title: Six minute walking test and carbon monoxide diffusing capacity for non-small cell lung cancer: easy performed tests in every day practice.
abstract: BACKGROUND
  Several studies have demonstrated that reduced lung function is a significant risk factor for lung cancer and increased surgical risk in patients with operable stages of lung cancer. The aim of the study was to perform pulmonary function tests and investigate which is a favorable respiratory function test for overall survival between lung cancer stages.
  
  
  METHODS
  Lung function tests were performed to lung cancer patients with non-small cell lung cancer of stage I, II, III and IV (241 patients in total). They had the last follow-up consecutively between December 2006 and July 2008. The staging was decided according to the sixth edition of TNM classification of NSCLC. The Forced Expiratory Volume in 1sec (FEV1), Forced Vital Capacity (FVC) and Carbon Monoxide Diffusing Capacity (DLCO) were measured according to American Thoracic Society/European Respiratory Society guidelines. The 6 Minute Walking Test (6MWT) was measured according to the American Thoracic Society.
  
  
  RESULTS
  There was a significant association of the DLCO upon diagnosis and overall survival for stage II (P<0.007) and IV (P<0.003). Furthermore, there was a significant association between 6MWT and overall survival for stage III (P<0.001) and stage IV (P<0.010).
  
  
  CONCLUSIONS
  The significance for each lung function test is different among the stages of NSCLC. DLCO and 6MWT upon admission are the most valuable prognostic factors for overall survival of NSCLC.
authors.affiliation: Pulmonary Department, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece;
authors.forename: Paul
authors.initials: P
authors.lastname: Zarogoulidis
authors.forename: Theodora
authors.initials: T
authors.lastname: Kerenidi
authors.forename: Haidong
authors.initials: H
authors.lastname: Huang
authors.forename: Theodoros
authors.initials: T
authors.lastname: Kontakiotis
authors.forename: Ourania
authors.initials: O
authors.lastname: Tremma
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Porpodis
authors.forename: Anastasios
authors.initials: A
authors.lastname: Kalianos
authors.forename: Ageliki
authors.initials: A
authors.lastname: Rapti
authors.forename: Christoforos
authors.initials: C
authors.lastname: Foroulis
authors.forename: Athanasios
authors.initials: A
authors.lastname: Zissimopoulos
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Courcoutsakis
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Zarogoulidis