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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy)
European Respiratory Journal, Volume 34, No. 1, Year 2009
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Description
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 finalised 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. Copyright©ERS Journals Ltd 2009.
Authors & Co-Authors
Brunelli, Alessandro
Italy, Ancona
Ospedale Umberto i, Ancona
Charloux, Anne
France, Strasbourg
Les Hôpitaux Universitaires de Strasbourg
Bolliger, Christoph Thomas
South Africa, Cape Town
Stellenbosch University, Faculty of Medicine and Health Sciences
Rocco, Gaetano
Italy, Naples
Istituto Nazionale Tumori Irccs - Fondazione g Pascale, Napoli
Sculier, Jean Paul
Belgium, Brussels
Institut Jules Bordet
Varela, Gonzalo
Spain, Salamanca
Hospital Clínico Universitario de Salamanca
Licker, Marc Joseph
Switzerland, Geneva
Hôpitaux Universitaires de Genève
Ferguson, Mark K.
United States, Chicago
The University of Chicago
Faivre-Finn, Corinne
United Kingdom, Manchester
The Christie Nhs Foundation Trust
Huber, Rudolf Maria
Germany, Munich
Klinikum Der Universität München
Clini, Enrico
Italy, Modena
Università Degli Studi Di Modena e Reggio Emilia
Win, Thida
United Kingdom, London
The Lister Hospital
de Ruysscher, Dirk Karel Maria
Netherlands, Maastricht
Maastricht Universitair Medisch Centrum+
Goldman, Lee S.
United States, New York
Columbia University
Statistics
Citations: 756
Authors: 14
Affiliations: 14
Identifiers
Doi:
10.1183/09031936.00184308
ISSN:
09031936
e-ISSN:
13993003
Research Areas
Cancer
Environmental
Health System And Policy
Study Approach
Systematic review