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Follow-up Care

Follow-up and Surveillance of the Lung Cancer Patient Following Curative-Intent Therapy (CHEST)
Abstract of the evidence-based lung cancer treatment guideline published by the American College of Chest Physicians (ACCP) in the supplement to the January 2003 issue of CHEST. Notes that two distinctly different issues should be taken into account regarding patient care following curative-intent therapy for lung cancer: adequate follow-up to manage complications related to the therapy; and surveillance to detect recurrences of the primary lung cancer and/or development of a new primary lung cancer. Follow-up for complications should be performed by the specialist responsible for the curative-intent therapy and should last 3 to 6 months. Recurrences of the original lung cancer will be more likely during the first 2 years after curative-intent therapy, but there will be an increased lifelong risk of approximately 1 to 2% per year of developing a metachronous, or new primary, lung cancer. A standard surveillance program for these patients is recommended based on periodic visits, with chest-imaging studies and counseling on symptom recognition. Whether subgroups of patients with a higher risk of developing a metachronous lung cancer should have a more intensive surveillance program is presently unclear. The surveillance program should be coordinated by a multidisciplinary tumor board and overseen by the physician who diagnosed and initiated therapy for the original lung cancer. Smoking cessation is recommended for all patients following curative-intent therapy for lung cancer. Additional recommendations and assessments are included. Aimed at physicians. [1/03]

Questions and Answers About Follow-up Care (NCI/Cancer Facts)
Discusses follow-up care and why it is important. Suggests questions patients should ask their doctors about follow-up care. Addresses issues involved in follow-up care, such as dealing with emotions and keeping medical records. [8/02]

Relevance of an Intensive Postoperative Follow-up After Surgery for NSCLC (Annals of Thoracic Surgery)
by Virginia Westeel, MD, et al.
70 Ann Thorac Surg (2000)
Abstract of a prospective study that found an intensive follow-up program is feasible and may improve survival by detecting recurrences after surgery for NSCLC at an asymptomatic stage. [2000]

Scan and Test Anxiety (CancerGuide)
Steve Dunn, a kidney cancer survivor, offers advice for dealing with the inevitable anxiety that comes follow-up scans. [8/02]

Second Primary Lung Cancer - Recent MEDLINE Abstracts


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Last modified: 28-Apr-2011
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