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International expert consensus on diagnosis and treatment of lung cancer complicated by chronic obstructive pulmonary disease

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机构: [1]The First Affiliated Hospital of Guangzhou Medical University, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, China. [2]Department of Respiratory and Critical Care Medicine, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [3]Department of Respiratory Medicine, Xiangya Cancer Center, Xiangya Hospital, Central South University, Changsha, China. [4]Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China. [5]Department of Respiratory Medicine, Xinqiao Hospital Army Medical University, Chongqing, China. [6]Department of Respiratory and Critical Care Medicine, Peking University Third Hospital, Beijing, China. [7]Department of Respiratory and Critical Care Medicine, the Second Xiangya Hospital, Central South University, Changsha, China. [8]Department of Respiratory and Critical Care Medicine, Peking University First Hospital, Beijing, China. [9]Department of Respiratory Medicine, Shanghai Chest Hospital, Jiaotong University, Shanghai, China. [10]Department of Oncology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China. [11]Department of Pulmonary and Critical Care Medicine, Shanghai Changhai Hospital, Second Military Medical University, Shanghai, China. [12]Department of Medical Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. [13]Division of Respiratory Diseases, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China. [14]Department of Respiratory, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. [15]Department of Respiratory Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China. [16]Department of Pulmonary and Critical Care Medicine, Daping Hospital, Army Medical University, Chongqing, China. [17]Department of Respiratory Medicine, Zhongshan Hospital, Fudan University, Shanghai, China. [18]Department of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [19]Department of Respiratory and Critical Care Medicine, NHC Key Laboratory of Pulmonary Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [20]Department of Respiratory Medicine, The Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou, China. [21]Department of Respiratory Medicine, Shanghai Dongfang Hospital, Shanghai, China. [22]Key Laboratory of Respiratory Disease of Zhejiang Province, Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. [23]Department of Internal Medicine, Cancer Hospital of the University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, China. [24]Department of Thoracic Oncology, Fujian Cancer Hospital and Fujian Medical University Cancer Hospital, Fuzhou, China. [25]Department of Respiratory and Critical Care Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [26]Department of Gerontal Respiratory Medicine, The First Hospital of Lanzhou University, Lanzhou, China. [27]Department of Oncology, General Hospital of Chinese PLA, Beijing, China. [28]Department of Respiratory Medicine, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China. [29]Department of Respiratory Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China. [30]Department of Respiratory and Critical Care Medicine, Tianjin Chest Hospital, Tianjin, China. [31]Department of Medical Oncology, Shanghai Pulmonary Hospital, Thoracic Cancer Institute, Tongji University School of Medicine, Shanghai, China. [32]Department of Respiratory and Critical Care Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. [33]Department of Respiratory Medicine, The Second Affiliated Hospital of Suzhou University, Suzhou, China. [34]Department of Medical Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. [35]Department of Respiratory and Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, China. [36]Department of Respiratory and Critical Care Medicine, Inner Mongolia Autonomous Region People's Hospital, Hohhot, China. [37]Department of Respiratory Medicine, Qingdao Municipal Hospital, Qingdao, China. [38]Department of Medical Oncology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China. [39]Department of Respiratory Medicine, The Second Hospital of Jilin University, Changchun, China. [40]Department of Respiratory and Critical Care Medicine, Peking Union Medical College Hospital, Beijing, China. [41]Department of Respiratory Medicine, The Second Affiliated Hospital of Dalian Medical University, Dalian, China. [42]Department of Pulmonary and Critical Care Medicine, the First Hospital of China Medical University, Shenyang, China. [43]Department of Respiratory Disease, China-Japan Friendship Hospital, Beijing, China. [44]Department of Respiratory Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. [45]Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. [46]Thoracic Medicine Department II, Hunan Cancer Hospital, Changsha, China. [47]Department of Respiratory Medicine, Shenzhen People's Hospital, Shenzhen, China. [48]Department of Respiratory Medicine, Fujian Provincial Hospital, Fuzhou, China. [49]Department of Pulmonary and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [50]Department of Respiratory and Critical Care Medicine, First Hospital of Qinhuangdao, Qinhuangdao, China. [51]Department of Respiratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China. [52]Department of Respiratory Medicine, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. [53]Department of Pulmonary and Critical Care Medicine, The 900th Hospital of Joint Logistic Support Force, PLA, Fuzhou, China. [54]Department of Pulmonary and Critical Care Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China. [55]Second Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China. [56]Department of Respiratory and Critical Care Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, China. [57]Department of Medical Oncology, Xiangya Hospital, Central South University, Changsha, China. [58]Department of Medical Oncology, Tianjin Medical University General Hospital, Tianjin, China. [59]Guangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China. [60]Department of Respiratory Medicine, The First Affiliated Hospital of Army Medical University, Chongqing, China. [61]Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China. [62]Chongqing Key Laboratory of Immunotherapy, Xinqiao Hospital, Third Military Medical University, Chongqing, China. [63]Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. [64]Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China. [65]Department of Pulmonary Medicine, Xiangya Hospital, Central South University, Changsha, China. [66]Department of Respiratory and Critical Care Medicine, Clinical Research Center for Respiratory Disease, West China Hospital, Sichuan University, Chengdu, China. [67]Department of Respiratory and Critical Care Medicine, Jinling Hospital, Nanjing, China. [68]Department of Respiratory Diseases, The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou, China. [69]Department of Pulmonology, Shanghai Chest Hospital, Shanghai, China. [70]Department of Pulmonology, Semmelweis University, Budapest, Hungary. [71]Pulmonology Department-Lung Cancer and Muscle Research Group, IMIM-Hospital del Mar, Parc de Salut Mar, Department of Medicine and Life Sciences (MELIS), Pompeu Fabra University (UPF), CIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III (ISCIII) Barcelona, Spain. [72]Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. [73]Division of Thoracic Surgery, IRCCS European Institute of Oncology, Milan, Italy. [74]Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy. [75]Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan. [76]Lung Cancer and Respiratory Disease Center, Yamanashi Central Hospital, Yamanashi, Japan. [77]Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Gunma, Japan. [78]IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy. [79]Department of Cardio-Thoracic Surgery and Hearth & Lung Transplantation, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy. [80]Department of Respiratory Medicine and Infectious Diseases, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan. [81]Thoracic Surgery Unit, University della Campania Luigi Vanvitelli, Naples, Italy. [82]Division of Thoracic Surgery, Department of Surgery, the Jikei University School of Medicine, Tokyo, Japan. [83]Department of General Thoracic Surgery, Saitama Medical University International Medical Center, Saitama, Japan. [84]Clinica Oncologica, University Politecnica delle Marche, Azienda Ospedaliero-Universitaria delle Marche, Ancona, Italy. [85]Department of Oncology, 401 General Military Hospital, Athens, Greece. [86]Institut du Thorax Curie Montsouris, Institut Curie, Paris, France. [87]Paris Saclay, UVSQ, Versailles, France. [88]Oncology Center of Excellence, Therapeutic Science & Strategy Unit, IQVIA, Milan, Italy. [89]Division of Thoracic Oncology, European Institute of Oncology IRCCS, Milan, Italy. [90]Lung Cancer Center, Central Japan International Medical Center, Minokamo, Japan. [91]Shenzhen Institute of Respiratory Diseases, Shenzhen People's Hospital, Shenzhen, China. [92]Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
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关键词: Lung cancer chronic obstructive pulmonary disease (COPD) concurrent treatment

摘要:
Lung cancer combined by chronic obstructive pulmonary disease (LC-COPD) is a common comorbidity and their interaction with each other poses significant clinical challenges. However, there is a lack of well-established consensus on the diagnosis and treatment of LC-COPD.A panel of experts, comprising specialists in oncology, respiratory medicine, radiology, interventional medicine, and thoracic surgery, was convened. The panel was presented with a comprehensive review of the current evidence pertaining to LC-COPD. After thorough discussions, the panel reached a consensus on 17 recommendations with over 70% agreement in voting to enhance the management of LC-COPD and optimize the care of these patients.The 17 statements focused on pathogenic mechanisms (n=2), general strategies (n=4), and clinical application in COPD (n=2) and lung cancer (n=9) were developed and modified. These statements provide guidance on early screening and treatment selection of LC-COPD, the interplay of lung cancer and COPD on treatment, and considerations during treatment. This consensus also emphasizes patient-centered and personalized treatment in the management of LC-COPD.The consensus highlights the need for concurrent treatment for both lung cancer and COPD in LC-COPD patients, while being mindful of the mutual influence of the two conditions on treatment and monitoring for adverse reactions.2023 Translational Lung Cancer Research. All rights reserved.

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大类 | 2 区 医学
小类 | 3 区 肿瘤学 3 区 呼吸系统
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出版当年[2023]版:
Q1 RESPIRATORY SYSTEM Q2 ONCOLOGY
最新[2023]版:
Q1 RESPIRATORY SYSTEM Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

第一作者:
第一作者机构: [1]The First Affiliated Hospital of Guangzhou Medical University, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, China.
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通讯作者:
通讯机构: [1]The First Affiliated Hospital of Guangzhou Medical University, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, China. [2]Department of Respiratory and Critical Care Medicine, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [91]Shenzhen Institute of Respiratory Diseases, Shenzhen People's Hospital, Shenzhen, China. [92]Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. [*1]The First Affiliated Hospital of Guangzhou Medical University, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, 151 Yanjiang Road, Guangzhou 510120, China [*2]Department of Respiratory and Critical Care Medicine, Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China [*3]Shenzhen Institute of Respiratory Diseases, Shenzhen People’s Hospital, Shenzhen, China,Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
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