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Lerut T, Van Raemdonck D, Massard G. Why do we need harmonization in thoracic surgery: a view from above by the European Union of Medical Specialists. J Thorac Dis 2021; 13:2021-2028. [PMID: 33841989 PMCID: PMC8024813 DOI: 10.21037/jtd.2019.01.49] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2018] [Accepted: 01/14/2019] [Indexed: 11/11/2022]
Abstract
Founded in 1958 the UEMS (Union Européenne des Médecins Spécialistes-European Union of Medical Specialists) has become the largest European Medical organization representing over 1.5 million specialists of 43 Specialties in 39 countries. The primary goal of UEMS is to defend the interests of Specialists in the broadest sense of the word. This includes promoting the highest quality of care, the highest standards of training, continuous professional development (CPD) and continuous medical education (CME). For the latter the European Accreditation Council for Continuous Medical Education (EACCME) is one of the main assets of UEMS. The UEMS Section of Thoracic Surgery was created in 2013 and has substantially contributed to the improvement of the identity of Thoracic Surgery as a specialty throughout Europe. Its main activities are focusing on harmonization of training and organization of the format of the UEMS Board in Thoracic Surgery as well as further molding of the specialty via an intense collaboration with all involved stakeholders over the specialty boundaries.
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Affiliation(s)
- Toni Lerut
- Department of Chronic Diseases, Metabolism, and Aging, KU Leuven University, Leuven, Belgium
- Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Dirk Van Raemdonck
- Department of Chronic Diseases, Metabolism, and Aging, KU Leuven University, Leuven, Belgium
- Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium
| | - Gilbert Massard
- Department of Thoracic Surgery, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
- Faculté de Médecine, Université de Strasbourg, Strasbourg, France
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van Geffen WH, Blum TG, Aliberti S, Blyth KG, Bostantzoglou C, Farr A, Grigoriu B, Hardavella G, Huber RM, Maskell N, Massard G, Rahman NM, Stolz D, van Meerbeeck J. Continuous professional development: elevating thoracic oncology education in Europe. Breathe (Sheff) 2019; 15:279-285. [PMID: 31803262 PMCID: PMC6885339 DOI: 10.1183/20734735.0296-2019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The @EuroRespSoc launches a new thoracic oncology continuous professional development programme http://bit.ly/31ShuTp.
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Affiliation(s)
- Wouter H van Geffen
- Dept of Pulmonary Medicine, Medical Centre Leeuwarden, Leeuwarden, The Netherlands
| | - Torsten G Blum
- Lungenklinik Heckeshorn, Helios Klinikum Emil von Behring, Berlin, Germany
| | - Stefano Aliberti
- Dept of Pathophysiology and Transplantation, University of Milan, Milan, Italy.,Respiratory Dept, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Kevin G Blyth
- Glasgow Pleural Disease Unit, Queen Elizabeth University Hospital Glasgow, Glasgow, UK
| | - Clementine Bostantzoglou
- 7th Respiratory Medicine Dept and Asthma Center, Athens Chest Hospital "Sotiria", Athens, Greece
| | - Amy Farr
- European Respiratory Society, Lausanne, Switzerland
| | - Bogdan Grigoriu
- Service de médecine interne, Institut Jules Bordet, Brussels, Belgium
| | - Georgia Hardavella
- 10th Dept of Respiratory Medicine, Athens Chest Diseases Hospital "Sotiria", Athens, Greece
| | - Rudolf M Huber
- Thoracic Oncology Centre Munich, University of Munich, Munich, Germany, member of the German Center for Respiratory Research (DZL-CPC-M)
| | - Nick Maskell
- Academic Respiratory Unit, University of Bristol, Bristol, UK
| | - Gilbert Massard
- Service de Chirurgie Thoracique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Najib M Rahman
- Oxford Centre for Respiratory Medicine, University College, Oxford, UK
| | - Daiana Stolz
- Clinic for Respiratory Medicine and Pulmonary Cell Research, University Hospital Basel, Basel, Switzerland
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Suhail A, Crocker CE, Das B, Payne JI, Manos D. Initial presentation of lung cancer in the emergency department: a descriptive analysis. CMAJ Open 2019; 7:E117-E123. [PMID: 30808631 PMCID: PMC6404960 DOI: 10.9778/cmajo.20180061] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Guidelines aimed at improving care for lung cancer, the leading cause of cancer-related death in Canada and worldwide, require accurate knowledge of the diagnostic setting or pathway. We sought to determine how often lung cancer is initially diagnosed through the emergency department. METHODS We performed a descriptive study that included all cases of primary lung cancer diagnosed in residents of Nova Scotia in 2014. Cancer registry data included diagnostic data and date of death to Aug. 31, 2016. We reviewed linked hospital records, including laboratory and imaging results, to identify the first positive diagnostic study and the route of presentation (emergency department v. other). We evaluated time from diagnosis to death as a function of presentation route using Kaplan-Meier curves and Cox regression (hazard rate ratios [HRRs]). RESULTS Sufficient data were available for 946 of 951 cases identified, of which 336 (35.5%) were diagnosed through the emergency department. Cases diagnosed via the emergency department were more likely to be at an advanced stage (stage IV, 59.5% v. 43.4%), with patients experiencing shorter survival (1-yr survival, 28.4% v. 49.5%), including stage-specific survival. Mortality for cases diagnosed in the emergency department was 54% higher than for the non-emergency department group after adjusting for age and stage (HRR 1.54, 95% confidence interval 1.32-1.81). Few patients (7.1%, n = 24) who presented to the emergency department reported having no family physician. INTERPRETATION The emergency department is a common route of presentation for lung cancer and is associated with advanced stage at diagnosis and reduced survival time. Strategies are needed to encourage pre-emergent diagnosis and to ensure that emergency providers are supported in the initial care of patients with lung cancer.
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Affiliation(s)
- Aamir Suhail
- Departments of Diagnostic Radiology (Suhail, Crocker, Payne, Manos), Psychiatry (Crocker) and Emergency Medicine (Das), Dalhousie University, Halifax, NS
| | - Candice E Crocker
- Departments of Diagnostic Radiology (Suhail, Crocker, Payne, Manos), Psychiatry (Crocker) and Emergency Medicine (Das), Dalhousie University, Halifax, NS
| | - Bijon Das
- Departments of Diagnostic Radiology (Suhail, Crocker, Payne, Manos), Psychiatry (Crocker) and Emergency Medicine (Das), Dalhousie University, Halifax, NS
| | - Jennifer I Payne
- Departments of Diagnostic Radiology (Suhail, Crocker, Payne, Manos), Psychiatry (Crocker) and Emergency Medicine (Das), Dalhousie University, Halifax, NS
| | - Daria Manos
- Departments of Diagnostic Radiology (Suhail, Crocker, Payne, Manos), Psychiatry (Crocker) and Emergency Medicine (Das), Dalhousie University, Halifax, NS
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Rich AL, Baldwin DR, Beckett P, Berghmans T, Boyd J, Faivre-Finn C, Galateau-Salle F, Gamarra F, Grigoriu B, Hansen NCG, Hardavella G, Jakobsen E, Jovanovic D, Konsoulova A, Massard G, McPhelim J, Meert AP, Milroy R, Mutti L, Paesmans M, Peake MD, Putora PM, de Ruysscher DK, Sculier JP, Schepereel A, Subotic DR, Van Schil P, Blum T. ERS statement on harmonised standards for lung cancer registration and lung cancer services in Europe. Eur Respir J 2018; 52:13993003.00610-2018. [DOI: 10.1183/13993003.00610-2018] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Accepted: 07/03/2018] [Indexed: 12/25/2022]
Abstract
The European Respiratory Society (ERS) task force for harmonised standards for lung cancer registration and lung cancer services in Europe recognised the need to create a single dataset for use in pan-European data collection and a manual of standards for European lung cancer services.The multidisciplinary task force considered evidence from two different sources, reviewing existing national and international datasets alongside the results of a survey of clinical data collection on lung cancer in 35 European countries. A similar process was followed for the manual of lung cancer services, with the task force using existing guidelines and national or international recommendations for lung cancer services to develop a manual of standards for services in Europe.The task force developed essential and minimum datasets for lung cancer registration to enable all countries to collect the same essential data and some to collect data with greater detail. The task force also developed a manual specifying standards for lung cancer services in Europe.Despite the wide variation in the sociopolitical landscape across Europe, the ERS is determined to encourage the delivery of high-quality lung cancer care. Both the manual of lung cancer services and the minimum dataset for lung cancer registration will support this aspiration.
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Massard G, Antonoff MB, Noel JL, Brunelli A, Farjah F, Lanuti M, Van Raemdonck D. Transatlantic editorial: Thoracic surgeons need recognition of competence in thoracic oncology. J Thorac Cardiovasc Surg 2017; 154:1387-1392. [DOI: 10.1016/j.jtcvs.2017.07.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Massard G, Antonoff MB, Noel JL, Brunelli A, Farjah F, Lanuti M, Van Raemdonck D. Transatlantic Editorial: thoracic surgeons need recognition of competence in thoracic oncology. Eur J Cardiothorac Surg 2017; 52:611-615. [DOI: 10.1093/ejcts/ezx294] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
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Massard G, Antonoff MB, Noel JL, Brunelli A, Farjah F, Lanuti M, Van Raemdonck D. Transatlantic Editorial: Thoracic Surgeons Need Recognition of Competence in Thoracic Oncology. Ann Thorac Surg 2017; 104:1103-1107. [PMID: 28935295 DOI: 10.1016/j.athoracsur.2017.04.068] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 04/12/2017] [Indexed: 11/16/2022]
Affiliation(s)
- Gilbert Massard
- Service de Chirurgie Thoracique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
| | - Mara B Antonoff
- Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas
| | - Julie-Lynn Noel
- Education Council, European Respiratory Society, Lausanne, Switzerland
| | | | - Farhood Farjah
- Division of Cardiothoracic Surgery, University of Washington, Seattle, Washington
| | - Michael Lanuti
- Division of Thoracic Surgery, Massachusetts General Hospital, Boston, Massachusetts
| | - Dirk Van Raemdonck
- Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium
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Hernández Hernández JR. The Pulmonologist-Patient Relationship After the Lung Cancer Committee Decision. Arch Bronconeumol 2017; 54:179-180. [PMID: 28838745 DOI: 10.1016/j.arbres.2017.07.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Revised: 07/11/2017] [Accepted: 07/12/2017] [Indexed: 11/30/2022]
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Pedersen JH, Rzyman W, Veronesi G, D’Amico TA, Van Schil P, Molins L, Massard G, Rocco G. Recommendations from the European Society of Thoracic Surgeons (ESTS) regarding computed tomography screening for lung cancer in Europe. Eur J Cardiothorac Surg 2017; 51:411-420. [PMID: 28137752 PMCID: PMC6279064 DOI: 10.1093/ejcts/ezw418] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2016] [Revised: 11/03/2016] [Accepted: 11/30/2016] [Indexed: 12/17/2022] Open
Abstract
In order to provide recommendations regarding implementation of computed tomography (CT) screening in Europe the ESTS established a working group with eight experts in the field. On a background of the current situation regarding CT screening in Europe and the available evidence, ten recommendations have been prepared that cover the essential aspects to be taken into account when considering implementation of CT screening in Europe. These issues are: (i) Implementation of CT screening in Europe, (ii) Participation of thoracic surgeons in CT screening programs, (iii) Training and clinical profile for surgeons participating in screening programs, (iv) the use of minimally invasive thoracic surgery and other relevant surgical issues and (v) Associated elements of CT screening programs (i.e. smoking cessation programs, radiological interpretation, nodule evaluation algorithms and pathology reports). Thoracic Surgeons will play a key role in this process and therefore the ESTS is committed to providing guidance and facilitating this process for the benefit of patients and surgeons.
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Affiliation(s)
- Jesper Holst Pedersen
- Department of Thoracic Surgery RT 2152, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
| | - Witold Rzyman
- Department of Thoracic Surgery, Medical University of Gdansk, Gdansk, Poland
| | | | - Thomas A D’Amico
- Thoracic Surgery, Duke University Medical Center, Durham, NC, USA
| | - Paul Van Schil
- Department of Thoracic and Vascular Surgery, Antwerp University Hospital, Edegem, Antwerp, Belgium
| | - Laureano Molins
- Thoracic Surgery Respiratory Institute, Hospital Clínic, University of Barcelona, Barcelona, Spain
| | - Gilbert Massard
- Service de Chirurgie Thoracique, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Gaetano Rocco
- Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, National Cancer Institute, Naples, Italy
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Sculier JP. Multidisciplinary questions in thoracic oncology: the team experience. Eur Respir J 2016; 48:626-7. [PMID: 27581408 DOI: 10.1183/13993003.00936-2016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Accepted: 05/10/2016] [Indexed: 11/05/2022]
Affiliation(s)
- Jean-Paul Sculier
- Service des soins intensifs et urgences oncologiques and Oncologie thoracique, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium
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Gamarra F, Noël JL, Brunelli A, Dingemans AMC, Felip E, Gaga M, Grigoriu BD, Hardavella G, Huber RM, Janes S, Massard G, Putora PM, Sculier JP, Schnabel PA, Ramella S, Van Raemdonck D, Meert AP. Thoracic oncology HERMES: European curriculum recommendations for training in thoracic oncology. Breathe (Sheff) 2016; 12:249-255. [PMID: 28210298 PMCID: PMC5298144 DOI: 10.1183/20734735.009116] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Thoracic oncology HERMES: European curriculum recommendations for training in thoracic oncology http://ow.ly/mdqT300NHqO.
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Affiliation(s)
- Fernando Gamarra
- For a full list of affiliations please see the Acknowledgements section
| | - Julie-Lyn Noël
- For a full list of affiliations please see the Acknowledgements section
| | | | | | - Enriqueta Felip
- For a full list of affiliations please see the Acknowledgements section
| | - Mina Gaga
- For a full list of affiliations please see the Acknowledgements section
| | | | | | - Rudolf M Huber
- For a full list of affiliations please see the Acknowledgements section
| | - Samuel Janes
- For a full list of affiliations please see the Acknowledgements section
| | - Gilbert Massard
- For a full list of affiliations please see the Acknowledgements section
| | | | - Jean-Paul Sculier
- For a full list of affiliations please see the Acknowledgements section
| | | | - Sara Ramella
- For a full list of affiliations please see the Acknowledgements section
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Migliori GB, Bel E, Joos G, Elliott M, Rohde G, Holgate ST, Gratziou C, Smyth D, Gaga M, Cordeiro CR, Burghuber OC, Brusselle G, Martin-Burrieza F, Bill W, Sax B, Vestbo J. The European Respiratory Society evaluates its 2013–2018 strategic plan implementation. Eur Respir J 2016; 47:693-8. [DOI: 10.1183/13993003.02110-2015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Sculier JP, Leclercq N, Meert AP, Paesmans M, Berghmans T. [Implementation of an oncological care program in a multidisciplinary clinic]. Rev Mal Respir 2015; 33:600-6. [PMID: 26611198 DOI: 10.1016/j.rmr.2015.10.741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Accepted: 10/04/2015] [Indexed: 11/29/2022]
Abstract
INTRODUCTION A working group has highlighted guidelines in thoracic oncology in Europe without study of their implementation, due to a lack of data. METHODS The records of 354 untreated lung cancer patients seen between January 2009 and December 2012 were reviewed. Any new treatment should have been proposed by a multidisciplinary consultation (MDC) in accordance with an oncology care program (OCP) based on the European Lung Cancer Working Party guidelines. RESULTS For the 354 patients, there were 636 MDC (332, 176, 81 and 47 in 1st, 2nd, 3rd and subsequent lines). For the first line, the MDC rate was 88%, in accordance with the OCP, and 75% of treatments were in agreement with the guidelines. For the 2nd and 3rd lines, the rates were 93% and 92% respectively (MDC), 90 and 89% (OCP), 55 and 63% (guidelines). In the first line, the main causes of non-compliance with the OCP were patient's refusal or doctor's choice and with guidelines a lack of adequate recommendations for specific situations such as comorbidities or the appearance of new treatments. CONCLUSION The vast majority of patients are the subject of a MDC with a high rate of application of OCP. Guidelines should be updated regularly to incorporate new treatments.
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Affiliation(s)
- J-P Sculier
- Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique.
| | - N Leclercq
- Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique
| | - A-P Meert
- Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique
| | - M Paesmans
- Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique
| | - T Berghmans
- Service des soins intensifs et urgences oncologiques & oncologie thoracique, centre des tumeurs de l'université Libre de Bruxelles, institut Jules-Bordet, 1, rue Héger-Bordet, 1000 Bruxelles, Belgique
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Meert AP, Sculier JP, Berghmans T. Lung cancer diagnosis in the emergency department. Eur Respir J 2015; 45:867-8. [PMID: 25829427 DOI: 10.1183/09031936.00198814] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Anne-Pascale Meert
- Service des soins intensifs et urgences oncologiques & oncologie thoracique, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium
| | - Jean-Paul Sculier
- Service des soins intensifs et urgences oncologiques & oncologie thoracique, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium
| | - Thierry Berghmans
- Service des soins intensifs et urgences oncologiques & oncologie thoracique, Institut Jules Bordet, Université Libre de Bruxelles, Bruxelles, Belgium
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