Section of Oncology, Department of Medicine, University of Verona School of Medicine and Verona University Hospital Trust, Verona, Italy.
Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Expert Rev Anticancer Ther. 2022 Jul;22(7):725-735. doi: 10.1080/14737140.2022.2082410. Epub 2022 May 30.
Due to important achievements in terms of diagnostic and therapeutic tools and the complexity of the disease itself, lung cancer management needs a multidisciplinary approach. To date, the multidisciplinary team involves different healthcare providers mainly dedicated to lung cancer diagnosis and treatments. Nevertheless, the underlying disease and related treatments significantly impact on patient function and psychological well-being. In this sense, supportive care may offer the best approach to relieve and manage patient symptoms and treatment-related adverse events.
Evidence reports that exercise, nutrition, smoking cessation, and psychological well-being bring many benefits in patients with lung cancer, from both a physical and socio-psychological points of view, and potentially improving their survival. Nevertheless, supportive care is rarely offered to patients, and even less frequently these needs are discussed within the multidisciplinary meeting.
Integrating supportive care as part of the multidisciplinary approach for lung cancer involves a series of challenges, the first one represented by the daily necessity of specialists, such as kinesiologists, dietitians, psycho-oncologists, able to deliver a personalized approach. In the era of precision medicine, this is an essential step forward to guarantee comprehensive and patient-centered care for all patients with lung cancer.
由于在诊断和治疗工具方面取得了重要成就，以及疾病本身的复杂性，肺癌的管理需要多学科的方法。迄今为止，多学科团队涉及不同的医疗保健提供者，主要致力于肺癌的诊断和治疗。然而，潜在的疾病和相关治疗会对患者的功能和心理健康产生重大影响。在这种情况下，支持性护理可能是缓解和管理患者症状和治疗相关不良事件的最佳方法。
有证据表明，运动、营养、戒烟和心理健康从身体和社会心理的角度为肺癌患者带来了许多益处，并有可能提高他们的生存率。然而，支持性护理很少提供给患者，甚至在多学科会议上讨论这些需求的情况也很少见。
将支持性护理作为肺癌多学科方法的一部分，涉及一系列挑战，第一个挑战是需要专业人员，如运动生理学家、营养师、心理肿瘤学家，他们能够提供个性化的方法。在精准医学时代，这是向前迈出的重要一步，以保证所有肺癌患者都能得到全面和以患者为中心的护理。
