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 surgicalrisk: alternatives to surgery; who should treat thoracic patients and where these patients should be treated?
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|Anno di pubblicazione:||2009|
|Titolo:||The European Respiratory Society and European Society of Thoracic Surgeon guidelines for evaluating fitness for radical treatment (surgery and chemoradiotherapy) in patients with lung cancer.|
|Autori:||Brunelli A;Charloux A; Bolliger CT; Rocco G; Sculier JP; Varela G; Licker MJ; Ferguson MK; Faivre-Finn C; Huber RM; Clini E; Win T; De Ruysscher D; Goldman L.|
|Appare nelle tipologie:||Articolo su rivista|
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