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.
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?
authors.affiliation: Division of Thoracic Surgery, Umberto I Regional Hospital, Ancona, Italy. alexit_2000@yahoo.com
authors.forename: Alessandro
authors.initials: A
authors.lastname: Brunelli
authors.forename: Anne
authors.initials: A
authors.lastname: Charloux
authors.forename: Chris T
authors.initials: CT
authors.lastname: Bolliger
authors.forename: Gaetano
authors.initials: G
authors.lastname: Rocco
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Sculier
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Varela
authors.forename: Marc
authors.initials: M
authors.lastname: Licker
authors.forename: Mark K
authors.initials: MK
authors.lastname: Ferguson
authors.forename: Corinne
authors.initials: C
authors.lastname: Faivre-Finn
authors.forename: Rudolf Maria
authors.initials: RM
authors.lastname: Huber
authors.forename: Enrico M
authors.initials: EM
authors.lastname: Clini
authors.forename: Thida
authors.initials: T
authors.lastname: Win
authors.forename: Dirk
authors.initials: D
authors.lastname: De Ruysscher
authors.forename: Lee
authors.initials: L
authors.lastname: Goldman
mesh_terms: D006801:Humans; D000465:Algorithms; D003131:Combined Modality Therapy; D019317:Evidence-Based Medicine; D005080:Exercise Test; D006305:Health Status Indicators; D008175:Lung Neoplasms / Q000503:physiopathology / Q000601:surgery / Q000628:therapy; D012129:Respiratory Function Tests; D018570:Risk Assessment / Q000379:methods