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Correspondence
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Volume 346:860-862 March 14, 2002 Number 11
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Surgery for Emphysema

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To the Editor: In the National Emphysema Treatment Trial (NETT) (Oct. 11 issue),1 the authors report that of the approximately 1000 patients randomly assigned to undergo lung-volume–reduction surgery or to receive medical treatment alone, 140 were identified as being at unusually high risk for death after surgery and were unlikely to benefit from the surgery. Two thirds of the patients in the high-risk group had a radiologic pattern of homogeneous moderate or severe destruction coupled with a severe functional deficit (forced expiratory volume in one second, <=20 percent of the predicted value). In our opinion, this group of patients should . . . [Full Text of this Article]

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