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Difficult Decisions in Thoracic Surgery

An Evidence-Based Approach

  • Book
  • © 2007

Overview

Editors:
  1. Mark K. Ferguson

    1. Department of Surgery, The University of Chicago, Chicago, USA
      Thoracic Surgery Service, The University of Chicago Hospitals, Chicago, USA

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  • The use of standard format for posing the question in each chapter permits the reader to rapidly identify useful clinical guidelines
  • Each chapter contains a standard algorithm illustrating the decision analysis leading to the author’s conclusions to provide the conclusions in a graphic manner
  • Describes the recommended ideal approach, rather than customary care
  • Includes supplementary material: sn.pub/extras

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Table of contents (62 chapters)

  1. Front Matter

    Pages i-xx
    Download chapter PDF

  2. Background

    1. Front Matter

      Pages 1-1
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    2. Introduction

      • Mark K. Ferguson
      Pages 3-12

    3. Evidence-Based Medicine: Levels of Evidence and Grades of Recommendation

      • Andrew J. Graham, Sean C. Grondin
      Pages 13-20

    4. Decision Analytic Techniques

      • Anirban Basu, Amy G. Lehman
      Pages 21-35

    5. Nonclinical Components of Surgical Decision Making

      • Jo Ann Broeckel Elrod, Farhood Farjah, David R. Flum
      Pages 36-43

    6. How Patients Make Decisions with Their Surgeons: The Role of Counseling and Patient Decision Aids

      • Annette M. O’Connor, France Légaré, Dawn Stacey
      Pages 44-55

  3. Lung

    1. Front Matter

      Pages 57-57
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    2. Radiographic Staging of Lung Cancer: Computed Tomography and Positron Emission Tomography

      • Frank C. Detterbeck
      Pages 59-67

    3. Routine Mediastinoscopy for Clinical Stage I Lung Cancer

      • Karl Fabian L. Uy, Thomas K. Waddell
      Pages 68-74

    4. Management of Unexpected N2 Disease Discovered at Thoracotomy

      • Hyde M. Russell, Mark K. Ferguson
      Pages 75-81

    5. Induction Therapy for Clinical Stage I Lung Cancer

      • David C. White, Thomas A. D’Amico
      Pages 82-87

    6. Induction Therapy for Stage IIIA (N2) Lung Cancer

      • Shari L. Meyerson, David H. Harpole Jr.
      Pages 88-93

    7. Adjuvant Postoperative Therapy for Completely Resected Stage I Lung Cancer

      • Thomas A. D’Amato, Rodney J. Landreneau
      Pages 94-102

    8. Sleeve Lobectomy Versus Pneumonectomy for Lung Cancer Patients with Good Pulmonary Function

      • Lisa Spiguel, Mark K. Ferguson
      Pages 103-109

    9. Lesser Resection Versus Lobectomy for Stage I Lung Cancer in Patients with Good Pulmonary Function

      • Anthony W. Kim, William H. Warren
      Pages 110-118

    10. Lesser Resection Versus Radiotherapy for Patients with Compromised Lung Function and Stage I Lung Cancer

      • Jeffrey A. Bogart, Leslie J. Kohman
      Pages 119-127

    11. Resection for Patients Initially Diagnosed with N3 Lung Cancer after Response to Induction Therapy

      • Antonio D’Andrilli, Federico Venuta, Erino A. Rendina
      Pages 128-139

    12. Video-Assisted Thorascopic Surgery Major Lung Resections

      • Raja M. Flores, Naveed Z. Alam
      Pages 140-146

    13. Surgery for Non-Small Cell Lung Cancer with Solitary M1 Disease

      • Robert J. Downey
      Pages 147-150
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Keywords

About this book

Why do thoracic surgeons need training in decision making? Many of us who have weathered harrowing residencies in surgery feel that, after such experiences, decision making is a natural extension of our selves. While this is no doubt true, correct de- sion making is something that many of us have yet to master. The impetus to develop a text on evidence-based decision making in thoracic surgery was stimulated by a conference for cardiothoracic surgical trainees developed in 2004 and sponsored by the American College of Chest Physicians. During that conference it became clear that we as thoracic surgeons are operating from a very limited fund of true evidence-based information. What was also clear was the fact that many of the decisions we make in our everyday practices are not only uninformed by evidence-based medicine, but often are contradictory to existing guidelines or evidence-based recommendations. The objectives of this book are to explain the process of decision making, both on the part of the physician and on the part of the patient, and to discuss speci? c clinical problems in thoracic surgery and provide recommendations regarding their mana- ment using evidence-based methodology. Producing a text that will purportedly guide experienced, practicing surgeons in the decision-making process that they are acc- tomed to observe on a daily basis is a daunting task.

Reviews

From the reviews:

"This superb book offers what it says on the cover: an evidence base from which to approach difficult decisions ..." (The Annals of Thoracic Surgery, 2007)

"This is a critical review of the most recent literature on common problems in thoracic surgery. … The book achieves its objective of providing the best evidence surrounding common problems in general thoracic surgery. … aimed at practicing thoracic surgeons, the book is also highly recommended for residents in cardiothoracic surgery for daily reference and preparation for the board examination. … In short, this is highly recommended to all with an interest in the field of thoracic surgery." (Varun Puri, Doody’s Review Service, August, 2008)

Editors and Affiliations

  • Department of Surgery, The University of Chicago, Chicago, USA

    Mark K. Ferguson

  • Thoracic Surgery Service, The University of Chicago Hospitals, Chicago, USA

    Mark K. Ferguson

Bibliographic Information

  • Book Title: Difficult Decisions in Thoracic Surgery

  • Book Subtitle: An Evidence-Based Approach

  • Editors: Mark K. Ferguson

  • DOI: https://doi.org/10.1007/978-1-84628-474-8

  • Publisher: Springer London

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer-Verlag London 2007

  • eBook ISBN: 978-1-84628-474-8Published: 12 March 2007

  • Edition Number: 1

  • Number of Pages: XX, 526

  • Number of Illustrations: 37 b/w illustrations

  • Topics: Thoracic Surgery, General Surgery, Surgery

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