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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; Zielinski, M; (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) pp. 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
Keywords: Anesthesia, Chi-Square Distribution, Cooperative Behavior, Europe, Health Care Surveys, Humans, Internet, Myasthenia Gravis, Neoadjuvant Therapy, Neurology, Patient Care Team, Practice Patterns, Physicians', Surveys and Questionnaires, Thymectomy, Thymoma, Thymus Neoplasms, Time Factors
UCL classification: UCL > School of BEAMS > Faculty of Maths and Physical Sciences
UCL > School of BEAMS > Faculty of Maths and Physical Sciences > Mathematics
URI: http://discovery.ucl.ac.uk/id/eprint/1343257
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