Treatment of non-small cell metastatic lung cancer (stage IV) : expert consensus, Colombian Association of Hematology and Oncology (ACHO).

Tratamiento de cáncer de pulmón metastásico (estadio IV) de célula no pequeña : consenso de expertos, Asociación Colombiana de Hematología y Oncología (ACHO).

Main Article Content

Aylen Vanessa Ospina
Ricardo Brugés
Mauricio Lema
Gilberto de Lima Lopes Jr.
Rodolfo Gómez
Milton Lombana
Carlos Vargas
Ricardo Duarte
José Lobatón
Andrés Yepes
Ray Manneh
Luis Pino
Jaime González
Diego Gómez
Jesús Insuasty
Pedro Ramos
Javier Godoy
Álvaro Gómez
Carlos Alberto Castro
Abstract

Introduction: Lung cancer (LC) is the most frequent cause of death from oncological diseases in the world1 , reporting worldwide incidence rates for both sexes of 23.1 cases per 100,000 inhabitants and a mortality rate of 19.4% according to Globocan 20122 . Objective: To agree upon recommendations for the management of non-small cell metastatic lung cancer (stage IV), in the Colombian context. Methods: A consensus of experts comprised by 17 clinical oncologists, active members of the Colombian Association of Hematology and Oncology (ACHO), who work in the main institutions of the country. It was carried out in four phases: in the first phase 22 questions were structured, which were rated from 1 to 9, in the second phase the non-consensual questions were re-sent, in the third phase the answers and the answers were analyzed and discussed. The non-consensual ones went to a fourth phase where a nominal consensus was made. Results: 25 questions related to the treatment of non-small cell metastatic lung cancer (stage IV) were evaluated and conclusions were reached based on the best scientific evidence and internationally recognized oncology management guides adapted to the Colombian context and reality. Conclusions: Treatments for advanced lung cancer should be considered according to the best scientific evidence and availability in Colombia, in order to offer the best treatment to the patient. This consensus is a tool to guide clinical decision making and is useful as a support document for consultations with public and private entities. It is important to mention that this is an academic-scientific and non-regulatory document.

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Author Biographies (SEE)

Aylen Vanessa Ospina, Fundación Santa Fe de Bogotá

Médica, oncóloga clínica. ICCAL Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá.

Ricardo Brugés, Hospital Universitario San Ignacio

Médico, oncólogo clínico. Instituto Nacional de Cancerología, Hospital Universitario San Ignacio, Bogotá

Mauricio Lema, Clínica de Oncología Astorga

Médico, hematooncólogo. Clínica de Oncología Astorga, Medellín.

Gilberto de Lima Lopes Jr., University of Miami

Médico, MBA, FAMS. Director médico de programas internacionales y director asociado oncología global, Sylvester Comprehensive Cancer Center, University of Miami.

Rodolfo Gómez, IDC Las Américas

Médico, oncólogo clínico. IDC Las Américas, Medellín.

Milton Lombana, Clínica de Occidente

Médico, hematooncólogo. Clínica de Occidente, Cali.

Carlos Vargas, Clínica El Country

Médico, oncólogo clínico. Clínica El Country, Bogotá.

Ricardo Duarte, Clínica Reina Sofía

Médico, oncólogo clínico. Clínica Reina Sofía - Colsanitas, Bogotá.

José Lobatón, IMAT Oncomédica

Médico, hematooncólogo. IMAT Oncomédica, Montería.

Andrés Yepes, Clínica Vida Fundación

Médico, oncólogo clínico. Clínica Vida Fundación, Medellín

Ray Manneh, Clínica Portoazul

Médico, oncólogo clínico. Sociedad de Hematología y Oncología del Cesar - Clínica Portoazul, Valledupar, Barranquilla.

Luis Pino, Hospital Militar Central ; Hospital Universitario Fundación Santa Fe de Bogotá

Médico, hematooncólogo. Hospital Militar Central, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá.

Jaime González, Oncólogos de Occidente

Médico, hematooncólogo. Oncólogos de Occidente, Manizales, Armenia, Pereira

Diego Gómez, CAL Oncólogos

Médico, oncólogo clínico. CAL Oncólogos, Bucaramanga.

Jesús Insuasty, Hospital Universitario de Santander

Médico, oncólogo clínico. Profesor del Departamento de Medicina Interna UIS, Hospital Universitario de Santander, Bucaramanga.

Pedro Ramos, Oncocare - Sanitas EPS

Médico, oncólogo clínico. Oncocare - Sanitas EPS, Bogotá.

Javier Godoy, Clínica de Marly

Médico, hematooncólogo. Clínica de Marly, Bogotá.

Álvaro Gómez, Instituto de Oncología

Médico, hematooncólogo. Hemato Oncólogos - Instituto de Oncología, Cali.

Carlos Alberto Castro, Fundación Universitaria de Ciencias de la Salud

Médico, epidemiólogo. SIIES Consultores, Investigación y Educación en Salud, Fundación Universitaria de Ciencias de la Salud, Bogotá.

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