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Table 1 Basic characteristics of the included studies

From: Risk factors for cough after pulmonary resection

Authors

Year

Country

Male/Female

Age(years)

Definition of CAP

Surgical methods

Cough/Non-cough

Incidence rate (%)

Pathology

Operation method

TNM

Risk factor

NOS

Dong et al [13]

2022

China

50/48

-

Cough lasting no less than eight weeks with no obvious abnormalities present on chest X-ray

Lobectomy:69

Sublobectomy:29

31/67

31.6

-

VATS/OPEN

I-III

(2) (5) (6) (11) (12)

6

He et al [15]

2022

China

44/36

61.98 ± 3.48

(1) The patients developed cough within 30 days after surgery and lasted for more than 2 weeks; (2) No obvious cough history before surgery; (3) Cough caused by postoperative infection and other medical factors was excluded; (4) The chest CT scan revealed no significant abnormalities in the lung

Lobectomy:31 Others:49

20/60

25.0

NSCLC

VATS

I-II

(1) (5) (12) (13) (14)

8

Li et al [16]

2022

China

91/119

61.5(28–83)

Persistent dry cough for more than two weeks after surgery, without abnormalities in chest X-ray and blood count and other infection indicators, excluding cough caused by postnasal drip syndrome, bronchial asthma, oral ACEI drugs

Lobectomy:56;

Wedge resection:154

72/138

34.3

-

VATS

0-III

(3) (5) (6) (10)

6

Ma et al [17]

2019

China

88/84

55.7 ± 11.88

-

Lobectomy:61

Segmentectomy:36

wedge resection:75

55/117

32.0

-

VATS

-

(4) (6) (11) (2)

6

Mu et al [4]

2017

China

319/331

59.7 ± 10.9

(1) No obvious cough history before surgery; (2) The patient developed cough within 30 days after surgery and lasted for more than two weeks; (3) Exclude tumor recurrence; (4) Exclude the cough caused by medical factors

Lobectomy:447

Sublobectomy:203

175/475

26.9

-

VATS

-

(2) (5) (6) (8) (12)

7

Yin et al [21]

2021

China

60/36

-

Postoperative cough lasting no less than eight weeks, persistent cough of unknown cause with dry cough as the main manifestation and no obvious abnormality on chest X-ray requiring medical intervention

Lobectomy:51

Sublobectomy:45

48/48

-

NSCLC

VATS

I-III

(5) (13) (15)

6

Zhang et al [22]

2022

China

71/49

-

Postoperative cough lasting no less than eight weeks, persistent cough of unknown cause with dry cough as the main manifestation and no obvious abnormalities on chest X-ray requiring medical intervention

Lobectomy:91

Segmentectomy:21

Wedge resection:8

67/53

55.8

NSCLC

VATS

I-IV

(1) (12) (13) (15)

7

Qian et al [18]

2021

China

123/135

-

(1) no obvious cough history before surgery; (2) postoperative cough occurred within 30 days after surgery and lasted no less than two weeks; (3) exclude tumor recurrence; (4) cough caused by postoperative infection and other medical factors was excluded

Lobectomy:45

Segmentectomy:29

Wedge resection:27

101/157

39.1

NSCLC

VATS

-

(3) (12)

7

Gao et al [14]

2022

China

71/57

63.2 ± 8.1

-

Segmentectomy

46/82

35.9

NSCLC

VATS

-

(1) (6) (12) (16) (17)

6

Wu et al [19]

2020

China

63/65

60.82 ± 9.89

Postoperative cough lasting no less than 8 weeks, persistent cough of unknown cause with dry cough as the main manifestation and no obvious abnormalities on chest X-ray requiring medical intervention

Lobectomy:88

Segmentectomy:18

Wedge resection:26

61/67

47.7

NSCLC

VATS/RATS

I-III

(5) (8) (13) (15)

6

Xin et al [20]

2021

China

279/291

57.7 ± 8.95

(1) No obvious cough history before surgery; (2) Exclude cough caused by internal diseases and oral drugs; (3) To exclude tumor recurrence in trachea or other sites; (4) Postoperative cough lasted for more than 2 weeks; (5) Postoperative imaging examination showed no abnormalities

Lobectomy

163/407

28.6

-

VATS

I-IV

(1) (2) (4) (6) (7) (8) (16)

7

Gu et al [8]

2022

China

79/62

-

Dry cough lasting no less than two weeks following pneumonectomy with no obvious abnormality present in a chest x-ray

Lobectomy:77

Sublobectomy:64

31/110

22.0

NSCLC

VATS

I

(1) (2) (4)

7

Lin et al [9]

2018

China

99/99

58.33 ± 9.69

-

Lobectomy:66

Sublobectomy:132

91/107

46.0

NSCLC

VATS

I-III

(1) (2) (3) (5) (7)

6

Lu et al [10]

2022

China

66/46

61.2 ± 9.8

(1) New-onset dry cough after lung resection, (2) Clear etiology with postnasal drip syndrome (PNDS) being excluded, (3) Cough lasting more than three weeks after surgery, (4) Normal blood tests and chest radiographs

Lobectomy

41/71

36.6

NSCLC

VATS/OPEN

-

(6)

7

Mu et al [3]

2022

China

445/456

58 (50–66)

(1) Cough occurring within two weeks after pulmonary resection; (2) Cough duration of no less than two weeks; and (3) Cough not caused by tumor recurrence or medical disease

Sublobectomy:435

Lobectomy or greater:466

190/711

21.1

-

VATS

-

(3) (6) (8) (18)

7

Pan et al [2]

2020

China

58/77

-

Dry cough that lasts no less than two weeks after pulmonary resection, except for nasal drip syndrome, bronchial asthma, or oral ACEI drugs, the chest X-ray revealed no apparent abnormalities

Lobectomy:55

Segmentectomy:12

Wedge resection:68

33/102

24.4

-

VATS

I-III

(1) (5) (7) (9)

7

Sawabata et al [11]

2005

Japan

38/32

64.7 ± 10.6

Nonproductive coughing that occurred more than two weeks after the operation with stable chest roentgenogram results, with no evidence of PNDS, asthma, or ACEI administration

Excision or segmentectomy:15

Lobectomy or greater:55

35/35

50.0

-

VATS/OPEN

-

(9) (18)

7

Wu et al [7]

2022

China

365/152

-

-

Lobectomy:293

Segmentectomy:143

wedge resection:81

207/310

40.0

-

VATS

-

(10) (14)

7

Xie et al [12]

2019

China

97/74

65(43–75)

A cough that lasts for more than eight weeks, primarily manifests as cough symptoms, has no abnormalities on X-ray, is not affected by conventional treatment, and has an unknown etiology

Lobectomy

68/103

39.8

NSCLC

VATS/OPEN

I-III

(2) (3) (6) (8) (17)

7

  1. (1) anesthesia time; (2) right lobe operation; (3) gender; (4) upper lobe surgery; (5) lobectomy; (6) smoking history; (7) subcarinal lymph node dissection; (8) age; (9) postoperative acid reflux; (10) operation time; (11) closure of bronchial stump with stapler; (12) peritracheal lymph node resection; (13) tracheal intubation time; (14) drainage time; (15) preoperative cough; (16) BMI, body mass index; (17) COPD history; (18) mediastinal lymph node removal, CAP cough after pulmonary resection, NSCLC non-small cell lung cancer, VATS Video-assisted thoracoscopic surgery, NOS the Newcastle–Ottawa Quality Scale;—not reported, CCS case–control study, RATS robot-assisted thoracic surgery, ACEI angiotensin-converting enzyme inhibitors