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

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

Research output: Contribution to journalArticle

Abstract

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?

Original languageEnglish
Pages (from-to)181-184
Number of pages4
JournalEuropean Journal of Cardio-thoracic Surgery
Volume36
Issue number1
DOIs
Publication statusPublished - Jul 2009

Keywords

  • Functional evaluation
  • Lung cancer
  • Preoperative evaluation
  • Pulmonary resection
  • Radical treatment

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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  • Cite this

    Brunelli, A., Charloux, A., Bolliger, C. T., Rocco, G., Sculier, J. P., Varela, G., Licker, M., Ferguson, M. K., Faivre-Finn, C., Huber, R. M., Clini, E. M., Win, T., De Ruysscher, D., & Goldman, L. (2009). 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. European Journal of Cardio-thoracic Surgery, 36(1), 181-184. https://doi.org/10.1016/j.ejcts.2009.04.022