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Thymectomy for thymoma and myasthenia gravis. A survey of current surgical practice in thymic disease amongst EACTS members.

Lucchi, M; Van Schil, P; Schmid, R; Rea, F; Melfi, F; Athanassiadi, K; ... EACTS Thymic Working Group,; + view all (2012) Thymectomy for thymoma and myasthenia gravis. A survey of current surgical practice in thymic disease amongst EACTS members. Interact Cardiovasc Thorac Surg , 14 (6) 765 - 770. 10.1093/icvts/ivs046.

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Abstract

Thymic disorders, both oncological and non-oncological, are rare. Multi-institutional, randomized studies are currently not available. The Thymic Working Group of the European Association for Cardio-Thoracic Surgery (EACTS) decided to perform a survey aiming to estimate the extent and type of current surgical practice in thymic diseases. A questionnaire was addressed to the thoracic and cardio-thoracic members of the society, and the answers received from 114 participants were analysed. High-volume surgeons cooperate more frequently with a dedicated neurologist and anaesthesist (P = 0.04), determine more frequently neurological scores pre- and postoperatively (P = 0.02) and do not operate on thymic hyperplasia in stage I myasthenia gravis (MG) (P = 0.04). High-volume thymoma surgeons more often use a transpleural approach for stage I thymoma < 4 cm (P = 0.01), induction therapy (P = 0.05) and are more likely to have access to a tissue bank (P = 0.04). Both in thymoma and MG surgery, cooperative prospective studies seem to be feasible in dedicated thoracic surgical associations as EACTS.

Type:Article
Title:Thymectomy for thymoma and myasthenia gravis. A survey of current surgical practice in thymic disease amongst EACTS members.
Location:England
DOI:10.1093/icvts/ivs046
Language:English
Additional information:PMCID: PMC3352719
Keywords:Anesthesia, Chi-Square Distribution, Cooperative Behavior, Europe, Health Care Surveys, Humans, Internet, Myasthenia Gravis, Neoadjuvant Therapy, Neurology, Patient Care Team, Physician's Practice Patterns, Questionnaires, Thymectomy, Thymoma, Thymus Neoplasms, Time Factors
UCL classification:UCL > School of BEAMS > Faculty of Maths and Physical Sciences > Mathematics

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