BREATHING IN A NEW ERA
A COMPARATIVE ANALYSIS OF LUNG CANCER POLICIES ACROSS EUROPE
Domain Number Indicator Source Scoring criteria
Lung cancer
is at a
crossroads
10 Access to medical and surgical
specialists
Scientific literature
/ Individual country
documents
number of (per 100,000)
pulmonologists
thoracic surgeons
general surgeons
oncologists
unscored
11 Radiotherapy is accessible Scientific literature unscored
12 Tumour testing is recommended and
accessible
Individual country
documents
1 = biomarker testing is mentioned in guidelines or pathways for lung
cancer
1 = specific markers are identified in guidelines or pathways for lung
cancer
1 x 4 = tests (EGFR, ALK, ROS1 and PD-L1) are reimbursed under
national public health system
13 Key targeted medicines are accessible
and reimbursed
Individual country
documents
1 x 5 = approved but not reimbursed
1 x 5 = approved and reimbursed
erlotinib, gefitinib, afatinib, crizotinib, pembrolizumab
each drug will be scored
14 Psychological burden of lung cancer is
understood and support services are
in place
Individual country
documents
1 = guidelines mention psychological burden of lung cancer
1 = guidelines include a referral pathway to psychological support
services for lung cancer patients
15 Patients have access to supportive /
palliative care services
Individual country
documents
1 = guidelines include referral pathway to supportive / palliative care
services for lung cancer patients
1 = oncologists receive training in supportive / palliative care
Lung cancer
is a focus for
research
16 Clinical and outcomes data is
collected
Cancer Atlas /
Individual country
documents
Population-based cancer registry
0 = no data/status unknown
1 = PBCR (national or regional)
2 = high quality PBCR (regional)
3 = high quality PBCR (national)
Vital registration data
0 = no data/status unknown
1 = incomplete or sample vital registration
2 = low quality complete vital registration
3 = medium quality complete vital registration
4 = high quality complete vital registration
17 Research is supported and funded World Bank unscored