Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach.

Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promisi...
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Autor*in:	Alessio Bruni [verfasserIn] Niccolò Giaj-Levra [verfasserIn] Patrizia Ciammella [verfasserIn] Virginia Maragna [verfasserIn] Katia Ferrari [verfasserIn] Viola Bonti [verfasserIn] Francesco Grossi [verfasserIn] Stefania Greco [verfasserIn] Carlo Greco [verfasserIn] Paolo Borghetti [verfasserIn] Davide Franceschini [verfasserIn] Enrica Capelletto [verfasserIn] Marco Perna [verfasserIn] Giuseppe Banna [verfasserIn] Stefano Vagge [verfasserIn] Editta Baldini [verfasserIn] Emilio Bria [verfasserIn] Andrea Botti [verfasserIn] Marcello Tiseo [verfasserIn] Massimiliano Paci [verfasserIn] Maria Taraborrelli [verfasserIn] Venerino Poletti [verfasserIn] Pierluigi Granone [verfasserIn] Umberto Ricardi [verfasserIn] Silvia Novello [verfasserIn] Vieri Scotti [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Übergeordnetes Werk:	In: PLoS ONE - Public Library of Science (PLoS), 2007, 14(2019), 11, p e0224027
Übergeordnetes Werk:	volume:14 ; year:2019 ; number:11, p e0224027

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1371/journal.pone.0224027

Katalog-ID:	DOAJ004620887

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520			\|a Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC.
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allfields	10.1371/journal.pone.0224027 doi (DE-627)DOAJ004620887 (DE-599)DOAJ568d4664916f48fb96fbf6f9dc921f11 DE-627 ger DE-627 rakwb eng Alessio Bruni verfasserin aut Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach. 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC. Medicine R Science Q Niccolò Giaj-Levra verfasserin aut Patrizia Ciammella verfasserin aut Virginia Maragna verfasserin aut Katia Ferrari verfasserin aut Viola Bonti verfasserin aut Francesco Grossi verfasserin aut Stefania Greco verfasserin aut Carlo Greco verfasserin aut Paolo Borghetti verfasserin aut Davide Franceschini verfasserin aut Enrica Capelletto verfasserin aut Marco Perna verfasserin aut Giuseppe Banna verfasserin aut Stefano Vagge verfasserin aut Editta Baldini verfasserin aut Emilio Bria verfasserin aut Andrea Botti verfasserin aut Marcello Tiseo verfasserin aut Massimiliano Paci verfasserin aut Maria Taraborrelli verfasserin aut Venerino Poletti verfasserin aut Pierluigi Granone verfasserin aut Umberto Ricardi verfasserin aut Silvia Novello verfasserin aut Vieri Scotti verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 14(2019), 11, p e0224027 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:14 year:2019 number:11, p e0224027 https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/article/568d4664916f48fb96fbf6f9dc921f11 kostenfrei https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 11, p e0224027
spelling	10.1371/journal.pone.0224027 doi (DE-627)DOAJ004620887 (DE-599)DOAJ568d4664916f48fb96fbf6f9dc921f11 DE-627 ger DE-627 rakwb eng Alessio Bruni verfasserin aut Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach. 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC. Medicine R Science Q Niccolò Giaj-Levra verfasserin aut Patrizia Ciammella verfasserin aut Virginia Maragna verfasserin aut Katia Ferrari verfasserin aut Viola Bonti verfasserin aut Francesco Grossi verfasserin aut Stefania Greco verfasserin aut Carlo Greco verfasserin aut Paolo Borghetti verfasserin aut Davide Franceschini verfasserin aut Enrica Capelletto verfasserin aut Marco Perna verfasserin aut Giuseppe Banna verfasserin aut Stefano Vagge verfasserin aut Editta Baldini verfasserin aut Emilio Bria verfasserin aut Andrea Botti verfasserin aut Marcello Tiseo verfasserin aut Massimiliano Paci verfasserin aut Maria Taraborrelli verfasserin aut Venerino Poletti verfasserin aut Pierluigi Granone verfasserin aut Umberto Ricardi verfasserin aut Silvia Novello verfasserin aut Vieri Scotti verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 14(2019), 11, p e0224027 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:14 year:2019 number:11, p e0224027 https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/article/568d4664916f48fb96fbf6f9dc921f11 kostenfrei https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 11, p e0224027
allfields_unstemmed	10.1371/journal.pone.0224027 doi (DE-627)DOAJ004620887 (DE-599)DOAJ568d4664916f48fb96fbf6f9dc921f11 DE-627 ger DE-627 rakwb eng Alessio Bruni verfasserin aut Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach. 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC. Medicine R Science Q Niccolò Giaj-Levra verfasserin aut Patrizia Ciammella verfasserin aut Virginia Maragna verfasserin aut Katia Ferrari verfasserin aut Viola Bonti verfasserin aut Francesco Grossi verfasserin aut Stefania Greco verfasserin aut Carlo Greco verfasserin aut Paolo Borghetti verfasserin aut Davide Franceschini verfasserin aut Enrica Capelletto verfasserin aut Marco Perna verfasserin aut Giuseppe Banna verfasserin aut Stefano Vagge verfasserin aut Editta Baldini verfasserin aut Emilio Bria verfasserin aut Andrea Botti verfasserin aut Marcello Tiseo verfasserin aut Massimiliano Paci verfasserin aut Maria Taraborrelli verfasserin aut Venerino Poletti verfasserin aut Pierluigi Granone verfasserin aut Umberto Ricardi verfasserin aut Silvia Novello verfasserin aut Vieri Scotti verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 14(2019), 11, p e0224027 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:14 year:2019 number:11, p e0224027 https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/article/568d4664916f48fb96fbf6f9dc921f11 kostenfrei https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 11, p e0224027
allfieldsGer	10.1371/journal.pone.0224027 doi (DE-627)DOAJ004620887 (DE-599)DOAJ568d4664916f48fb96fbf6f9dc921f11 DE-627 ger DE-627 rakwb eng Alessio Bruni verfasserin aut Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach. 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC. Medicine R Science Q Niccolò Giaj-Levra verfasserin aut Patrizia Ciammella verfasserin aut Virginia Maragna verfasserin aut Katia Ferrari verfasserin aut Viola Bonti verfasserin aut Francesco Grossi verfasserin aut Stefania Greco verfasserin aut Carlo Greco verfasserin aut Paolo Borghetti verfasserin aut Davide Franceschini verfasserin aut Enrica Capelletto verfasserin aut Marco Perna verfasserin aut Giuseppe Banna verfasserin aut Stefano Vagge verfasserin aut Editta Baldini verfasserin aut Emilio Bria verfasserin aut Andrea Botti verfasserin aut Marcello Tiseo verfasserin aut Massimiliano Paci verfasserin aut Maria Taraborrelli verfasserin aut Venerino Poletti verfasserin aut Pierluigi Granone verfasserin aut Umberto Ricardi verfasserin aut Silvia Novello verfasserin aut Vieri Scotti verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 14(2019), 11, p e0224027 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:14 year:2019 number:11, p e0224027 https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/article/568d4664916f48fb96fbf6f9dc921f11 kostenfrei https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 11, p e0224027
allfieldsSound	10.1371/journal.pone.0224027 doi (DE-627)DOAJ004620887 (DE-599)DOAJ568d4664916f48fb96fbf6f9dc921f11 DE-627 ger DE-627 rakwb eng Alessio Bruni verfasserin aut Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach. 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC. Medicine R Science Q Niccolò Giaj-Levra verfasserin aut Patrizia Ciammella verfasserin aut Virginia Maragna verfasserin aut Katia Ferrari verfasserin aut Viola Bonti verfasserin aut Francesco Grossi verfasserin aut Stefania Greco verfasserin aut Carlo Greco verfasserin aut Paolo Borghetti verfasserin aut Davide Franceschini verfasserin aut Enrica Capelletto verfasserin aut Marco Perna verfasserin aut Giuseppe Banna verfasserin aut Stefano Vagge verfasserin aut Editta Baldini verfasserin aut Emilio Bria verfasserin aut Andrea Botti verfasserin aut Marcello Tiseo verfasserin aut Massimiliano Paci verfasserin aut Maria Taraborrelli verfasserin aut Venerino Poletti verfasserin aut Pierluigi Granone verfasserin aut Umberto Ricardi verfasserin aut Silvia Novello verfasserin aut Vieri Scotti verfasserin aut In PLoS ONE Public Library of Science (PLoS), 2007 14(2019), 11, p e0224027 (DE-627)523574592 (DE-600)2267670-3 19326203 nnns volume:14 year:2019 number:11, p e0224027 https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/article/568d4664916f48fb96fbf6f9dc921f11 kostenfrei https://doi.org/10.1371/journal.pone.0224027 kostenfrei https://doaj.org/toc/1932-6203 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_34 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_235 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 11, p e0224027
language	English
source	In PLoS ONE 14(2019), 11, p e0224027 volume:14 year:2019 number:11, p e0224027
sourceStr	In PLoS ONE 14(2019), 11, p e0224027 volume:14 year:2019 number:11, p e0224027
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Medicine R Science Q
isfreeaccess_bool	true
container_title	PLoS ONE
authorswithroles_txt_mv	Alessio Bruni @@aut@@ Niccolò Giaj-Levra @@aut@@ Patrizia Ciammella @@aut@@ Virginia Maragna @@aut@@ Katia Ferrari @@aut@@ Viola Bonti @@aut@@ Francesco Grossi @@aut@@ Stefania Greco @@aut@@ Carlo Greco @@aut@@ Paolo Borghetti @@aut@@ Davide Franceschini @@aut@@ Enrica Capelletto @@aut@@ Marco Perna @@aut@@ Giuseppe Banna @@aut@@ Stefano Vagge @@aut@@ Editta Baldini @@aut@@ Emilio Bria @@aut@@ Andrea Botti @@aut@@ Marcello Tiseo @@aut@@ Massimiliano Paci @@aut@@ Maria Taraborrelli @@aut@@ Venerino Poletti @@aut@@ Pierluigi Granone @@aut@@ Umberto Ricardi @@aut@@ Silvia Novello @@aut@@ Vieri Scotti @@aut@@
publishDateDaySort_date	2019-01-01T00:00:00Z
hierarchy_top_id	523574592
id	DOAJ004620887
language_de	englisch
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author	Alessio Bruni
spellingShingle	Alessio Bruni misc Medicine misc R misc Science misc Q Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach.
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title	Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach.
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title_sort	management of locally advanced non-small cell lung cancer in the modern era: a national italian survey on diagnosis, treatment and multidisciplinary approach
title_auth	Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach.
abstract	Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC.
abstractGer	Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC.
abstract_unstemmed	Concurrent chemotherapy and radiotherapy (cCRT) is considered the standard treatment of locally advanced non-small cell lung cancer (LA-NSCLC). Unfortunately, management is still heterogeneous across different specialists. A multidisciplinary approach is needed in this setting due to recent, promising results obtained by consolidative immunotherapy. The aim of this survey is to assess current LA-NSCLC management in Italy. From January to April 2018, a 15-question survey focusing on diagnostic/therapeutic LA-NSCLC management was sent to 1,478 e-mail addresses that belonged to pneumologists, thoracic surgeons, and radiation and medical oncologists. 421 answers were analyzed: 176 radiation oncologists, 86 medical oncologists, 92 pneumologists, 64 thoracic surgeons and 3 other specialists. More than a half of the respondents had been practicing for <10 years after completing residency training. Some discrepancies were observed in clinical LA-NSCLC management: the lack of a regularly planned multidisciplinary tumor board, the use of upfront surgery in multistation stage IIIA, and territorial diffusion of cCRT in unresectable LA-NSCLC. Our analysis demonstrated good compliance with international guidelines in the diagnostic workup of LA-NSCLC. We observed a relationship between high clinical experience and good clinical practice. A multidisciplinary approach is mandatory for managing LA-NSCLC.
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title_short	Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach.
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Management of locally advanced non-small cell lung cancer in the modern era: A national Italian survey on diagnosis, treatment and multidisciplinary approach.

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