Systemic therapy for small-cell lung cancer: ASCO-Ontario Health (Cancer Care Ontario) guideline Guidelines


Authors: Khurshid, H.; Ismaila, N.; Bian, J.; Dabney, R.; Das, M.; Ellis, P.; Feldman, J.; Hann, C.; Kulkarni, S.; Laskin, J.; Manochakian, R.; Mishra, D. R.; Preeshagul, I.; Reddy, P.; Saxena, A.; Weinberg, F.; Kalemkerian, G. P.
Title: Systemic therapy for small-cell lung cancer: ASCO-Ontario Health (Cancer Care Ontario) guideline
Abstract: PURPOSE To provide evidence-based recommendations to practicing clinicians on the management of patients with small-cell lung cancer. METHODS An Expert Panel of medical oncology, thoracic surgery, radiation oncology, pulmonary, community oncology, research methodology, and advocacy experts were convened to conduct a literature search, which included systematic reviews, meta-analyses, and randomized controlled trials published from 1990 through 2022. Outcomes of interest included response rates, overall survival, disease-free survival or recurrence-free survival, and quality of life. Expert Panel members used available evidence and informal consensus to develop evidence-based guideline recommendations. RESULTS The literature search identified 95 relevant studies to inform the evidence base for this guideline. RECOMMENDATIONS Evidence-based recommendations were developed to address systemic therapy options, timing of therapy, treatment in patients who are older or with poor performance status, role of biomarkers, and use of myeloid-supporting agents in patients with small-cell lung cancer. Additional information is available at www.asco.org/thoracic-cancerguidelines. © 2023 by American Society of Clinical Oncology.
Keywords: quality of life; lung neoplasms; oncology; lung tumor; medical oncology; small cell lung cancer; small cell lung carcinoma; procedures; ontario; humans; human
Journal Title: Journal of Clinical Oncology
Volume: 41
Issue: 35
ISSN: 0732-183X
Publisher: American Society of Clinical Oncology  
Date Published: 2023-12-10
Start Page: 5448
End Page: 5472
Language: English
DOI: 10.1200/jco.23.01435
PUBMED: 37820295
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
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