Indonesian Society of Respirology Position Paper on Lung Cancer Control in Indonesia
DOI:
https://doi.org/10.36497/jri.v44i4.884Keywords:
early detection, lung cancer control, screeningAbstract
Lung cancer is a major health concern in Indonesia due to its increasing prevalence, late-stage diagnosis, younger population, and high mortality. Addressing this issue requires nationwide implementation of comprehensive lung cancer control, which includes risk reduction and prevention strategies, focusing on tobacco control and air pollution mitigation. Screening with low-dose computed tomography (LDCT) and early detection in symptomatic patients, along with TB screening programs and all non-communicable diseases, is strongly recommended to enhance early case findings, treatment effectiveness, and overall patient outcomes. A multidisciplinary team (MDT) approach is important to ensure accurate diagnosis and comprehensive care. Moreover, the integration of palliative care at the early stages of advanced lung cancer is vital, focusing on symptom management and enhancing the quality of life for patients. While national guidelines are available for the diagnosis and treatment of lung cancer, significant disparities in healthcare access remain across Indonesia. Thus, it is essential to improve universal health coverage and referral systems to guarantee equal access to lung cancer care for patients at all levels through advocacy and ease of access.
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References
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49.
Mboi N, Murty Surbakti I, Trihandini I, Elyazar I, Houston Smith K, Bahjuri Ali P, et al. On the road to universal health care in Indonesia, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2018;392(10147):581–91.
World Health Organization. Cancer control: Knowledge into action: WHO guide for effective programmes: Module 3: Early detection. Cancer Control: Knowledge into Action: WHO Guide for Effective Programmes. Geneva: World Health Organization; 2007.
Kementerian Kesehatan Republik Indonesia. Pedoman Nasional Pelayanan Kedokteran (PNPK) Tata Laksana Kanker Paru Tahun 2023 [Internet]. Keputusan Menteri Kesehatan Republik Indonesia, HK.01.07/MENKES/1438/2023 Indonesia; 2023. Available from: https://kemkes.go.id/id/pnpk-2023---tata-laksana-kanker-paru
World Health Organization. WHO global report on trends in prevalence of tobacco smoking 2000-2025, Second edition. Geneva; 2018.
Greenpeace Indonesia. Factsheet: The Indonesia and the World Health Organization’s Air Quality Guidelines background. 2021.
Hill W, Lim EL, Weeden CE, Lee C, Augustine M, Chen K, et al. Lung adenocarcinoma promotion by air pollutants. Nature. 2023;616(7955):159–67.
The National Lung Screening Trial Research Team. Reduced lung-cancer mortality with low-dose computed tomographic screening. New England Journal of Medicine. 2011;365(5):395–409.
International Agency for Research on Cancer. Outdoor air pollution - IARC monographs on the evaluation of carcinogenic risks to humans volume 109. Vol. 109. France: International Agency for Research on Cancer; 2016. 448 p.
Andarini S, Syahruddin E, Aditya N, Zaini J, Kurniawan FD, Ermayanti S, et al. Indonesian Society of Respirology (ISR) consensus statement on lung cancer screening and early detection in Indonesia. Jurnal Respirologi Indonesia. 2023;43(2):144–50.
Amicizia D, Piazza MF, Marchini F, Astengo M, Grammatico F, Battaglini A, et al. Systematic review of lung cancer screening: Advancements and strategies for implementation. Healthcare (Switzerland). 2023;11(14):2085.
Sari CYI, Yunus F, Sjahruddin E. Proportion of patients pulmonary cancer with history of slow diagnosis due to diagnosis as lung tuberculosis. Jurnal Respirologi Indonesia. 2019;39(2):92–102.
Gaga M, Powell CA, Schraufnagel DE, Schonfeld N, Rabe K, Hill NS, et al. An official American thoracic society/european respiratory society statement: The role of the pulmonologist in the diagnosis and management of lung cancer. Am J Respir Crit Care Med. 2013;188(4):503–7.
Konsil Kedokteran Indonesia. Peraturan konsil kedokteran Indonesia (KKI) nomor 63 tahun 2019 tentang standar pendidikan profesi dokter spesialis pulmonologi dan kedokteran respirasi. 63 Indonesia; 2019.
Konsil Kedokteran Indonesia. Peraturan Konsil Kedokteran Indonesia (KKI) nomor 137/KKI/KEP/VI/2023 tentang standar pendicidikan profesi dokter subspesialis pulmonologi dan kedokteran respirasi. 137/KKI/KEP/VI/2023 Indonesia; 2023.
Konsil Kedokteran Indonesia. Peraturan Konsil Kedokteran Indonesia (KKI) nomor 102/KKI/KEP/V/2023 tentang standar program fellowship terapi sistemik onkologi toraks dokter spesialis pulmonologi dan kedokteran respirasi. 102/KKI/KEP/V/2023 Indonesia; 2023.
Konsil Kedokteran Indonesia. Peraturan Konsil Kedokteran Indonesia (KKI) nomor 109/KKI/KEP/V/2023 tentang standar program fellowship pulmonologi intervensional lanjut dokter spesialis pulmonologi dan kedokteran respirasi. 109/KKI/KEP/V/2023 Indonesia; 2023.
Konsil Kedokteran Indonesia. Keputusan Konsil Kedokteran Indonesia nomor 142/KKI/KEP/VI/2023 tentang standar pendidikan profesi dokter spesialis pulmonologi dan kedokteran respirasi subspesialis pulmonologi intervensi dan kegawatdaruratan napas. 142/KKI/KEP/VI/2023 Indonesia; 2023.
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