@article {HerreroP2763, author = {Sonia Herrero and Vanessa L{\'o}pez and Amparo Urrizburu and Mar{\'\i}a Jes{\'u}s Mart{\'\i}nez and Jos{\'e} Javier Lorza and Juan Jos{\'e} Guelbenzu and Xenia L{\'o}pez and Pilar Cebollero}, title = {Preliminary results of first year of application of cardiopulmonary exercise test (CPET) in resection lung surgery in Navarra (Spain)}, volume = {44}, number = {Suppl 58}, elocation-id = {P2763}, year = {2014}, publisher = {European Respiratory Society}, abstract = {AIM: analyse the clinical and functional results during the first year of application of the ERS/ESTS guidelines on fitness for radical therapy in lung cancer (LC) patients.Methods: prospective analysis of data of those patients proposed to surgical treatment for LC. We analysed pre FEV1, DLCO, VO2\%, VO2/kg/min , complications in the first 30 days, mortality at 6 months and six months postFEV1, DLCO, VO2\%, VO2/kg/min when available.Results: during 2013,103 patients were proposed to surgical treatment because of LC .All of them were evaluated with FEV1 and DLCO. Of them, 52 needed a CPET (ERS/ESTS guidelines: FEV1 or DLCO\<80\%), in 30 patients due to FEV1\<80, in 46 due to DLCO\<80 and in 24 due to both factors.Using the previous protocol (ppoFEV1 or ppoDLCO\<40\%) we should use it in only 13 patients. The main functional data were: FEV1 78\%(33-113), DLCO 64\%(39-106), VO2\% 92,4 (63-119), VO2/kg/min 21.6. Five cases were contraindicated for surgery and another patient refused intervention. Of these five, two cases shouldn{\textasciiacute}t be contraindicated with previous protocol.8 complications were registered in first 30 days, three of them moderate. 2 deaths in six months not related to surgery were found.In 12 patients we made a second CPET six months after surgery. Only VO2/kg/min showed a significant difference (p=0.02)Conclusions:-We could apply ERS/ESTS guideline to 100\% of our patients-The main cause of CPET indication was impaired DLCO-Half of cases proposed for surgery needed CPET, much more than those if we use previous protocol-we only found deterioration in VO2/k/min but our sample is still small.}, issn = {0903-1936}, URL = {https://erj.ersjournals.com/content/44/Suppl_58/P2763}, eprint = {https://erj.ersjournals.com/content}, journal = {European Respiratory Journal} }