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

Background

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.

Methods

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.

Results

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.

Conclusions

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.

Informations de copyright

2023 Translational Lung Cancer Research. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tlcr.amegroups.com/article/view/10.21037/tlcr-23-339/coif). Yong Song serves as an Editor-in-Chief of Translational Lung Cancer Research from September 2020 to August 2022. RB reports payment from AZ, BI, NOVARTIS, EISAI, MSD, OTSUKA, LILLY, ROCHE, Amgen, GSK, Seagen, Pierre Fabre Italfarmaco, outside the present manuscript. Nicolas Girard reports receiving research grants or support from Abbvie, Amgen, AstraZeneca, Beigene, Boehringer Ingelheim, Bristol-Myers-Squibb, Daiichi-Sankyo, Eli-Lilly, Gilead, Hoffmann-La Roche, Janssen, LeoPharma, Merck, Merck Sharp & Dohme, Novartis, Sivan; receiving payment from Abbvie, Amgen, AstraZeneca, Beigene, Bristol Myers Squibb, Daiichi-Sankyo, Eli-Lilly, Gilead, Hoffmann - La Roche, Ipsen, Janssen, LeoPharma, Medtronic, Merck Sharp & Dohme, Novartis, Pierre Fabre, Pfizer, Sanofi, and Takeda; having participation on a data safety monitoring board for Roche; having leadership role in the International Thymic Malignancy Interest Group; and having employment of a family member with AstraZeneca. AP received consulting or advisory role from Roche/Genentech, Bristol Myers Squibb, AstraZeneca, MSD Oncology, Pfizer, Boehringer Ingelheim, Janssen, Novartis, Daiichi Sankyo Europe GmbH, Bayer; payment or honoraria for speakers’ bureau form AstraZeneca, Janssen, Boehringer Ingelheim, Daiichi Sankyo Europe GmbH, MSD Oncology. The other authors have no conflicts of interest to declare.