WCLC 2025 - Posters & ePosters-P1.07.01 Wearable-Based Evaluation of Tubeless Thoracic Surgery for Early-Stage Lung Cancer

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This prospective cohort study evaluated perioperative outcomes of tubeless versus intubated thoracic surgery in early-stage lung cancer patients through multimodal monitoring integrating wearable devices and electronic patient-reported outcomes (ePROs). A total of 337 patients were initially enrolled, with 263 remaining after applying exclusion criteria and asked to wear devices and complete ePRO questionnaires. Using propensity score matching (PSM) to balance baseline characteristics, 80 patients were included in each surgical group for comparative analysis.<br /><br />Key findings demonstrated that the tubeless group experienced significantly better perioperative outcomes, including shorter hospital length of stay (2.78 vs. 3.91 days), reduced chest tube duration (0.93 vs. 2.26 days), and lower drainage volume (128.9 vs. 313.9 mL) compared to the intubated group (all p < 0.001). Wearable device data revealed lower postoperative body temperature and heart rate on day two, alongside higher oxygen saturation on days one and two in the tubeless cohort. Sleep quality scores were also superior in the tubeless group before and on surgery day. Additionally, ePROs indicated reduced pain, coughing, dyspnea, and distress among tubeless surgery patients.<br /><br />This study pioneers the integration of real-world wearable vital sign monitoring with patient-reported outcomes to objectively validate the benefits of tubeless thoracic surgery, highlighting improved physiological stability and quality of life perioperatively. The demonstrated feasibility of combining multimodal digital data supports its potential to guide thoracic surgical decision-making and enhance postoperative patient management. The findings advocate for broader adoption and further research into tubeless techniques, supported by continuous objective monitoring.<br /><br />The study was ethically approved and registered (ES-2024-073-02; NCT06118229) and underscores the value of wearable technology alongside ePROs in advancing thoracic surgery care for early lung cancer.

Asset Subtitle

Runchen Wang

Meta Tag

Speaker Runchen Wang

Topic Early-Stage Non-small Cell Lung Cancer

Keywords

tubeless thoracic surgery

intubated thoracic surgery

early-stage lung cancer

perioperative outcomes

wearable devices

electronic patient-reported outcomes

propensity score matching

hospital length of stay

postoperative physiological monitoring

quality of life