European Respiratory Society and European Society of Thoracic Surgeons Clinical Practice Guideline on Fitness for Curative Intent Treatment of Lung Cancer

A multidisciplinary panel of lung cancer experts, facilitated by the European Society of Thoracic Surgeons and the European Respiratory Society, developed practical recommendations for assessing patients’ fitness for curative intent treatments for lung cancer by formulating four population, intervention, comparison and outcomes (PICO) questions and seven complementary narrative questions. The panel utilized systematic literature search and risk assessment tools to evaluate the evidence and created recommendations covering pulmonary function tests, split lung function values, exercise tests, cardiologic testing, and the role of prehabilitation, sublobar resections, risk scores and comorbidities in patient selection.