ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Relationship between survival and erythrocyte sedimentation rate in patients operated for lung cancer
Ahmet Kayahan Tekneci1, Tevfik İlker Akçam1, Önder Kavurmacı2, Ayşe Gül Ergönül, Ali Özdil1, Kutsal Turhan1, Alpaslan Çakan1, Ufuk Çağırıcı1
1Department of Thoracic Surgery, Ege University School of Medicine, Izmir, Türkiye
2Department of Thoracic Surgery, University of Health Sciences, Bozyaka Izmir Training and Research Hospital, Izmir, Türkiye
DOI : 10.5606/tgkdc.dergisi.2022.21217
Background: This study aims to investigate the relationship between preoperative erythrocyte sedimentation rate and survival in patients undergoing pulmonary resection due to lung cancer.

Methods: Between January 2011 and July 2017, a total of 575 patients (433 males, 142 females; mean age: 61.2±9.9 years; range, 29 to 82 years) who were operated due to primary lung cancer in our clinic were retrospectively analyzed. The patients were grouped according to erythrocyte sedimentation rate to analyze the relationship between erythrocyte sedimentation rate and survival.

Results: The mean overall survival time was 61.8±1.7 months in 393 patients with an erythrocyte sedimentation rate of ≤24 mm/h and 48.9±2.9 months in 182 patients with an erythrocyte sedimentation rate of ≥25 mm/h (p<0.001). Among the patients with Stage 1-2 disease, the mean survival time was 66.2±1.9 in patients with an erythrocyte sedimentation rate of ≤24 mm/h and 53.8±3.2 in patients with an erythrocyte sedimentation rate of ≥25 mm/h (p=0.008). The mean survival time in patients with adenocarcinoma was 62.4±2.4 months in patients with ≤24 mm/h erythrocyte sedimentation rate and 46.1±4.6 months in patients with ≥25 mm/h erythrocyte sedimentation rate (p=0.003).

Conclusion: The relationship between elevated erythrocyte sedimentation rate and poor prognosis in patients with the same stage of the disease is promising for the use of erythrocyte sedimentation rate as a prognostic marker.

Keywords : Erythrocyte sedimentation rate, lung cancer, postoperative survival
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