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Does Assessment of Frailty and Sarcopenia in Lung Resection Candidates Affect Patient Selection?

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Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

As older patients are increasingly being considered for surgery, frailty and sarcopenia may help predict post-operative morbidity and mortality. Scientific advances in frailty and sarcopenia measurement have demonstrated promising value in many surgical and procedural groups studied to date. However, the literature in lung resection is just emerging. The purpose of this chapter is to review the current evidence for use of frailty and sarcopenia in the risk assessment of lung resection candidates. Currently, there is only low quality evidence supporting the use of frailty and sarcopenia to improve prediction of morbidity and mortality in adult lung resection candidates. Frailty and sarcopenia research would benefit from continued collaborations between surgeons, geriatricians and aging researchers to continue to advance our understanding of multisystem physiologic vulnerability and stress recovery potential in lung resection.

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  1. Section of Geriatrics and Palliative Care Medicine, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA

    Megan Huisingh-Scheetz & Michelle Martinchek

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  1. Megan Huisingh-Scheetz
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  2. Michelle Martinchek
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Correspondence to Megan Huisingh-Scheetz .

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  1. Department of Surgery, University of Chicago, Chicago, IL, USA

    Mark K. Ferguson

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Huisingh-Scheetz, M., Martinchek, M. (2020). Does Assessment of Frailty and Sarcopenia in Lung Resection Candidates Affect Patient Selection?. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-47404-1_9

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  • DOI: https://doi.org/10.1007/978-3-030-47404-1_9

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