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Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach

Articolo
Data di Pubblicazione:
2019
Abstract:
Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for >10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC.
Tipologia CRIS:
03A-Articolo su Rivista
Elenco autori:
Bruni A.; Giaj-Levra N.; Ciammella P.; Maragna V.; Ferrari K.; Bonti V.; Grossi F.; Greco S.; Greco C.; Borghetti P.; Franceschini D.; Capelletto E.; Perna M.; Banna G.; Vagge S.; Baldini E.; Bria E.; Botti A.; Tiseo M.; Paci M.; Taraborrelli M.; Poletti V.; Granone P.; Ricardi U.; Novello S.; Scotti V.
Autori di Ateneo:
NOVELLO Silvia
RICARDI Umberto
Link alla scheda completa:
https://iris.unito.it/handle/2318/1730673
Link al Full Text:
https://iris.unito.it/retrieve/handle/2318/1730673/586760/Management%20of%20locally%20advanced%20...%202019.pdf
Pubblicato in:
PLOS ONE
Journal
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URL

https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0224027&type=printable
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