Expert consensus on remote management of patients after pneumonectomy in thoracic surgery

doi:10.3877/cma.j.issn.2095-8773.2024.03.01

Abstract

Abstract:

Current telerehabilitation management after pulmonary surgery is still emerging and serves a limited patient population. There is currently no standard on how to ensure the scientific nature of remote management of pulmonary postoperative rehabilitation, especially in determining the management boundary. Therefore, the Shanghai Society of Thoracic Surgery worked to compile thoracic experts’ consensus on remote management of pulmonary postoperative rehabilitation by overviewing domestic and foreign guidelines and consensus, combined with national conditions and relevant regulations. Based on evidence-based medical evidence and multiple expert discussions, a preliminary consensus has been reached in six aspects: suitable scenarios for remote management after pneumonectomy, suitable population for remote management after pneumonectomy, data collection and evaluation in remote management after pneumonectomy, pulmonary function rehabilitation management mode, compliance and rehabilitation evaluation of remote management of patients after pneumonectomy and rehabilitation exercise program for patients after thoracic pneumonectomy, which will provide useful guidance for clinical work.

Key words: Patients after lung surgery, Remote management, Thoracic surgery, Expert consensus

Dongfang Tang, Xiaoyong Shen, Huibiao Zhang, Teng Mao, Yifeng Sun, Xinghua Cheng, Huijun Zhang, Zhengxin Yin, Junjie Xi, Jiani Gao, Ziwei Wan, Xuefei Hu, Qingquan Luo, Xiaofeng Chen, Hecheng Li, Zhigang Li, Chang Chen, Wen Gao. Expert consensus on remote management of patients after pneumonectomy in thoracic surgery[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2024, 11(03): 143-150.

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URL: https://zhxbwkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8773.2024.03.01

https://zhxbwkdzzz.cma-cmc.com.cn/EN/Y2024/V11/I03/143

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References 38

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推荐级别	证据级别	级别要求
强烈推荐	A	达成90%以上的专家意见；至少含一项RCT或一项高质量荟萃分析
推荐	B	达成70%～90%以上的专家意见；至少包括一项随机观察性研究，特异性亚组分析和大规模观察研究
一般性推荐		50%～70%的专家意见
不推荐	C	50%以下的专家意见；非随机对照研究或者专家意见

推荐级别	证据级别	级别要求
强烈推荐	A	达成90%以上的专家意见；至少含一项RCT或一项高质量荟萃分析
推荐	B	达成70%～90%以上的专家意见；至少包括一项随机观察性研究，特异性亚组分析和大规模观察研究
一般性推荐		50%～70%的专家意见
不推荐	C	50%以下的专家意见；非随机对照研究或者专家意见

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