Expert consensus on electronic patient-reported outcome-based symptom management for perioperative lung cancer patients (version 2026)

Wei DAI; Cheng LEI; Yuanqiang ZHANG; Rong ZHANG; Pengyu Jinming; Jinming XU; Yuzhen ZHENG; Liang ZHAO; Guibin QIAO; Guowei CHE; Jian HU; Lei JIANG; Jie LI; Qiang LI; Qiuling SHI

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Expert consensus on electronic patient-reported outcome-based symptom management for perioperative lung cancer patients (version 2026)

VernacularTitle:肺癌围手术期电子化患者报告结局症状管理专家共识（2026版）
Author: Wei DAI ¹ ; Cheng LEI ¹ ; Yuanqiang ZHANG ² ; Rong ZHANG ³ ; Pengyu Jinming ⁴ ; Jinming XU ⁵ ; Yuzhen ZHENG ⁶ ; Liang ZHAO ⁷ ; Guibin QIAO ⁶ ; Guowei CHE ^{8
,

9} ; Jian HU ⁵ ; Lei JIANG ¹⁰ ; Jie LI ¹¹ ; Qiang LI ¹ ; Qiuling SHI ^{1
,

12}
Author Information

1. Department of Thoracic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, P. R. China
2. Department of Cardiothoracic Surgery, Zigong First People's Hospital, Zigong, 643000, Sichuan, P. R. China
3. Department of Thoracic Surgery, Ya'an People's Hospital, Ya'an, 625000, Sichuan, P. R. China
4. PengyuDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, 710038, P. R. China
5. Department of Thoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, P. R. China
6. Department of Thoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, P. R. China
7. Department of Thoracic Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences, Beijing, 100021, P. R. China
8. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
9. Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, 611130, P. R. China
10. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Shanghai, 200433, P. R. China
11. Department of Oncology, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, P. R. China
12. School of Public Health, Chongqing Medical University, Chongqing, 400016, P. R. China
Collective Name:Cardiothoracic Surgery Committee of Sichuan Medical Association, Sports-Medicine Integration and Non-Medical Health Intervention Committee of Sichuan Medical Association, Thoracic Minimally Invasive Surgery Committee of Integrated Traditional Chinese and Western Medicine, Shanghai Traditional Medicine Engineering Association, China Special Interest Group of the International Society for Quality of Life Research
Publication Type:Journal Article
Keywords: Lung cancer; perioperative period; symptom management; electronic patient-reported outcome; expert consensus
From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2026;33(08):1166-1178
CountryChina
Language:Chinese
Abstract: Patients with lung cancer experience a heavy symptom burden during the perioperative period, which seriously affects their recovery and quality of life. Traditional symptom management models rely mainly on scheduled ward rounds during hospitalization and outpatient follow-up after discharge. However, they have limitations such as delayed symptom recognition, lack of post-discharge monitoring, and non-quantitative symptom assessment, which often lead to delayed interventions and low patient satisfaction. In recent years, the symptom management model based on electronic patient-reported outcomes (ePRO) has been increasingly valued in clinical practice. Existing high-level evidence from both domestic and international studies indicates that, through proactive monitoring, real-time alerts, and remote interventions, this model enables dynamic and continuous symptom management and helps improve patient recovery and healthcare experience. As a supplement to routine medical care, the ePRO-based symptom management model aims to enhance the quality of care rather than replace existing medical processes. To promote the standardized application of this model in perioperative lung cancer care, this consensus integrates domestic and international evidence. After multiple rounds of voting by more than 50 experts, it formulates 12 consensus statements covering the three core components, symptom monitoring, alerting, and intervention, to provide scientific and practical recommendations for clinical practice.