Quality of life outcomes in tracheobronchomalacia surgery

Tracheobronchomalacia (TBM) is an obstructive airway disease characterized by laxity and redundancy of the posterior membrane of the main airways leading to dynamic airway collapse during exhalation. The gold standard for diagnosis is dynamic computed tomography (DCT) scan and dynamic flexible bronc...

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Published inJournal of thoracic disease Vol. 12; no. 11; pp. 6925 - 6930
Main Authors McGinn, Joseph, Herbert, Benoit, Maloney, Andrew, Patton, Byron, Lazzaro, Richard
Format Journal Article
LanguageEnglish
Published AME Publishing Company 01.11.2020
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Review on Patient Reported Outcomes in Thoracic Surgery: A new Frontier
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Summary:Tracheobronchomalacia (TBM) is an obstructive airway disease characterized by laxity and redundancy of the posterior membrane of the main airways leading to dynamic airway collapse during exhalation. The gold standard for diagnosis is dynamic computed tomography (DCT) scan and dynamic flexible bronchoscopy (DFB). Patients with complete or near-complete collapse (>90% reduction in cross-sectional area) of the airway are possible candidates for surgical management. Central airway stabilization by tracheobronchoplasty (TBP) effectively corrects malacic airways and has demonstrated significant improvement in objective functional measures, which is often but not uniformly accompanied by equal improvement in health-related quality of life (HRQOL) metrics. This article reviews HRQOL instruments used to report outcomes after TBM surgery.
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Contributions: (I) Conception and design: R Lazzaro, B Patton; (II) Administrative support: R Lazzaro, B Patton; (III) Provision of study materials or patients: R Lazzaro, B Patton; (IV) Collection and assembly of data: J McGinn, B Herbert, A Maloney; (V) Data analysis and interpretation: None; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.
ISSN:2072-1439
2077-6624
DOI:10.21037/jtd.2020.03.08