Recommendations for the development of an integrated lung cancer care process : an expert consensus report
Majem Tarruella, Margarita (Institut de Recerca Sant Pau)
Alonso Fernández, Patricia (AXA Spain Healthcare Area)
Garrido, Pilar (Hospital Universitario Ramón y Cajal (Madrid))
Gayete, Angel (Institut Hospital del Mar d'Investigacions Mèdiques)
Hernando-Trancho, Florentino (Hospital Clínico San Carlos (Madrid))
López-Guerra, José Luis (Hospital Universitario Virgen del Rocío (Sevilla, Andalusia))
Lozano, Maria D. (Clínica Universidad de Navarra)
Massutí Sureda, Bartomeu (Hospital Universitario Dr Balmis Alicante)
Paz-Ares, Luis (Hospital Universitario 12 de Octubre (Madrid))
Ramón y Cajal, Santiago (Hospital Universitari Vall d'Hebron)
Rodríguez-Sales, Vanesa (Ricky Rubio Foundation)
Seijo, Luis M. (Clínica Universidad de Navarra)
Sisó Almirall, Antoni (Consorci d'Atenció Primària de Salut Barcelona Esquerra)
Vicente Baz, David (Consorci d'Atenció Primària de Salut Barcelona Esquerra)
Molins, Laureano (Hospital Clínic i Provincial de Barcelona)

Date:	2026
Description:	14 pàg.
Abstract:	Objective: To identify key aspects of the lung cancer care process and generate prioritised recommendations to optimise coordination, quality, and equitable access to diagnosis and treatment. Methods: 24 experts from the National Advisory Committee of the Lung Ambition Alliance in Spain participated in a structured consensus process using an adapted RAND/UCLA method. The process comprised three phases: literature review (Phase I), identification of key issues (Phase II, n = 21), and prioritisation of recommendations (Phase III, n = 24). Each recommendation was scored for impact and feasibility on a 1-9 Likert scale. Agreement was defined when ≥ 66. 6% of experts rated within the same range as the median; disagreement when ≥ 33. 3% scored in both the 1-3 and 7-9 ranges; other cases were considered indeterminate. Results: A total of 76 recommendations addressing 34 key aspects were identified (66% related to humanisation and perceived care quality and 34% to coordination and continuity). From which, 62 achieved agreement for impact and 14 were indeterminate; regarding feasibility, 10 reached agreement, 2 met disagreement criteria and 64 were indeterminate. In this regard, 17 high-priority recommendations (high impact and feasibility) were prioritised, covering prevention, access to diagnosis and treatment, standardisation of care processes and communication with patients. In addition, 29 recommendations were classified as high impact, relating to information systems, care coordination, prevention and awareness, equity in access to diagnostic tests and treatment, and patient care and safety. Conclusions: Implementing these recommendations is essential to enhance equity, coordination, and quality of lung cancer care, requiring a nationwide, multi-stakeholder effort to advance towards an integrated and patient-centred model.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució i la comunicació pública de l'obra, sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Coordination ; Integrated care process ; Lung cancer ; Quality ; SDG 3 - Good Health and Well-being
Published in:	Clinical & translational oncology, Vol. 28, Num. 9 (2026) , p. 3803-3816, ISSN 1699-3055

DOI: 10.1007/s12094-026-04275-y
PMID: 41843268

14 p, 1.1 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles