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dc.contributor.authorBrunelli, A
dc.contributor.authorCharloux, Anne
dc.contributor.authorBolliger, C T
dc.contributor.authorRocco, G
dc.contributor.authorSculier, J-P
dc.contributor.authorVarela, G
dc.contributor.authorLicker, M
dc.contributor.authorFerguson, M K
dc.contributor.authorFaivre-Finn, Corinne
dc.contributor.authorHuber, R M
dc.contributor.authorClini, E M
dc.contributor.authorWin, T
dc.contributor.authorDe Ruysscher, Dirk
dc.contributor.authorGoldman, Lee
dc.date.accessioned2009-11-05T10:33:29Z
dc.date.available2009-11-05T10:33:29Z
dc.date.issued2009-07
dc.identifier.citationERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy). 2009, 34 (1):17-41 Eur. Respir. J.en
dc.identifier.issn1399-3003
dc.identifier.pmid19567600
dc.identifier.doi10.1183/09031936.00184308
dc.identifier.urihttp://hdl.handle.net/10541/85394
dc.description.abstractA 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.
dc.language.isoenen
dc.subjectLung Canceren
dc.subject.meshAlgorithms
dc.subject.meshCarbon Monoxide
dc.subject.meshCombined Modality Therapy
dc.subject.meshDiffusion
dc.subject.meshEurope
dc.subject.meshExercise Test
dc.subject.meshHumans
dc.subject.meshLung
dc.subject.meshLung Neoplasms
dc.subject.meshPractice Guidelines as Topic
dc.subject.meshPulmonary Medicine
dc.subject.meshRisk
dc.subject.meshSocieties
dc.subject.meshThoracic Surgical Procedures
dc.subject.meshTreatment Outcome
dc.titleERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy).en
dc.typeArticleen
dc.contributor.departmentDivision of Thoracic Surgery, Umberto I Regional Hospital, Ancona, Italy. alexit_2000@yahoo.comen
dc.identifier.journalThe European Respiratory Journalen
html.description.abstractA 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.


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