Early Lung Cancer Patient Journey in Singapore: Challenges and Recommendations.

Journal: Asia-Pacific journal of clinical oncology
Published Date:

Abstract

Early detection of lung cancer is crucial for improving survival rates because it allows for potentially curative treatments; however, most lung cancer cases in Singapore are diagnosed at advanced stages. This review article provides an overview of current practices in the management of early-stage non-small-cell lung cancer (stages I-IIIA) in Singapore (i.e., screening, diagnosis, treatment, and follow-up) while identifying and addressing the associated challenges. Implementing a locally adapted, subsidized national screening program with awareness campaigns can facilitate lung cancer screening uptake. Improving the accessibility and affordability of diagnostic tests and treatments, establishing clear referral pathways and diagnostic workup, adopting multidisciplinary teams, and utilizing cost-effective treatments are critical to timely and effective management of early-stage lung cancers. Establishment of local guidelines for follow-up care, integrating digital technologies and artificial intelligence, and expanding patient assistance programs for follow-up procedures are vital to improving long-term outcomes. Overall, improving the management of early-stage lung cancer necessitates collaboration among healthcare professionals, medical societies, policymakers, patient advocacy groups, and the general public.

Authors

  • Lynette Teo
    Department of Diagnostic Imaging, National University Hospital, Singapore.
  • Mariko Siyue Koh
    Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore.
  • Kevin Lee Min Chua
    Division of Radiation Oncology, National Cancer Centre Singapore, Singapore.
  • Lowell Leow
    Department of Cardiac, Thoracic and Vascular Surgery, National University Heart Centre, Singapore.
  • Chong Hee Lim
    Cancer Surgery International, Singapore.
  • Darren Wan-Teck Lim
    Division of Medical Oncology, National Cancer Centre Singapore, Singapore.
  • Hong Liang Lim
    Parkway Cancer Centre, Singapore.
  • Hwai Loong Kong
    ICON Cancer Centre, Singapore.
  • Gideon Ooi
    Division of Oncologic Imaging, National Cancer Centre Singapore, Singapore.
  • Jens Samol
    Department of Medical Oncology, Tan Tock Seng Hospital, Singapore.
  • Chee Seng Tan
    OncoCare Cancer Centre, Singapore.
  • Ross A Soo
    Department of Haematology-Oncology, National University Cancer Institute, Singapore.

Keywords

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