ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy).
Authors
Brunelli, ACharloux, 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
Affiliation
Division of Thoracic Surgery, Umberto I Regional Hospital, Ancona, Italy. alexit_2000@yahoo.comIssue Date
2009-07
Metadata
Show full item recordAbstract
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 JournalDOI
10.1183/09031936.00184308PubMed ID
19567600Type
ArticleLanguage
enISSN
1399-3003ae974a485f413a2113503eed53cd6c53
10.1183/09031936.00184308
Scopus Count
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