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美国胸科学会/欧洲呼吸学会官方声明:肺科医生在肺癌诊断和管理中的作用。

An official American Thoracic Society/European Respiratory Society statement: the role of the pulmonologist in the diagnosis and management of lung cancer.

出版信息

Am J Respir Crit Care Med. 2013 Aug 15;188(4):503-7. doi: 10.1164/rccm.201307-1269ST.

Abstract

BACKGROUND

Lung cancer is a common problem seen by pulmonologists. The American Thoracic Society (ATS) and European Respiratory Society (ERS) are professional organizations whose memberships are composed of large numbers of pulmonologists.

PURPOSE

This document describes the key role of pulmonologists in the prevention, early diagnosis, and management of lung cancer.

METHODS

A committee of ATS and ERS leaders and their oncology groups discussed the activities of pulmonologists in relation to lung cancer in various settings and reviewed available literature on the topic. The content of this statement was approved by the board of directors of both the ATS and ERS.

RESULTS

Optimal lung cancer care requires a multidisciplinary team of specialists who care for a significant number of patients on a regular basis. Pulmonologists are responsible for and involved with patients from their initial diagnosis and staging through treatment and restaging. They are often involved with complications, palliative care, and end-of-life care, and thus have an important role in team leadership.

CONCLUSIONS

Lung cancer is a disease with high mortality, profound effects on the quality of the lives of patients and their families, and an enormous cost and impact on society. To treat lung cancer optimally, care must be prompt, multidisciplinary, and patient-centered. In the entire process, pulmonologists have a key role. Pulmonologists and their professional societies should also enhance lung cancer research and education to provide better treatment options and patient care.

摘要

背景

肺癌是肺病学家常见的问题。美国胸科学会(ATS)和欧洲呼吸学会(ERS)是由大量肺病学家组成的专业组织。

目的

本文描述了肺病学家在肺癌的预防、早期诊断和管理中的关键作用。

方法

ATS 和 ERS 的领导及其肿瘤学小组的一个委员会讨论了肺病学家在各种环境下与肺癌相关的活动,并回顾了该主题的相关文献。本声明的内容得到了 ATS 和 ERS 董事会的批准。

结果

最佳的肺癌护理需要一个多学科的专家团队,这些专家定期照顾大量的患者。肺病学家负责并参与从初始诊断和分期到治疗和重新分期的患者。他们经常处理并发症、姑息治疗和临终关怀,因此在团队领导中发挥着重要作用。

结论

肺癌是一种死亡率高的疾病,对患者及其家属的生活质量有深远影响,对社会造成巨大的成本和影响。为了优化肺癌的治疗,护理必须及时、多学科、以患者为中心。在整个过程中,肺病学家都起着关键作用。肺病学家及其专业学会还应加强肺癌的研究和教育,为患者提供更好的治疗选择和护理。

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