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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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What should lung cancer patients know before surgery? A Delphi consensus study.

Woorin Jang1, Mark K Ferguson1, Mara Antonoff2

  • 1Department of Medicine and Biological Sciences, University of Chicago Medicine, Chicago, Ill.

JTCVS Open
|April 10, 2026
PubMed
Summary

Thoracic surgeons established consensus on essential content for preoperative patient education materials for lung cancer surgery. Key details about the operation itself achieved the highest agreement, guiding improved patient preparation.

Keywords:
Delphi consensuslung cancer surgerypatient education materialspreoperative education content

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Patient Education

Background:

  • Preoperative patient education materials (PEMs) are crucial for improving surgical outcomes.
  • Existing PEMs for lung cancer surgery exhibit significant variability.
  • Standardizing PEM content is needed to optimize patient preparation.

Purpose of the Study:

  • To establish consensus among thoracic surgeons on essential content for preoperative patient education materials (PEMs) for lung cancer surgery.
  • To identify key topics for patient preparation to enhance surgical outcomes.
  • To address the variability in current patient education materials.

Main Methods:

  • Recruited board-certified thoracic surgeons via email invitations.
  • Utilized a 3-round Delphi voting process with anonymized feedback and iterative revision of statements.
  • Achieved consensus on statements with >80% agreement and performed thematic qualitative analysis on comments.

Main Results:

  • 41 thoracic surgeons participated, with high response rates across 3 Delphi rounds.
  • Consensus was reached on 13 out of 19 revised statements (68%).
  • Statements detailing the operation itself had the highest consensus; day of surgery and recovery details had the lowest.

Conclusions:

  • Provides consensus-based guidelines for preoperative lung cancer surgery PEM content from a thoracic surgeon's perspective.
  • Highlights the need for expert opinion on certain topics while acknowledging the importance of patient input for others.
  • Recommends evaluating patient preferences to finalize comprehensive guidelines.