDivision of Cardiology, Department of Medicine, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South KoreaDivision of Cardiology, Department of Medicine, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South KoreaDivision of Cardiology, Department of Medicine, Samsung Medical Center Sungkyunkwan University School of Medicine Seoul South KoreaBackground The number of patients with operable lung cancer with a history of percutaneous coronary intervention (PCI) has increased. However, cardiovascular outcomes and mortality, according to the time from PCI to surgery, and the follow‐up time after surgery are largely unknown. Here, we aimed to compare the cardiovascular outcomes and mortality of these patients with a history of PCI to those of patients without a history of PCI. Methods Using the Korean National Health Insurance Service Database, we selected 30 750 patients who underwent surgery for lung cancer between 2006 and 2014. Study outcome variables were all‐cause mortality, revascularization, intensive care unit (ICU) readmission, and stroke incidence. Patients were followed‐up until 2016. Results Of the 30 750 patients, 513 (1.7%) underwent PCI before surgery. The PCI group did not show an increased risk of death, ICU readmission, or stroke within one year of surgery, despite an increased risk of revascularization. However, one year after surgery, they showed a higher risk of death and revascularization than the non‐PCI group. The risk of revascularization was highest when the interval between PCI and surgery was <1 year and remained high when the interval was >3 years. Conclusions Patients who underwent PCI before surgery for lung cancer were at a higher risk of death than those in the non‐PCI group at one year after surgery. In addition, they showed higher short‐ and long‐term risks of revascularization than patients in the non‐PCI group. Careful long‐term management of cardiovascular risk is necessary for this population.https://doi.org/10.1111/1759-7714.13563Cardiovascular diseaselung cancerpercutaneous coronary interventionsurvival |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dong Woog Yoon Dong Wook Shin Jong Ho Cho Jong‐Hwan Lee Jeong Hoon Yang Kyungdo Han Sang Hyun Park |
spellingShingle |
Dong Woog Yoon Dong Wook Shin Jong Ho Cho Jong‐Hwan Lee Jeong Hoon Yang Kyungdo Han Sang Hyun Park Impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: A nationwide study in Korea Thoracic Cancer Cardiovascular disease lung cancer percutaneous coronary intervention survival |
author_facet |
Dong Woog Yoon Dong Wook Shin Jong Ho Cho Jong‐Hwan Lee Jeong Hoon Yang Kyungdo Han Sang Hyun Park |
author_sort |
Dong Woog Yoon |
title |
Impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: A nationwide study in Korea |
title_short |
Impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: A nationwide study in Korea |
title_full |
Impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: A nationwide study in Korea |
title_fullStr |
Impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: A nationwide study in Korea |
title_full_unstemmed |
Impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: A nationwide study in Korea |
title_sort |
impact of previous percutaneous coronary intervention on cardiovascular outcomes and mortality after lung cancer surgery: a nationwide study in korea |
publisher |
Wiley |
series |
Thoracic Cancer |
issn |
1759-7706 1759-7714 |
publishDate |
2020-09-01 |
description |
Background The number of patients with operable lung cancer with a history of percutaneous coronary intervention (PCI) has increased. However, cardiovascular outcomes and mortality, according to the time from PCI to surgery, and the follow‐up time after surgery are largely unknown. Here, we aimed to compare the cardiovascular outcomes and mortality of these patients with a history of PCI to those of patients without a history of PCI. Methods Using the Korean National Health Insurance Service Database, we selected 30 750 patients who underwent surgery for lung cancer between 2006 and 2014. Study outcome variables were all‐cause mortality, revascularization, intensive care unit (ICU) readmission, and stroke incidence. Patients were followed‐up until 2016. Results Of the 30 750 patients, 513 (1.7%) underwent PCI before surgery. The PCI group did not show an increased risk of death, ICU readmission, or stroke within one year of surgery, despite an increased risk of revascularization. However, one year after surgery, they showed a higher risk of death and revascularization than the non‐PCI group. The risk of revascularization was highest when the interval between PCI and surgery was <1 year and remained high when the interval was >3 years. Conclusions Patients who underwent PCI before surgery for lung cancer were at a higher risk of death than those in the non‐PCI group at one year after surgery. In addition, they showed higher short‐ and long‐term risks of revascularization than patients in the non‐PCI group. Careful long‐term management of cardiovascular risk is necessary for this population. |
topic |
Cardiovascular disease lung cancer percutaneous coronary intervention survival |
url |
https://doi.org/10.1111/1759-7714.13563 |
work_keys_str_mv |
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