title: Follow-up and surveillance of the lung cancer patient following curative intent therapy: ACCP evidence-based clinical practice guideline (2nd edition).
abstract: BACKGROUND
  To develop an evidence-based approach to follow-up of patients after curative intent therapy for lung cancer.
  
  
  METHODS
  Guidelines on lung cancer diagnosis and management published between 2002 and December 2005 were identified by a systematic review of the literature, and supplemental material appropriate to this topic was obtained by literature search of a computerized database (Medline) and review of the reference lists of relevant articles.
  
  
  RESULTS
  Adequate follow-up by the specialist responsible for the curative intent therapy should be ensured to manage complications related to the curative intent therapy and should last at least 3 to 6 months. In addition, a surveillance program should be considered to detect recurrences of the primary lung cancer and/or development of a new primary lung cancer early enough to allow potentially curative retreatment. A standard surveillance program for these patients, coordinated by a multidisciplinary tumor board and overseen by the physician who diagnosed and initiated therapy for the original lung cancer, is recommended based on periodic visits with chest imaging studies and counseling patients on symptom recognition. Smoking cessation and, if indicated, facilitation in participation in special programs is recommended for all patients following curative intent therapy for lung cancer.
  
  
  CONCLUSIONS
  The current evidence favors follow-up of complications related to curative intent therapy, and a surveillance program at regular intervals with imaging and review of symptoms. Smoking cessation after curative intent therapy to prevent recurrence of lung cancer is strongly supported by the available evidence.
authors.affiliation: Pulmonary 111N, One Veterans Dr, Minneapolis, MN 55417, USA. rubin004@umn.edu
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Rubins
authors.forename: Michael
authors.initials: M
authors.lastname: Unger
authors.forename: Gene L
authors.initials: GL
authors.lastname: Colice
mesh_terms: D019317:Evidence-Based Medicine; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000628:therapy; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy; D016609:Neoplasms, Second Primary / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy; D016540:Smoking Cessation