Hoag Cancer Center and Hoag Memorial Hospital, Newport Beach, California 92663, USA.
Clin Lung Cancer. 2009 Jul;10(4):239-43. doi: 10.3816/CLC.2009.n.032.
Lung cancer remains the number one cause of cancer-based mortality in men and women. The importance of proper lung cancer care outside of major academic centers cannot be overemphasized because the vast majority of lung cancer care occurs in community hospital settings. We have had the opportunity to develop a highly successful community hospital-based lung cancer program. Utilizing a multidisciplinary approach, we have achieved steadily improving survival rates that are much higher than those observed nationally for patients diagnosed with lung cancer. Key components of this successful program include: (1) a weekly multidisciplinary lung cancer case conference with medical doctor representatives from medical oncology, thoracic surgery, pulmonary medicine, radiology, radiation oncology, and nuclear medicine who discuss patient presentation, test results, treatment history, and plans for therapy; (2) thoracic surgeons skilled in minimally invasive video-assisted thoracoscopic surgery; (3) nurse navigator/coordinators to help patients through the process from detection to recovery and provide a personal bond that greatly improves patient satisfaction; (4) utilization of treatment guidelines for patient-specific treatment strategies; (5) formal continuing medical education; (6) an emphasis on early detection that includes consideration of computed tomography screening of former smokers; (6) a cancer center that allows for many services to be offered at a single location for patient convenience and to promote interdisciplinary care; and (7) access to research protocols. These components have helped us provide a quality lung cancer program in a community hospital setting that is associated with excellent clinical outcomes.
肺癌仍然是男性和女性癌症相关死亡的首要原因。在大型学术中心之外提供适当的肺癌护理的重要性怎么强调都不为过，因为绝大多数肺癌护理发生在社区医院环境中。我们有机会开发了一个非常成功的社区医院肺癌项目。通过多学科方法，我们实现了生存率的稳步提高，远远高于全国范围内诊断为肺癌的患者的生存率。这个成功项目的关键组成部分包括：（1）每周一次的多学科肺癌病例会议，有来自肿瘤内科、胸外科、呼吸内科、放射科、放射肿瘤科和核医学科的医生代表参加，讨论患者的表现、检查结果、治疗史和治疗计划；（2）擅长微创电视辅助胸腔镜手术的胸外科医生；（3）护士导航员/协调员帮助患者完成从检测到康复的过程，并提供个人联系，大大提高患者满意度；（4）根据患者的具体治疗策略，使用治疗指南；（5）正式的继续医学教育；（6）强调早期检测，包括考虑对前吸烟者进行计算机断层扫描筛查；（6）癌症中心，可在一个地点提供许多服务，为患者提供便利，并促进跨学科护理；（7）获得研究方案。这些组成部分帮助我们在社区医院环境中提供了高质量的肺癌项目，与卓越的临床结果相关。
