Table 8.

Main unmet needs related to the management of patients with SCLC in the Lazio region, highlighted by analysis of the data from completed surveys.

Unmet clinical needs

Lack of uniformity in conducting assessments throughout the patient's care pathway and during clinical re-evaluation of patients undergoing treatment

Variability in the involvement of palliative care physicians and referral to palliative care

Lack of uniformity in the involvement of clinical nutrition specialists and clinical psychologists

Inconsistent criteria for determining the patient's ineligibility for active chemo-radiation therapy treatment

Risk of misusing corticosteroids in patients on active therapy

Inconsistent criteria for determining eligibility for different radiation therapy approaches

Limited referral to cigarette cessation programs

Unmet organizational needs

Absence of a structured network between the hospital and the territory to ensure access to all necessary professionals (radiation oncologists, interventional radiologists, clinical nutrition specialists, etc.)

Lack of a formalized PDTA for lung cancer

Absence of formalized multidisciplinary teams for the management of lung cancer

Inconsistent involvement of palliative care physicians within multidisciplinary teams

Inadequate referral to end-of-life services

Unmet needs in KPIs monitoring

Lack of a specific set of KPIs for monitoring the SCLC patient pathway

Absence of a specific set of KPIs for monitoring the delivery of simultaneous care

Absence of a specific set of KPIs for monitoring the activity of multidisciplinary teams

Unmet needs for soft skills

Low participation in training courses on patient communication methods

Low participation in training courses on simultaneous care

Underutilization of clear and easily understandable informational flyers