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http://query.nytimes.com/gst/abstract.html?res=FA081FFA3A5A0C728EDDAC0894DB404482

National Desk | May 21, 2003, Wednesday
Results of Costly Emphysema Operation Are Mixed, Study Finds

By DENISE GRADY (NYT) 1242 words
Late Edition - Final , Section A , Page 29 , Column 1

ABSTRACT - Large study finds expensive and widely promoted lung volume reduction surgery for severe emphysema can make patients feel better but, on average, does not prolong their lives; study, sponsored by National Heart, Lung and Blood Institute and Centers for Medicare and Medicaid Services, is expected to help clarify who can safely have surgery and who should avoid it; government will use results in deciding whether Medicare, which does not now do so, will cover operation for elderly; study finds surgery improves quality of life and prolongs life of 25 percent of patients, who have different pattern of disease (M) An expensive and widely promoted lung operation for severe emphysema can make many patients feel better but on average does not prolong their lives, researchers said yesterday, reporting on the first large study of the procedure.

Two million Americans have emphysema, and the study is expected to help clarify who can safely have the surgery and who should avoid it. The researchers found that the operation either did not help or was too risky for 30 percent of the patients in the study, who had widespread lung damage. But in 25 percent, who had a different pattern of disease, the operation improved both quality of life and length of survival.



 

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