Recommendation for supportive care in patients receiving concurrent chemotherapy and radiotherapy for lung cancer.

Details

Serval ID
serval:BIB_7799A6933B37
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Recommendation for supportive care in patients receiving concurrent chemotherapy and radiotherapy for lung cancer.
Journal
Annals of oncology
Author(s)
De Ruysscher D., Faivre-Finn C., Nackaerts K., Jordan K., Arends J., Douillard J.Y., Ricardi U., Peters S.
ISSN
1569-8041 (Electronic)
ISSN-L
0923-7534
Publication state
Published
Issued date
01/2020
Peer-reviewed
Oui
Volume
31
Number
1
Pages
41-49
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Concurrent chemotherapy and radiotherapy (CCRT) followed by durvalumab immune therapy in appropriate patients is considered to be the standard of care in most fit stage III non-small-cell lung cancer (NSCLC) patients. However, CCRT is a toxic treatment that affects all organ systems and may cause acute and permanent side effects, some of which may be lethal. Supportive care is therefore of utmost importance in this clinical setting. A group of experts from the European Society for Therapeutic Radiology and Oncology (ESTRO) and the European Society of Medical Oncology (ESMO) identified the following items of importance for further improvement of supportive care: smoking cessation; nutrition before and during CCRT (including treatment and prevention of anorexia); physical exercise before and during CCRT; prevention and treatment of acute esophagitis and dysphagia; treatment of cough and dyspnea; treatment of skin reactions; treatment of fatigue; prophylaxis of nausea and emesis; prevention, diagnosis, and treatment of cardiac disease and damage; and optimization of radiotherapy techniques and chemotherapy adjustments to reduce toxicity in the era of immune therapy. The resulting recommendations are summarized in this manuscript and knowledge gaps identified, in which future investments are needed to improve supportive care and hence quality of life and survival for our stage III NSCLC patients.
Keywords
ESMO, ESTRO, guidelines, lung cancer, recommendations, supportive care
Pubmed
Open Access
Yes
Create date
10/01/2020 12:41
Last modification date
21/11/2020 7:26
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