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The European Respiratory Society and European Society of Thoracic Surgeons clinical guidelines for evaluating fitness for radical treatment (surgery and chemoradiotherapy) in patients with lung cancer

Brunelli, Alessandro ; Charloux, Anne ; Bolliger, Chris T. ; Rocco, Gaetano ; Sculier, Jean-Paul ; Varela, Gonzalo ; Licker, Marc ; Ferguson, Mark K. ; Faivre-Finn, Corinne ; Huber, Rudolf Maria ; Clini, Enrico M. ; Win, Thida ; De Ruysscher, Dirk ; Goldman, Lee

In: European Journal of Cardio-Thoracic Surgery, 2009, vol. 36, no. 1, p. 181-184

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    Title
    • The European Respiratory Society and European Society of Thoracic Surgeons clinical guidelines for evaluating fitness for radical treatment (surgery and chemoradiotherapy) in patients with lung cancer
    Author
    • Brunelli, Alessandro. Division of Thoracic Surgery, Umberto I Regional Hospital, Ancona, Italy
    • Charloux, Anne. Service de Physiologie et d'Explorations Fonctionnelles Hopitaux Universitaires de Strasbourg, France
    • Bolliger, Chris T.. Division of Pulmonology, Department of Medicine, Faculty of Health Sciences, University of Stellenbosch, Cape Town, South Africa
    • Rocco, Gaetano. Division of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Naples, Italy
    • Sculier, Jean-Paul. Department of Intensive Care Unit and Thoracic Oncology, Institut Jules Bordet, Centre des Tumeurs de l'Université Libre de Bruxelles (ULB), Brussels, Belgium
    • Varela, Gonzalo. Division of Thoracic Surgery, Salamanca University Hospital, Spain
    • Licker, Marc. Department of Anesthesiology, Pharmacology and Intensive Care, Faculty of Medicine, University Hospital of Geneva, Switzerland
    • Ferguson, Mark K.. Department of Surgery, The University of Chicago, USA
    • Faivre-Finn, Corinne. Department of Clinical Oncology, The Christie NHS Foundation Trust, Manchester, UK
    • Huber, Rudolf Maria. Division of Respiratory Medicine, Medizinische Klinik-Innenstadt, Ludwig-Maximilians-University, Munich, Germany
    • Clini, Enrico M.. Institute of Respiratory Diseases, University of Modena-Reggio Emilia, Pavullo, Italy
    • Win, Thida. Respiratory Medicine, Lister Hospital, Stevenage, UK
    • De Ruysscher, Dirk. Department of Radiation Oncology (Maastro clinic), Maastricht University Medical Center, GROW, Maastricht, The Netherlands
    • Goldman, Lee. Division of General Internal Medicine, Columbia University, New York, USA
    Document Type
    • Postprint
    Language
    • English
    Published in
    • European Journal of Cardio-Thoracic Surgery, 2009, vol. 36, no. 1, p. 181-184. Elsevier Science B.V.
    Other Version
    OAI-PMH Identifier
    • oai:doc.rero.ch:299212
    Summary
    The European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS) established a joint task force with the purpose to develop clinical evidence-based guidelines on evaluation of fitness for radical therapy in patients with lung cancer. The following topics were discussed, and are summarized in the final report along with graded recommendations: Cardiologic evaluation before lung resection; lung function tests and exercise tests (limitations of ppoFEV1; DLCO: systematic or selective?; split function studies; exercise tests: systematic; low-tech exercise tests; cardiopulmonary (high tech) exercise tests); future trends in preoperative work-up; physiotherapy/rehabilitation and smoking cessation; scoring systems; advanced care management (ICU/HDU); quality of life in patients submitted to radical treatment; combined cancer surgery and lung volume reduction surgery; compromised parenchymal sparing resections and minimally invasive techniques: the balance between oncological radicality and functional reserve; neoadjuvant chemotherapy and complications; definitive chemo and radiotherapy: functional selection criteria and definition of risk; should surgical criteria be re-calibrated for radiotherapy?; the patient at prohibitive surgical risk: alternatives to surgery; who should treat thoracic patients and where these patients should be treated?