Featured Research

from universities, journals, and other organizations

Obesity increases time needed for lung cancer surgery

Date:
November 28, 2012
Source:
Society of Thoracic Surgeons
Summary:
Lobectomy for primary lung cancer takes longer when a patient is obese, not only increasing the resources required to achieve a good outcome, but also adding to national health care costs. The researcher found that for every 10-unit increase in BMI, operating room time rose by 7.2 minutes —- even in hospitals experienced in caring for obese patients.

Lobectomy for primary lung cancer takes longer when a patient is obese, not only increasing the resources required to achieve a good outcome, but also adding to national health care costs, according to a study published in the December 2012 issue of The Annals of Thoracic Surgery.

Jamii B. St. Julien, MD, MPH, from Vanderbilt University Medical Center in Nashville, Tenn., and colleagues found that for every 10-unit increase in body mass index, operating room time rose by 7.2 minutes -- even in hospitals experienced in caring for obese patients. Obesity did not increase the risk of dying within 30 days of surgery or increase the length of hospital stay.

Operating time is widely used as a surrogate measure for health care resource utilization. "With operating room costs at $65 per minute, obesity can become very expensive, very quickly," stated senior author Eric L. Grogan, MD, MPH, also from Vanderbilt University.

The researchers used data from The Society of Thoracic Surgeons General Thoracic Surgery Database to retrospectively study the impact of body mass on total operating room time for 19,337 patients who had a portion of a lung surgically removed due to lung cancer between 2006 and 2010.

Obesity is an epidemic in this country that increases utilization of health care resources. The estimated annual medical costs attributable to obesity were approximately $147 billion in 2008, according to the study.

"The fact that we are putting more and more costly resources into caring for obese patients needs to be considered as hospitals and policymakers think of ways to control future health care costs. More public health emphasis on healthy lifestyle choices and weight loss is needed," stated Dr. St. Julien.

Drs. Grogan and St. Julien suggested minimizing time spent in the operating room by creating operating suites with larger rooms, bigger operating tables, and longer surgical instruments to accommodate obese patients.

The prevalence of obesity in the United States has risen from 21% in 2001 to 34.2% in 2008, with the percent of morbid obesity rising from 2.3% to 5.7% respectively. One quarter of the nearly 20,000 patients in this study were obese, as defined by a BMI of 30 kg/m2 or more.

Obesity Epidemic Challenges Health Care System

In an invited commentary in the same issue, David R. Jones, MD, a Professor at the University of Virginia in Charlottesville, wrote that the St. Julien paper contributes to a growing body of evidence demonstrating the impact of obesity on surgical care.

"Obesity and lung cancer are two epidemics that are increasingly appreciated as significant threats to length and quality of life," commented Dr. Jones. "This paper supports the need to more thoroughly examine how obesity impacts health care and resource allocation, particularly in the surgical population."

"With the ever increasing epidemic of obesity in the United States there will be a need for thoracic surgeons and other health care providers to begin to proactively plan on how to deliver care to the obese patient," Dr. Jones concluded.


Story Source:

The above story is based on materials provided by Society of Thoracic Surgeons. Note: Materials may be edited for content and length.


Cite This Page:

Society of Thoracic Surgeons. "Obesity increases time needed for lung cancer surgery." ScienceDaily. ScienceDaily, 28 November 2012. <www.sciencedaily.com/releases/2012/11/121128132036.htm>.
Society of Thoracic Surgeons. (2012, November 28). Obesity increases time needed for lung cancer surgery. ScienceDaily. Retrieved August 28, 2014 from www.sciencedaily.com/releases/2012/11/121128132036.htm
Society of Thoracic Surgeons. "Obesity increases time needed for lung cancer surgery." ScienceDaily. www.sciencedaily.com/releases/2012/11/121128132036.htm (accessed August 28, 2014).

Share This




More Health & Medicine News

Thursday, August 28, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Treadmill 'trips' May Reduce Falls for Elderly

Treadmill 'trips' May Reduce Falls for Elderly

AP (Aug. 28, 2014) Scientists are tripping the elderly on purpose in a Chicago lab in an effort to better prevent seniors from falling and injuring themselves in real life. (Aug.28) Video provided by AP
Powered by NewsLook.com
Mini Pacemaker Has No Wires

Mini Pacemaker Has No Wires

Ivanhoe (Aug. 27, 2014) Cardiac experts are testing a new experimental device designed to eliminate major surgery and still keep the heart on track. Video provided by Ivanhoe
Powered by NewsLook.com
After Cancer: Rebuilding Breasts With Fat

After Cancer: Rebuilding Breasts With Fat

Ivanhoe (Aug. 27, 2014) More than 269 million women are diagnosed with breast cancer each year. Many of them will need surgery and radiation, but there’s a new simple way to reconstruct tissue using a patient’s own fat. Video provided by Ivanhoe
Powered by NewsLook.com
Blood Clots in Kids

Blood Clots in Kids

Ivanhoe (Aug. 27, 2014) Every year, up to 200,000 Americans die from a blood clot that travels to their lungs. You’ve heard about clots in adults, but new research shows kids can get them too. Video provided by Ivanhoe
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins