Table 1 Cut-off values for lung function and exercise tests
Cut-off valueRecommendation
Lung function and VO2,max
 FEV1 and DL,CO >80% predResection up to pneumonectomy
VO2,max >75% pred or >20 mL per kg per minResection up to pneumonectomy
VO2,max <35% pred or <10 mL per min per kgHigh risk of complications
A pneumonectomy or a lobectomy are usually not recommended
VO2,max 35–75% predCalculate ppo values
ppo values
 ppoFEV1 and ppoDL,CO >30% pred and VO2,max >35% predResection up to pneumonectomy
 ppoFEV1 or ppo VO2,max <30% predCalculate ppoVO2,max
 ppoVO2,max >35% pred or >10 mL per kg per minResection up to pneumonectomy
 ppoVO2,max <35% pred or <10 mL per kg per minHigh risk of complications
A pneumonectomy or a lobectomy are usually not recommended
  • Modified from the European Respiratory Society/European Society of Thoracic Surgeons guidelines [4]. VO2,max: maximal oxygen uptake; FEV1: forced expiratory volume in 1 s; DL,CO: diffusing capacity of the lung for carbon dioxide; % pred: % predicted value; ppo: predicted post-operative value.