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Table 1 Characteristics of the patients with and without CT-defined emphysema

From: The association and impact of radiographic, pathological emphysema and spirometric airway obstruction on patients with resectable lung adenocarcinoma

Patient characteristics

Total

(N = 902)

Patients with CT-defined emphysema

(n = 163)

Patients without CT-defined emphysema

(n = 739)

P value

Age, year

61 (54, 67)

62 (55, 68)

60 (54, 67)

0.201

Sex, male

391(43.3%)

130(79.8%)

262(35.3%)

< 0.001

BMI, kg/m2

24.4 (22.3,26.6)

23.5 (21.4,26.0)

24.6 (22.6,26.7)

< 0.001

Smoking status

   

< 0.001

 Yes

275(30.5%)

91(55.8%)

184(24.9%)

 

 No

627(69.5%)

72 (44.2%)

555(75.1%)

 

Pulmonary function test*

    

 FEV1,L

2.4(2.0,2.9)

2.5(2.0,3.0)

2.4(2.0,2.8)

0.581

 FEV1/FVC

76.1(71.2,80.3)

73.1(66.4,78.4)

76.4(72.0,80.6)

< 0.001

 FEV1/FVC < 0.7

169(20.2%)

50(33.8%)

119(17.2%)

< 0.001

 DLCO/VA

1.4(1.3,1.6)

1.3(1.1,1.6)

1.5(1.3,1.6)

< 0.001

 DLCO/VA pred %

95.8(84.7,108.5)

92.4(77.4,107.1)

96.3(85.6,108.6)

0.023

Tumor stage

   

0.039

 I

597(66.2%)

94(57.7%)

503(68.1%)

 

 II

171(19.0%)

38(23.3%)

133(18.0%)

 

 IIIA

134(14.9%)

31(19.0%)

103(13.9%)

 

Tumor

   

0.003

 pT1

651(72.2%)

99 (60.7%)

552 (74.7%)

 

 pT2

195(21.6%)

48 (29.4%)

147 (19.9%)

 

 pT3

34(3.8%)

11 (6.7%)

23 (3.1%)

 

 pT4

22(2.4%)

5 (3.1%)

17 (2.3%)

 

Node

   

0.405

 pN0

675(74.8%)

116(71.2%)

559 (75.6%)

 

 pN1

112(12.4%)

24 (14.7%)

88 (11.9%)

 

 pN2

110(12.2%)

21 (12.9%)

89 (12.0%)

 

 pN3

5(0.6%)

2 (1.2%)

3 (0.4%)

 

Predominant histologic patterns

    

 MIA

18(2.0%)

1(0.6%)

17(2.3%)

0.223

 INMA

    

  Lepidic

144(16.0%)

18 (11.0%)

126 (17.1%)

0.058

  Acinar

438(48.6%)

67(41.1%)

371 (50.2%)

0.035

  Papillary

118(13.1%)

21(12.9%)

97 (13.1%)

0.934

  Micropapillary

51(5.7%)

14(8.6%)

37(5.0%)

0.073

  Solid

91(10.1%)

36 (22.1%)

55(7.4%)

< 0.001

 IMA

42(4.7%)

6(3.7%)

36(4.9%)

0.514

Vascular invasion

   

0.004

 Absent

701(77.7%)

113(69.3%)

588(79.6%)

 

 Present

201(22.3%)

50(30.7%)

151(20.4%)

 

Pleural invasion

   

0.001

 Absent

666(73.9%)

104(63.8%)

56,002(76.2%)

 

 Present

235(26.1%)

59(36.2%)

176(23.8%)

 

EGFR gene

   

0.017

 Wild

335(37.1%)

76(46.6%)

259(35.0%)

 

 Mutated

269(29.8%)

38(23.3%)

231(31.3%)

 

 NA

298(33.0%)

49(30.1%)

249(33.7%)

 

KRAS gene

   

0.262

 Wild

563(62.4%)

103(63.2%)

460(62.2%)

 

 Mutated

41(4.5%)

11(6.7%)

30(4.1%)

 

 NA

298(33.0%)

49(30.1%)

249(33.7%)

 

ALK gene

   

0.630

 Wild

571(63.3%)

107(65.5%)

464(62.8%)

 

 Rearranged

33(3.7%)

7(4.3%)

26(3.5%)

 

 NA

298(33.0%)

49(30.1%)

249(33.7%)

 

Tumor location 1

   

0.636

 Central

161(17.8%)

27(16.6%)

134(18.1%)

 

 Peripheral

741(82.2%)

136(83.4%)

605(81.9%)

 

Tumor Location 2

   

0.986

 Right lobe

565(62.6%)

102(62.6%)

463(62.7%)

 

 Left lobe

337(37.4%)

61(37.4%)

276(37.3%)

 

Surgical approach

   

0.020

 VATS

818(90.7%)

140(85.9%)

678(91.7%)

 

 Thoracotomy

84(9.3%)

23(14.1%)

61(8.3%)

 

Extent of resection

   

0.311

 Wedge resection

72(8.0%)

18(11.0%)

54(7.3%)

 

 Segmentectomy

10(1.1%)

1(0.6%)

9(1.2%)

 

 Lobectomy

814(90.2%)

144(88.3%)

670(90.7%)

 

 Pneumonectomy

6(0.7%)

0(0.0%)

6(0.8%)

 

Length of stay, days

   

0.015

 < 13

443(49.1%)

66(40.5%)

377(51.0%)

 

 ≥ 13

459(50.9%)

97(59.5%)

362(49.0%)

 

Adjuvant therapy

    

 Chemotherapy

324(35.9%)

77(47.2%)

247(33.4%)

0.001

 TKI

125(13.9%)

14 (8.6%)

111 (15.0%)

0.031

 Radiotherapy

41(4.5%)

11 (6.7%)

30 (4.1%)

0.136

Postoperative pulmonary complications

90(10.0%)

32(19.6%)

58(7.8%)

< 0.001

Type of postoperative pulmonary complication

    

 Prolonged air leak

16(1.8%)

7(4.3%)

9(1.2%)

0.007

 Respiratory failure

6(0.7%)

3(1.8%)

3(0.4%)

0.041

 Pneumonia

15(1.7%)

5(3.1%)

10(1.4%)

0.121

 Pneumothorax

14(1.6%)

6(3.7%)

8(1.1%)

0.015

 Severe atelectasis

12(1.3%)

4(2.5%)

8(1.1%)

0.167

 Pleural effusion

41(4.5%)

9(5.5%)

32(4.3%)

0.509

  1. Data are presented as median (interquartile range) for continuous variables, counts (proportions) for categorical variables
  2. Abbreviations: CT = computed tomography; BMI = body mass index; VTE = venous thrombosis embolism; FVC = forced vital capacity; FEV1 = forced expiratory volume; RV = residual volume; TLC = total lung capacity; DLCO = diffusing capacity of the lungs for carbon monoxide; VA = alveolar volume; MIA = minimally invasive adenocarcinoma; INMA = invasive nonmucinous adenocarcinoma; IMA = invasive mucinous adenocarcinoma; NA = not available; EGFR = epidermic growth factor receptor; KRAS = kirsten rat sarcoma viral oncogene; ALK = anaplastic lymphoma kinase; VATS = video-assisted thoracoscopic surgery; TKI = tyrosine kinase inhibitors