{"id":"https://openalex.org/W2148700731","doi":"https://doi.org/10.1016/j.ejcts.2009.10.025","title":"Staged bilateral lung volume reduction surgery \u2014 the benefits of a patient-led strategy\u2606","display_name":"Staged bilateral lung volume reduction surgery \u2014 the benefits of a patient-led strategy\u2606","publication_year":2009,"publication_date":"2009-12-02","ids":{"openalex":"https://openalex.org/W2148700731","doi":"https://doi.org/10.1016/j.ejcts.2009.10.025","mag":"2148700731","pmid":"https://pubmed.ncbi.nlm.nih.gov/19955000"},"language":"en","primary_location":{"id":"doi:10.1016/j.ejcts.2009.10.025","doi":"https://doi.org/10.1016/j.ejcts.2009.10.025","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.ejcts.2009.10.025","pdf_url":null,"source":{"id":"https://openalex.org/S10542796","display_name":"European Journal of Cardio-Thoracic Surgery","issn_l":"1010-7940","issn":["1010-7940","1873-734X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Cardio-Thoracic Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108442512","display_name":"Inger F. Oey","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802040150","display_name":"Glenfield Hospital","ror":"https://ror.org/048a96r61","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802040150","https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Inger F. Oey","raw_affiliation_strings":["Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK. ingeroey@hotmail.com","Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK. ingeroey@hotmail.com","institution_ids":["https://openalex.org/I2802040150"]},{"raw_affiliation_string":"Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK","institution_ids":["https://openalex.org/I2802040150"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108507639","display_name":"Michael D.L. Morgan","orcid":"https://orcid.org/0000-0002-4474-4664","observed_orcids":["https://orcid.org/0000-0002-4474-4664"]},"institutions":[{"id":"https://openalex.org/I2802040150","display_name":"Glenfield Hospital","ror":"https://ror.org/048a96r61","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802040150","https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Michael D.L. Morgan","raw_affiliation_strings":["Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK","institution_ids":["https://openalex.org/I2802040150"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044916800","display_name":"Tom J. Spyt","orcid":"https://orcid.org/0000-0002-0212-7035","observed_orcids":["https://orcid.org/0000-0002-0212-7035"]},"institutions":[{"id":"https://openalex.org/I2802040150","display_name":"Glenfield Hospital","ror":"https://ror.org/048a96r61","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802040150","https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Tom J. Spyt","raw_affiliation_strings":["Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK","institution_ids":["https://openalex.org/I2802040150"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5022864309","display_name":"David A. Waller","orcid":"https://orcid.org/0009-0002-3058-496X","observed_orcids":["https://orcid.org/0009-0002-3058-496X"]},"institutions":[{"id":"https://openalex.org/I2802040150","display_name":"Glenfield Hospital","ror":"https://ror.org/048a96r61","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802040150","https://openalex.org/I2802445252"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"David A. Waller","raw_affiliation_strings":["Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Respiratory Medicine and Thoracic Surgery, Glenfield Hospital, Leicester, LE3 9QP, UK","institution_ids":["https://openalex.org/I2802040150"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5108442512"],"corresponding_institution_ids":["https://openalex.org/I2802040150"],"apc_list":{"value":3273,"currency":"EUR","value_usd":3699},"apc_paid":null,"fwci":0.2686,"has_fulltext":false,"cited_by_count":22,"citation_normalized_percentile":{"value":0.68514503,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"37","issue":"4","first_page":"846","last_page":"852"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.8511000275611877,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.8511000275611877,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10322","display_name":"Respiratory Support and Mechanisms","score":0.03280000016093254,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11189","display_name":"Transplantation: Methods and Outcomes","score":0.023600000888109207,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lung-volume-reduction-surgery","display_name":"lung volume reduction surgery","score":0.9800000190734863},{"id":"https://openalex.org/keywords/staged-bilateral-surgery","display_name":"staged bilateral surgery","score":0.8550000190734863},{"id":"https://openalex.org/keywords/median-sternotomy","display_name":"median sternotomy","score":0.6970000267028809},{"id":"https://openalex.org/keywords/residual-volume","display_name":"residual volume","score":0.578000009059906},{"id":"https://openalex.org/keywords/total-lung-capacity","display_name":"total lung capacity","score":0.9869999885559082},{"id":"https://openalex.org/keywords/lung-function","display_name":"lung function","score":0.6990000009536743},{"id":"https://openalex.org/keywords/health-related-quality-of-life","display_name":"health-related quality of life","score":0.9559999704360962},{"id":"https://openalex.org/keywords/survival","display_name":"survival","score":0.6579999923706055},{"id":"https://openalex.org/keywords/operative-risk","display_name":"operative risk","score":0.7720000147819519},{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.7379999756813049},{"id":"https://openalex.org/keywords/emphysema","display_name":"emphysema","score":0.8550000190734863},{"id":"https://openalex.org/keywords/postoperative-mortality","display_name":"postoperative mortality","score":0.4050000011920929},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.42899999022483826}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8854381442070007},{"id":"https://openalex.org/C2775982285","wikidata":"https://www.wikidata.org/wiki/Q2964004","display_name":"Lung volume reduction surgery","level":4,"score":0.8790979385375977},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6968038082122803},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5940684080123901},{"id":"https://openalex.org/C27101514","wikidata":"https://www.wikidata.org/wiki/Q206120","display_name":"Lung volumes","level":3,"score":0.5329728126525879},{"id":"https://openalex.org/C2779526774","wikidata":"https://www.wikidata.org/wiki/Q831830","display_name":"Median sternotomy","level":2,"score":0.46555095911026},{"id":"https://openalex.org/C160022790","wikidata":"https://www.wikidata.org/wiki/Q2964004","display_name":"Cardiothoracic surgery","level":2,"score":0.465503990650177},{"id":"https://openalex.org/C75603125","wikidata":"https://www.wikidata.org/wiki/Q1877462","display_name":"Pulmonary function testing","level":2,"score":0.42185208201408386},{"id":"https://openalex.org/C2777714996","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung","level":2,"score":0.38829609751701355},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.14882555603981018}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004812","descriptor_name":"Epidemiologic Methods","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005541","descriptor_name":"Forced Expiratory Volume","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011013","descriptor_name":"Pneumonectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D011656","descriptor_name":"Pulmonary Emphysema","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D011656","descriptor_name":"Pulmonary Emphysema","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012115","descriptor_name":"Residual Volume","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014109","descriptor_name":"Total Lung Capacity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018802","descriptor_name":"Patient-Centered Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D020775","descriptor_name":"Thoracic Surgery, Video-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.ejcts.2009.10.025","doi":"https://doi.org/10.1016/j.ejcts.2009.10.025","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.ejcts.2009.10.025","pdf_url":null,"source":{"id":"https://openalex.org/S10542796","display_name":"European Journal of Cardio-Thoracic Surgery","issn_l":"1010-7940","issn":["1010-7940","1873-734X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Cardio-Thoracic Surgery","raw_type":"journal-article"},{"id":"pmid:19955000","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19955000","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery","raw_type":"Comparative Study"},{"id":"pmh:oai:lra.le.ac.uk:2381/17554","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/2381/17554","pdf_url":null,"source":{"id":"https://openalex.org/S4306402365","display_name":"Leicester Research Archive (University of Leicester)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I153648349","host_organization_name":"University of Leicester","host_organization_lineage":["https://openalex.org/I153648349"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W66142363","https://openalex.org/W85544070","https://openalex.org/W1967753102","https://openalex.org/W1980717497","https://openalex.org/W1981894764","https://openalex.org/W1982986404","https://openalex.org/W1993228703","https://openalex.org/W2007957921","https://openalex.org/W2022089704","https://openalex.org/W2025624155","https://openalex.org/W2037377025","https://openalex.org/W2044177685","https://openalex.org/W2068040633","https://openalex.org/W2101787490","https://openalex.org/W2105276553","https://openalex.org/W2119348698","https://openalex.org/W2128293359","https://openalex.org/W2144429614","https://openalex.org/W2146134332","https://openalex.org/W2147882416","https://openalex.org/W2152164206","https://openalex.org/W2410362368","https://openalex.org/W3184591016","https://openalex.org/W4229723402","https://openalex.org/W4245552478"],"related_works":["https://openalex.org/W2105276553","https://openalex.org/W1991694006","https://openalex.org/W2007851114","https://openalex.org/W85544070","https://openalex.org/W2768592552","https://openalex.org/W2808623526","https://openalex.org/W4415732178","https://openalex.org/W7097844792","https://openalex.org/W2128293359","https://openalex.org/W4403010902"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Lung":[1],"volume":[2,184,214],"reduction":[3,237],"surgery":[4,80],"(LVRS)":[5],"is":[6],"conventionally":[7],"a":[8,15,39,120,147,201,234,351],"one-staged":[9,68,357],"bilateral":[10,19,51,69,129,336],"operation.":[11,158],"We":[12],"hypothesised":[13],"that":[14],"more":[16,352],"conservative":[17],"staged":[18,128,335],"approach":[20,337],"determined":[21],"by":[22,72,77,341],"the":[23,26,34,95,101,156,277,286],"patient":[24,102],"not":[25,98],"surgeon":[27],"would":[28],"reduce":[29],"operative":[30],"risk":[31],"and":[32,75,116,194,216,224,246,264,282,291,308,319],"prolong":[33],"overall":[35,354],"benefit.":[36],"METHODS:":[37],"In":[38],"population":[40],"of":[41,56,87,109,123,150,279,288,344],"114":[42],"consecutive":[43],"patients":[44,58,89,135,166],"who":[45],"were":[46,178,209,250],"identified":[47],"as":[48],"suitable":[49],"for":[50,188,226,273],"LVRS":[52,93,130,160,339,358],"an":[53],"initial":[54],"cohort":[55,86],"26":[57],"(15":[59],"male;":[60,137,168],"11":[61],"female,":[62,139,170],"median":[63,73,121,140,148,171],"age:":[64,141,172],"58":[65],"years)":[66,143,174],"underwent":[67],"surgery:":[70],"18":[71],"sternotomy":[74],"eight":[76],"video-assisted":[78],"thoracoscopic":[79],"(VATS)":[81],"(group":[82,144,175],"OB).":[83],"A":[84,334],"subsequent":[85],"88":[88],"had":[90],"unilateral":[91],"VATS":[92],"with":[94],"contralateral":[96],"operation":[97],"scheduled":[99],"until":[100],"requested":[103],"this.":[104],"Longitudinal":[105],"follow-up":[106,122],"included":[107],"analysis":[108],"lung":[110,218],"function,":[111],"health":[112,254],"status":[113,255],"(SF":[114],"36)":[115],"survival.":[117,361],"RESULTS:":[118],"At":[119],"2.8":[124],"(range:":[125,152],"0-9.9)":[126],"years,":[127],"was":[131,200,233,294,313],"performed":[132,163],"in":[133,164,181,185,191,196,212,221,229,243,253,261,267,276,285,299,321],"16":[134],"(10":[136],"6":[138,189,241,283],"59":[142],"SB)":[145],"at":[146,204],"interval":[149],"3.9":[151],"0.7-5.9)":[153],"years":[154,206,242,275,284],"after":[155],"first":[157],"Unilateral":[159],"has":[161],"been":[162],"73":[165],"(43":[167],"30":[169],"60":[173],"U).":[176],"There":[177,208,249,293],"significant":[179,210,236,251,296],"improvements":[180,252,271],"forced":[182],"expiratory":[183],"1s":[186],"(FEV1)":[187],"months":[190],"groups":[192,222,262,303,317],"OB":[193,223,263,304,318],"U;":[195],"group":[197,230,268],"SB":[198,231,269,306],"there":[199,232,312],"second":[202],"improvement":[203],"4":[205,274],"(p<0.05).":[207],"reductions":[211],"residual":[213],"(RV)":[215],"total":[217],"capacity":[219],"(TLC)":[220],"U":[225,309],"2":[227],"years;":[228],"further":[235],"lasting":[238,256],"up":[239,257],"to":[240,258,338,348,350],"TLC":[244],"(p<0.05)":[245],"RV":[247],"(p<0.01).":[248],"1":[259],"year":[260],"U.":[265],"However,":[266],"these":[270],"lasted":[272],"domain":[278],"physical":[280],"functioning":[281,290],"domains":[287],"social":[289],"energy/vitality.":[292],"no":[295,314],"difference":[297,315],"(p=0.07)":[298],"30-day":[300],"mortality":[301],"among":[302],"(7.7%),":[305],"(13%)":[307],"(4.1%).":[310],"Similarly,":[311],"between":[316],"SB/U":[320],"3-year":[322],"survival":[323,329],"(81%":[324],"vs":[325,331],"77%)":[326],"or":[327],"5-year":[328],"(54%":[330],"66%).":[332],"CONCLUSION:":[333],"dictated":[340],"patients'":[342],"perception":[343],"their":[345],"condition":[346],"appears":[347],"lead":[349],"prolonged":[353],"benefit":[355],"than":[356],"without":[359],"compromising":[360]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
