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    ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy).

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    Authors
    Brunelli, A
    Charloux, Anne
    Bolliger, C T
    Rocco, G
    Sculier, J-P
    Varela, G
    Licker, M
    Ferguson, M K
    Faivre-Finn, Corinne
    Huber, R M
    Clini, E M
    Win, T
    De Ruysscher, Dirk
    Goldman, Lee
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    Affiliation
    Division of Thoracic Surgery, Umberto I Regional Hospital, Ancona, Italy. alexit_2000@yahoo.com
    Issue Date
    2009-07
    
    Metadata
    Show full item record
    Abstract
    A collaboration of multidisciplinary experts on the functional evaluation of lung cancer patients has been facilitated by the European Respiratory Society (ERS) and the European Society of Thoracic Surgery (ESTS), in order to draw up recommendations and provide clinicians with clear, up-to-date guidelines on fitness for surgery and chemo-radiotherapy. The subject was divided into different topics, which were then assigned to at least two experts. The authors searched the literature according to their own strategies, with no central literature review being performed. The draft reports written by the experts on each topic were reviewed, discussed and voted on by the entire expert panel. The evidence supporting each recommendation was summarised, and graded as described by the Scottish Intercollegiate Guidelines Network Grading Review Group. Clinical practice guidelines were generated and finalized in a functional algorithm for risk stratification of the lung resection candidates, emphasising cardiological evaluation, forced expiratory volume in 1 s, systematic carbon monoxide lung diffusion capacity and exercise testing. Contrary to lung resection, for which the scientific evidences are more robust, we were unable to recommend any specific test, cut-off value, or algorithm before chemo-radiotherapy due to the lack of data. We recommend that lung cancer patients should be managed in specialised settings by multidisciplinary teams.
    Citation
    ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy). 2009, 34 (1):17-41 Eur. Respir. J.
    Journal
    The European Respiratory Journal
    URI
    http://hdl.handle.net/10541/85394
    DOI
    10.1183/09031936.00184308
    PubMed ID
    19567600
    Type
    Article
    Language
    en
    ISSN
    1399-3003
    ae974a485f413a2113503eed53cd6c53
    10.1183/09031936.00184308
    Scopus Count
    Collections
    All Christie Publications
    Clinical Oncology

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