title: [Influencing factor of postoperation fast-track recovery and in hospital cost after lobctomy for lung cancer].
abstract: BACKGROUND
  It is unknown that the postoperation fast-track recovery and in hospital cost of the lobectomy in lung cancer, we explored the influencing factor of postoperative fast-track recovery and in hospital cost after undergoing lobectomy for lung cancer.
  
  
  METHODS
  We retrospectively reviewed the medical records of all patients (n=176) who underwent lobectomy for lung cancer between January 2010 and November 2011 by a thoracic surgeon.
  
  
  RESULTS
  The hospital costs of video-assisted thoracic surgery (VATS) lobectomy (47,308.21 ¥) is significantly higher than open lobectomy (45,664.31 ¥)(P=0.007). The hospital costs of body mass index (BMI) ≥ 24 kg/m2 (51,186.99 ¥) is significantly higher than BMI < 24 kg/m2 (41,701.64 ¥)(P=0.032). The hospital stay of VATS lobectomy (5.70 d) is significantly less than open lobectomy (7.10 d)(P<0.001).
  
  
  CONCLUSIONS
  These findings indicate that preoperative pulmonary rehabilitation and VATS lobectomy is contributed to fast-track recovery for patients who undergo lobectomy, but increase the hospital costs.
authors.affiliation: Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Jianhua
authors.initials: J
authors.lastname: Su
authors.affiliation: Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Pengming
authors.initials: P
authors.lastname: Yu
authors.affiliation: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Yubin
authors.initials: Y
authors.lastname: Zhou
authors.affiliation: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Pu
authors.affiliation: Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Chengqi
authors.initials: C
authors.lastname: He
authors.affiliation: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Lunxu
authors.initials: L
authors.lastname: Liu
authors.affiliation: Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
authors.forename: Guowei
authors.initials: G
authors.lastname: Che
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D017722:Hospital Charges; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008175:Lung Neoplasms / Q000191:economics* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000191:economics*; D011182:Postoperative Care / Q000191:economics*; D012189:Retrospective Studies; D020775:Thoracic Surgery, Video-Assisted