Exercise in lung Cancer, the healthcare providers opinion (E.C.H.O.): Results of the EORTC lung cancer Group (LCG) survey

Sara Pilotto; Alice Avancini; Jessica Menis; Isabella Sperduti; Matteo Giaj Levra; Thierry Berghmans; Paolo Bironzo; Mariana Brandão; Dirk De Ruysscher; John Edwards; Corinne Faivre-Finn; Nicolas Girard; Laurent Greillier; Lizza Hendriks; Sylvie Lantuejoul; Murielle Mauer; Silvia Novello; Mary O'Brien; Martin Reck; Noemi Reguart; Jordi Remon; Jan von der Thüsen; Anne-Marie C Dingemans; Benjamin Besse; Michele Milella

doi:10.1016/j.lungcan.2022.05.009

Exercise in lung Cancer, the healthcare providers opinion (E.C.H.O.): Results of the EORTC lung cancer Group (LCG) survey

Sara Pilotto
, Alice Avancini
, Jessica Menis
, Isabella Sperduti
, Matteo Giaj Levra
, Thierry Berghmans
, Paolo Bironzo
, Mariana Brandão
, Dirk De Ruysscher
, John Edwards
, Corinne Faivre-Finn
, Nicolas Girard
, Laurent Greillier
, Lizza Hendriks
, Sylvie Lantuejoul
, Murielle Mauer
, Silvia Novello
, Mary O'Brien
, Martin Reck
, Noemi Reguart

Jordi Remon, Jan von der Thüsen, Anne-Marie C Dingemans, Benjamin Besse, Michele Milella

Division of Cancer Sciences (L5)

University of Verona Hospital Trust
IRCCS Istituto Nazionale Tumori Regina Elena
Centre Hospitalier Universitaire Grenoble Alpes (CHUGA)
Universita Degli Studi di Torino
Maastricht University Medical Center
Thorax Institute Curie Montsouris
Aix-Marseille University
Centre Leon Berard
Royal Marsden Hospital
Airway Research Center North
Hospital Clinic Barcelona
HM Hospitales
Erasmus MC
Université Paris-Saclay
Free University of Brussels (Universite Libre de Bruxelles)
EORTC (European Organisation for Research & Treatment of Cancer)

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: Exercise has been reported to alleviate disease as well as treatment impact in patients with lung cancer. Nevertheless, there is limited information available regarding the perception of lung cancer dedicated healthcare professionals' and their advice on exercise.

Materials and Methods: An online survey exploring healthcare professionals' practice patterns, perceptions, barriers, and facilitators of exercise in patients with lung cancer was conducted within members of the EORTC Lung Cancer Group (LCG).

Results: One hundred forty-one healthcare providers completed the survey, mainly medical and radiation oncologists. Overall, 63% of the study participants declared that they frequently assessed exercise level in their patients, and 43% of them reinforced the importance of exercise. However, only 10% referred patients to an exercise program or specialist. Although the majority of the respondents had a positive perception regarding the benefits and safety of exercise (even in patients with advanced disease and/or bone metastasis), two-thirds of clinicians reported not having adequate training about exercise counselling. Moreover, 53% reported to lack of knowledge of guidelines referring to exercise in patients with cancer. Several obstacles and facilitators to improve exercise promotion in lung cancer care were identified.

Conclusion: Healthcare providers recognize the relevance and feasibility of exercise as part of cancer treatment intervention, but specific pathways to do the referral are frequently missing. Future structured and well-designed strategies and initiatives are needed to support an effective referral in order to implement exercise interventions routinely in clinical practice.

Original language	English
Pages (from-to)	94-101
Number of pages	8
Journal	Lung cancer (Amsterdam, Netherlands)
Volume	169
Early online date	18 May 2022
DOIs	https://doi.org/10.1016/j.lungcan.2022.05.009
Publication status	Published - 1 Jul 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

exercise
health personnel
humans
lung neoplasms/therapy
referral and consultation
surveys and questionnaires

Research Beacons, Institutes and Platforms

Manchester Cancer Research Centre

Access to Document

10.1016/j.lungcan.2022.05.009

Cite this

Pilotto, S., Avancini, A., Menis, J., Sperduti, I., Giaj Levra, M., Berghmans, T., Bironzo, P., Brandão, M., De Ruysscher, D., Edwards, J., Faivre-Finn, C., Girard, N., Greillier, L., Hendriks, L., Lantuejoul, S., Mauer, M., Novello, S., O'Brien, M., Reck, M., ... Milella, M. (2022). Exercise in lung Cancer, the healthcare providers opinion (E.C.H.O.): Results of the EORTC lung cancer Group (LCG) survey. Lung cancer (Amsterdam, Netherlands), 169, 94-101. https://doi.org/10.1016/j.lungcan.2022.05.009

@article{cc8c014e606a46b3b51dcd83cdd11702,

title = "Exercise in lung Cancer, the healthcare providers opinion (E.C.H.O.): Results of the EORTC lung cancer Group (LCG) survey",

abstract = "Objectives: Exercise has been reported to alleviate disease as well as treatment impact in patients with lung cancer. Nevertheless, there is limited information available regarding the perception of lung cancer dedicated healthcare professionals' and their advice on exercise. Materials and Methods: An online survey exploring healthcare professionals' practice patterns, perceptions, barriers, and facilitators of exercise in patients with lung cancer was conducted within members of the EORTC Lung Cancer Group (LCG). Results: One hundred forty-one healthcare providers completed the survey, mainly medical and radiation oncologists. Overall, 63\% of the study participants declared that they frequently assessed exercise level in their patients, and 43\% of them reinforced the importance of exercise. However, only 10\% referred patients to an exercise program or specialist. Although the majority of the respondents had a positive perception regarding the benefits and safety of exercise (even in patients with advanced disease and/or bone metastasis), two-thirds of clinicians reported not having adequate training about exercise counselling. Moreover, 53\% reported to lack of knowledge of guidelines referring to exercise in patients with cancer. Several obstacles and facilitators to improve exercise promotion in lung cancer care were identified. Conclusion: Healthcare providers recognize the relevance and feasibility of exercise as part of cancer treatment intervention, but specific pathways to do the referral are frequently missing. Future structured and well-designed strategies and initiatives are needed to support an effective referral in order to implement exercise interventions routinely in clinical practice.",

keywords = "exercise, health personnel, humans, lung neoplasms/therapy, referral and consultation, surveys and questionnaires",

author = "Sara Pilotto and Alice Avancini and Jessica Menis and Isabella Sperduti and \{Giaj Levra\}, Matteo and Thierry Berghmans and Paolo Bironzo and Mariana Brand{\~a}o and \{De Ruysscher\}, Dirk and John Edwards and Corinne Faivre-Finn and Nicolas Girard and Laurent Greillier and Lizza Hendriks and Sylvie Lantuejoul and Murielle Mauer and Silvia Novello and Mary O'Brien and Martin Reck and Noemi Reguart and Jordi Remon and \{von der Th{\"u}sen\}, Jan and Dingemans, \{Anne-Marie C\} and Benjamin Besse and Michele Milella",

note = "Funding Information: We thank the EORTC Quality of Life Group for carefully reviewing the ECHO survey. Publisher Copyright: {\textcopyright} 2022 Elsevier B.V.",

year = "2022",

month = jul,

day = "1",

doi = "10.1016/j.lungcan.2022.05.009",

language = "English",

volume = "169",

pages = "94--101",

journal = "Lung cancer (Amsterdam, Netherlands)",

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Pilotto, S, Avancini, A, Menis, J, Sperduti, I, Giaj Levra, M, Berghmans, T, Bironzo, P, Brandão, M, De Ruysscher, D, Edwards, J, Faivre-Finn, C, Girard, N, Greillier, L, Hendriks, L, Lantuejoul, S, Mauer, M, Novello, S, O'Brien, M, Reck, M, Reguart, N, Remon, J, von der Thüsen, J, Dingemans, A-MC, Besse, B & Milella, M 2022, 'Exercise in lung Cancer, the healthcare providers opinion (E.C.H.O.): Results of the EORTC lung cancer Group (LCG) survey', Lung cancer (Amsterdam, Netherlands), vol. 169, pp. 94-101. https://doi.org/10.1016/j.lungcan.2022.05.009

TY - JOUR

T1 - Exercise in lung Cancer, the healthcare providers opinion (E.C.H.O.)

T2 - Results of the EORTC lung cancer Group (LCG) survey

AU - Pilotto, Sara

AU - Avancini, Alice

AU - Menis, Jessica

AU - Sperduti, Isabella

AU - Giaj Levra, Matteo

AU - Berghmans, Thierry

AU - Bironzo, Paolo

AU - Brandão, Mariana

AU - De Ruysscher, Dirk

AU - Edwards, John

AU - Faivre-Finn, Corinne

AU - Girard, Nicolas

AU - Greillier, Laurent

AU - Hendriks, Lizza

AU - Lantuejoul, Sylvie

AU - Mauer, Murielle

AU - Novello, Silvia

AU - O'Brien, Mary

AU - Reck, Martin

AU - Reguart, Noemi

AU - Remon, Jordi

AU - von der Thüsen, Jan

AU - Dingemans, Anne-Marie C

AU - Besse, Benjamin

AU - Milella, Michele

PY - 2022/7/1

Y1 - 2022/7/1

N2 - Objectives: Exercise has been reported to alleviate disease as well as treatment impact in patients with lung cancer. Nevertheless, there is limited information available regarding the perception of lung cancer dedicated healthcare professionals' and their advice on exercise. Materials and Methods: An online survey exploring healthcare professionals' practice patterns, perceptions, barriers, and facilitators of exercise in patients with lung cancer was conducted within members of the EORTC Lung Cancer Group (LCG). Results: One hundred forty-one healthcare providers completed the survey, mainly medical and radiation oncologists. Overall, 63% of the study participants declared that they frequently assessed exercise level in their patients, and 43% of them reinforced the importance of exercise. However, only 10% referred patients to an exercise program or specialist. Although the majority of the respondents had a positive perception regarding the benefits and safety of exercise (even in patients with advanced disease and/or bone metastasis), two-thirds of clinicians reported not having adequate training about exercise counselling. Moreover, 53% reported to lack of knowledge of guidelines referring to exercise in patients with cancer. Several obstacles and facilitators to improve exercise promotion in lung cancer care were identified. Conclusion: Healthcare providers recognize the relevance and feasibility of exercise as part of cancer treatment intervention, but specific pathways to do the referral are frequently missing. Future structured and well-designed strategies and initiatives are needed to support an effective referral in order to implement exercise interventions routinely in clinical practice.

AB - Objectives: Exercise has been reported to alleviate disease as well as treatment impact in patients with lung cancer. Nevertheless, there is limited information available regarding the perception of lung cancer dedicated healthcare professionals' and their advice on exercise. Materials and Methods: An online survey exploring healthcare professionals' practice patterns, perceptions, barriers, and facilitators of exercise in patients with lung cancer was conducted within members of the EORTC Lung Cancer Group (LCG). Results: One hundred forty-one healthcare providers completed the survey, mainly medical and radiation oncologists. Overall, 63% of the study participants declared that they frequently assessed exercise level in their patients, and 43% of them reinforced the importance of exercise. However, only 10% referred patients to an exercise program or specialist. Although the majority of the respondents had a positive perception regarding the benefits and safety of exercise (even in patients with advanced disease and/or bone metastasis), two-thirds of clinicians reported not having adequate training about exercise counselling. Moreover, 53% reported to lack of knowledge of guidelines referring to exercise in patients with cancer. Several obstacles and facilitators to improve exercise promotion in lung cancer care were identified. Conclusion: Healthcare providers recognize the relevance and feasibility of exercise as part of cancer treatment intervention, but specific pathways to do the referral are frequently missing. Future structured and well-designed strategies and initiatives are needed to support an effective referral in order to implement exercise interventions routinely in clinical practice.

KW - exercise

KW - health personnel

KW - humans

KW - lung neoplasms/therapy

KW - referral and consultation

KW - surveys and questionnaires

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JO - Lung cancer (Amsterdam, Netherlands)

JF - Lung cancer (Amsterdam, Netherlands)

ER -

Exercise in lung Cancer, the healthcare providers opinion (E.C.H.O.): Results of the EORTC lung cancer Group (LCG) survey

Abstract

UN SDGs

Keywords

Research Beacons, Institutes and Platforms

Access to Document

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