Optimizing treatment success in lung cancer: the role of functional testing

Thomas Budolfsen, Elisabeth Laursen, Morten Quist

Abstract

Lung cancer, a pervasive and lethal global disease, presents formidable challenges, particularly in advanced stages. The widely used Eastern Cooperative Oncology Group Performance Score (ECOG-PS) faces limitations due to subjectivity and reliance on outdated measures. Recognizing the significance of functional capacity, assessments like the 6-minute walk test (6MWT), stair climb test (SCT), and 30-second sit-to-stand test (STS) have emerged as vital predictors of outcomes for patients with lung cancer. Acknowledging ECOG-PS limitations, there is a demand for dynamic and objective functional capacity measures. Systematized functional testing not only establishes a baseline but facilitates tracking changes during and after treatment. Research indicates that performance in these tests correlates with enhanced outcomes and reduced complications. Integrating systematic functional testing before treatment provides a more objective measure than ECOG-PS, aiding in outcome predictions and serving as a foundation for personalized prehabilitation and rehabilitation interventions, potentially elevating treatment success and patient survival.
OriginalsprogEngelsk
TidsskriftBarcelona Respiratory Network Review
Vol/bind10
Udgave nummer1
Sider (fra-til)49-57
Antal sider9
ISSN2385-7110
DOI
StatusUdgivet - 2024

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