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[Clinical Recommendations for Perioperative Immunotherapy-induced Adverse Events in Patients with Non-small Cell Lung Cancer].


ABSTRACT:

Background

Perioperative treatment has become an increasingly important aspect of the management of patients with non-small cell lung cancer (NSCLC). Small-scale clinical studies performed in recent years have shown improvements in the major pathological remission rate after neoadjuvant therapy, suggesting that it will soon become an important part of NSCLC treatment. Nevertheless, neoadjuvant immunotherapy may be accompanied by serious adverse reactions that lead to delay or cancelation of surgery, additional illness, and even death, and have therefore attracted much attention. The purpose of the clinical recommendations is to form a diagnosis and treatment plan suitable for the current domestic medical situation for the immune-related adverse event (irAE).

Methods

This recommendation is composed of experts in thoracic surgery, oncologists, thoracic medicine and irAE related departments (gastroenterology, respirology, cardiology, infectious medicine, hematology, endocrinology, rheumatology, neurology, dermatology, emergency section) to jointly complete the formulation. Experts make full reference to the irAE guidelines, large-scale clinical research data published by thoracic surgery, and the clinical experience of domestic doctors and publicly published cases, and repeated discussions in multiple disciplines to form this recommendation for perioperative irAE.

Results

This clinical recommendation covers the whole process of prevention, evaluation, examination, treatment and monitoring related to irAE, so as to guide the clinical work comprehensively and effectively.

Conclusions

Perioperative irAE management is an important part of immune perioperative treatment of lung cancer. With the continuous development of immune perioperative treatment, more research is needed in the future to optimize the diagnosis and treatment of perioperative irAE.

SUBMITTER: Ni J 

PROVIDER: S-EPMC8143963 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Publications

[Clinical Recommendations for Perioperative Immunotherapy-induced Adverse Events in Patients with Non-small Cell Lung Cancer].

Ni Jun J   Huang Miao M   Zhang Li L   Wu Nan N   Bai Chunxue C   Chen Liang'an L   Liang Jun J   Liu Qian Q   Wang Jie J   Wu Yilong Y   Zhang Fengchun F   Zhang Shuyang S   Chen Chun C   Chen Jun J   Fang Wentao W   Gao Shugeng S   Hu Jian J   Jiang Tao T   Li Shanqing S   Li Hecheng H   Liao Yongde Y   Liu Yang Y   Liu Deruo D   Liu Hongxu H   Liu Jianyang J   Liu Lunxu L   Wang Mengzhao M   Wang Changli C   Yang Fan F   Yang Yue Y   Zhang Lanjun L   Zhi Xiuyi X   Zhong Wenzhao W   Guan Yuzhou Y   Guo Xiaoxiao X   He Chunxia C   Li Shaolei S   Li Yue Y   Liang Naixin N   Lu Fangliang F   Lv Chao C   Lv Wei W   Si Xiaoyan X   Tan Fengwei F   Wang Hanping H   Wang Jiangshan J   Yan Shi S   Yang Huaxia H   Zhu Huijuan H   Zhuang Junling J   Zhuo Minglei M  

Zhongguo fei ai za zhi = Chinese journal of lung cancer 20210301 3


<h4>Background</h4>Perioperative treatment has become an increasingly important aspect of the management of patients with non-small cell lung cancer (NSCLC). Small-scale clinical studies performed in recent years have shown improvements in the major pathological remission rate after neoadjuvant therapy, suggesting that it will soon become an important part of NSCLC treatment. Nevertheless, neoadjuvant immunotherapy may be accompanied by serious adverse reactions that lead to delay or cancelation  ...[more]

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