Le Global Hospital Chennai est spécialisé en oncologie thoracique, avec le Dr Sandeep Attawar à la tête du programme de chirurgie cardiaque et de transplantation d'organes thoraciques. Il a réalisé plus de 10 000 chirurgies cardiothoraciques et maintient un taux de réussite de 85 à 90 % pour les transplantations cardiaques et pulmonaires. L'hôpital est le leader indien en matière de transplantation d'organes, notamment grâce à ses procédures pulmonaires mini-invasives pionnières.
Global Hospital Chennai fait partie du Gleneagles Global Hospitals Medical Group, qui accepte 2 millions de patients par an.
L'hôpital de Chennai fait partie du Gleneagles Global Hospitals Medical Group, qui accepte 2 millions de patients par an.\n
","images":[{"base_url":"clinic/5c87cd41d7bc5","title":"Façade moderne de la clinique Global Hospital Chennai en Inde"},{"base_url":"clinic/5b9141a74a619","title":"Espace d'attente spacieux au Global Hospital Chennai avec sièges modernes"},{"base_url":"clinic/5b9141a3e68ac","title":"Accueil et couloir au Global Hospital Chennai, établissement médical moderne"},{"base_url":"clinic/5b9141a4c07b3","title":"Salle d'IRM au Global Hospital Chennai avec équipement d'imagerie avancé"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Inde","id":32,"alias":"india","iso_code":"IN"},"city":{"name":"Chennai","id":347,"alias":"chennai"},"address":"439, Perumbakkam Main Rd, Green Court, Medavakkam, Chennai, Tamil Nadu 600100, India"},"rating":{"rating":4,"google":4.6,"percent_of_satisfied_clients":57},"statistics":{"number_of_reviews":7,"doctors_number":140,"year_foundation":2009},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb729c47b66.jpeg","name":"Conseil national indien d'accréditation pour les laboratoires d'essais et d'étalonnage","country_code":"IN"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72a355c46.jpeg","name":"Conseil national indien d'accréditation des hôpitaux","country_code":"IN"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Meilleurs hôpitaux du monde 2021 par Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Meilleurs Hôpitaux Intelligents du Monde 2023 par Newsweek","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":34},"doctors":{"doctors":[{"doctor":{"id":1225,"alias":"sandeep-attawar","name":"Sandeep Attawar","clinic_id":283,"photo":"doctor/5acf612bca351","first_year_working":1998,"created_at":"2017-12-19T11:15:15.000+00:00","short_description":"Le docteur est un chirurgien cardiothoracique renommé, spécialisé dans les transplantations cardiaques et pulmonaires, avec un taux de réussite remarquable de 85-90%. Avec plus de 10 000 chirurgies cardiaques ouvertes et fermées réalisées tant chez les adultes que chez les enfants, le docteur possède une vaste expérience dans le domaine.<\\/p>
Actuellement, le docteur est Directeur et Président du programme de chirurgie cardiovasculaire, de transplantation d'organes thoraciques et de MCS à Gleneagles Global Health City à Chennai. Les rôles précédents incluent la direction des départements de chirurgie cardiaque à Fortis Gurgaon et Global Hospitals Group à Chennai.<\\/p>
Le docteur est membre de plusieurs organisations prestigieuses, y compris la Société Internationale de Transplantation Cardiaque et Pulmonaire et la Société des Chirurgiens Thoraciques.<\\/p>
","specialities":[{"id":"ped.012","name":"Pediatric transplant surgeon","illness_kind_id":26},{"id":"sur.002","name":"Cardiothoracic surgeon","illness_kind_id":23},{"id":"sur.003","name":"Thoracic surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c7b26985cf.jpeg","name":"The International Society for Minimally Invasive Cardiothoracic Surgery"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c7b3f5472b.jpeg","name":"The Society of Thoracic Surgeons"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c7b562837f.jpeg","name":"The European Association for Cardio-Thoracic Surgery"}]},"clinic":{"id":283,"alias":"global-hospital-chennai","name":"Global Hospital Chennai","short_description":"Global Hospital Chennai fait partie du Gleneagles Global Hospitals Medical Group, qui accepte 2 millions de patients par an.
L'hôpital de Chennai fait partie du Gleneagles Global Hospitals Medical Group, qui accepte 2 millions de patients par an.\n
","images":[{"base_url":"clinic/5c87cd41d7bc5","title":"Façade moderne de la clinique Global Hospital Chennai en Inde"},{"base_url":"clinic/5b9141a74a619","title":"Espace d'attente spacieux au Global Hospital Chennai avec sièges modernes"},{"base_url":"clinic/5b9141a3e68ac","title":"Accueil et couloir au Global Hospital Chennai, établissement médical moderne"},{"base_url":"clinic/5b9141a4c07b3","title":"Salle d'IRM au Global Hospital Chennai avec équipement d'imagerie avancé"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Inde","id":32,"alias":"india","iso_code":"IN"},"city":{"name":"Chennai","id":347,"alias":"chennai"},"address":"439, Perumbakkam Main Rd, Green Court, Medavakkam, Chennai, Tamil Nadu 600100, India"},"rating":{"rating":4,"google":4.6,"percent_of_satisfied_clients":57},"statistics":{"number_of_reviews":7,"doctors_number":140,"year_foundation":2009},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb729c47b66.jpeg","name":"Conseil national indien d'accréditation pour les laboratoires d'essais et d'étalonnage","country_code":"IN"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb72a355c46.jpeg","name":"Conseil national indien d'accréditation des hôpitaux","country_code":"IN"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Meilleurs hôpitaux du monde 2021 par Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Meilleurs Hôpitaux Intelligents du Monde 2023 par Newsweek","country_code":"US"}]}}],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":2476,"user":{"id":3679,"name":"Андрей Павлович ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"fr":"J'étais en vacances dans l'État de Goa. Avant le voyage, j'ai subi une opération pour enlever un adénome de la prostate, et les résultats de la biopsie ont révélé des signes d'adénocarcinome. Pour avoir différents avis de médecins, j'ai décidé de consulter un onco-urologue local de l'hôpital Manipal. Ostap Bondarenko de Bookimed m'a organisé une consultation avec le docteur. Avant cela, j'ai essayé de contacter l'hôpital par moi-même, mais ils n'ont jamais répondu. \nTout y est bien organisé. J'ai beaucoup aimé. Nous avons discuté de toutes les questions. L'interprète Svetlana a d'abord discuté de tout avec moi et a clarifié la terminologie. Ensuite, lors de la consultation, elle a traduit clairement mes questions au docteur et m'a transmis ses conseils. \nLe médecin est très compétent et m'a expliqué toutes les options de traitement possibles et les recherches nécessaires.","en":"Was on vacation in the state of Goa. Before the trip, he performed an operation to remove prostate adenoma, according to the results of a biopsy, he found signs of adenocarcinoma. In order to have different opinions, the doctors decided to consult with a local oncourologist from Manipal hospital. Ostap Bondarenko from Bookimed arranged for me to see a doctor. Before that, he attempted to contact the hospital on his own, but they did not respond.\r\n Everything is well organized there. I like it. All questions discussed. Translator Svetlana first discussed everything with me and clarified the terminology. And then at the reception everything is available to the doctor translated my questions and his advice to me.\r\n The doctor is very competent and explained to me all possible treatment options and the necessary research."},"order":{"illness":{"id":97,"name":{"fr":"Cancer de la prostate","en":"Prostate cancer"}},"diagnostic":{"id":1,"name":{"fr":"TEP/TDM","en":"PET/CT"}}},"clinic_info":{"id":257,"name":"Manipal Hospitals","alias":"manipal-hospitals","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-12-18T20:18:22.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"fr":"Tout est bien organisé là-bas. J'aime ça. À propos du médecin : Le médecin est très compétent et m'a expliqué toutes les options de traitement possibles ainsi que les recherches nécessaires. À propos de la clinique : Tout est bien organisé là-bas. J'aime ça. À propos des résultats : Toutes les questions ont été discutées. À propos de l'expérience : La traductrice Svetlana a d'abord discuté de tout","en":"Everything is well organized there. I like it. About the Doctor: The doctor is very competent and explained to me all possible treatment options and the necessary research.About the Clinic: Everything is well organized there. I like it. About the Results: All questions discussed. About the Experience: Translator Svetlana first discussed everything with me and clarified the terminology. And then at"}}},{"id":5119,"user":{"id":29254,"name":"Фёдор ","country_code":"TJ"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"fr":"Je m'appelle Firdaus (Feder) et je tiens à exprimer ma gratitude pour votre travail ardu. Un immense merci à la coordinatrice Yulia Smirnova et à Alexander, qui sont disponibles 24 heures sur 24 pour le soutien. Il arrive que des questions se posent la nuit et elle traite toujours ses patients avec respect. Merci du fond du cœur de tout le Tadjikistan.","en":"My name is Firdavs (Feder). I want to express my gratitude for your hard work. Many thanks to the coordinator Julia Smirnova and Alexander. They are also supported 24 hours sometimes questions arise at night. She is always respectful from her patient. Thank you from all of Tajikistan."},"order":{"illness":{"id":4,"name":{"fr":"Cancer du poumon","en":"Lung cancer"}}},"doctor_info":{"id":1814,"name":"Surender Dabas","alias":"surender-dabas"},"clinic_info":{"id":291,"name":"BLK Super Speciality Hospital","alias":"blk-super-speciality-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-09-12T06:36:14.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"fr":"Je tiens à exprimer ma reconnaissance pour votre travail acharné.","en":"I want to express my gratitude for your hard work."}}},{"id":4781,"user":{"id":47724,"name":"Barno ","country_code":"UZ","country_name":{"fr":"Ouzbékistan","en":"Uzbekistan"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"fr":"Je vous remercie de votre aide dans l'organisation du voyage et du traitement, malheureusement, la réponse concernant les analyses met un peu de temps à arriver.","en":"Thanks for the help in organizing the trip and the treatment, they send me an answer for analyzes for a little while"},"order":{"illness":{"id":4,"name":{"fr":"Cancer du poumon","en":"Lung cancer"}}},"clinic_info":{"id":283,"name":"Global Hospital Chennai","alias":"global-hospital-chennai","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-08-12T00:00:00.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"fr":"Le médecin est très aimable et explique tout avec beaucoup de clarté.","en":"The doctor is very nice and explains everything very clearly."}}},{"id":8228,"user":{"id":285678,"name":"Борис ","country_code":"UA","country_name":{"fr":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":4},{"name":"coordination","value":3},{"name":"doctor","value":4},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":2},{"name":"relative_price","value":2}],"text":{"fr":"Douteux","en":"Dubious"},"order":{"operation":{"id":37,"name":{"fr":"Chimiothérapie","en":"Chemotherapy"}}},"clinic_info":{"id":419,"name":"Manipal Goa Hospital","alias":"manipal-goa-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2021-11-23T09:54:58.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"fr":"Oui","en":"Yes"}},{"id":2057,"user":{"id":1609,"name":"Альбина ","country_code":"RU"},"ratings":[{"name":"main","value":3},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"fr":"Les médecins de la clinique sont qualifiés et parlent bien anglais. Cependant, l'organisation du traitement, c'est-à-dire tous ces coordinateurs et traducteurs une fois que vous êtes en Inde, est un énorme inconvénient du processus. Juste énorme. Les attentes partout et à tout moment durent des heures, parfois des jours, avec une mauvaise information, un accent horrible en russe qui rend la compréhension difficile, une connaissance limitée des termes médicaux, de sorte qu'ils ne peuvent traduire que des besoins quotidiens. J'accompagnais ma mère pour son traitement, je parle un peu anglais, ce qui m'a permis d'accélérer certaines démarches. Il ne vaut pas la peine de voyager seul en tant que patient, cherchez un accompagnateur si les prix des traitements dans d'autres pays ne vous conviennent pas. Si quelqu'un voyage seul ou si l'accompagnateur ne parle pas anglais, le processus vous rendra nerveux. Les examens en eux-mêmes, les traitements et la chirurgie, tout cela se déroule bien. Mais atteindre un niveau d'organisation sans douleur pour le patient viendra à BLK pas très bientôt. Je ne sais pas comment c'est dans les autres cliniques en Inde, je pense que c’est pareil. Les traducteurs sont différents ici, mais les problèmes sont les mêmes. C’est ainsi dans tout le pays je pense. Mais si vous n'avez pas d'autre choix, vous pouvez faire confiance à la santé des médecins locaux. La nourriture est bonne à l'hôpital pour le patient et l'accompagnateur. Les chambres, quelle que soit leur capacité, isolent le patient avec des rideaux sur le périmètre, seuls le personnel peut vous voir, mais sachez que les chambres avec plusieurs lits sont très bruyantes. Certains prient en arabe à haute voix dans toute la chambre, d'autres chantent, jouent à des jeux avec des effets sonores, crient au téléphone, et de toute façon il n'y a pas de silence, les gémissements des personnes malades sont également suffisants... personne ne fait de remarques pour les téléphones non éteints, les conversations bruyantes et autres comportements inappropriés.","en":"Doctors of the clinic are qualified, speak English well. But the organization of treatment, that is, all these coordinators and translators already when you are in India, is a huge minus of the process. Simply huge. Expectations of everything and everywhere for hours, sometimes at times, poor awareness, a terrible accent on Russian, that one can understand a lot to the exact opposite, ignorance of medical terms, that is, only life can translate. I accompanied mamutna treatment, I speak English a little, therefore something accelerated due to this. One patient should not go, look for an accompanying person if other countries do not fit the prices for treatment. If someone is traveling alone or an accompanying person does not know English, the process will spoil your nerves. The very examination and treatment, surgery, everything is at a good level. But before the ability to organize everything painlessly for the patient, it will still come to BLK not soon. I do not know, as in other clinics in India, I think it's the same. Translators are different here, and the problems are the same. So in the whole country I think. But if there is no way out, you can entrust local doctors to the health. The patient is well fed in the hospital and the accompanying person. Chambers of any size isolate the patient with curtains around the perimeter, you see only the staff, but keep in mind that the multiple rooms are very noisy. Who prays in Arabic for the whole room, who sings the song, who plays the game with sound effects, who is screaming on the phone, because there is still no silence, people still have groans for the illnesses of people ... they do not do anybody for unconnected phones, loud talks and other inadequacy."},"order":{"operation":{"id":9,"name":{"fr":"Mastectomie","en":"Mastectomy"}},"illness":{"id":3,"name":{"fr":"Cancer du sein","en":"Breast cancer"}},"diagnostic":{"id":1,"name":{"fr":"TEP/TDM","en":"PET/CT"}}},"clinic_info":{"id":291,"name":"BLK Super Speciality Hospital","alias":"blk-super-speciality-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-08-19T08:42:08.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}]}],"meta":{"total_count":8,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Allemagne","alias":"germany","iso_code":"DE"},{"name":"Chine","alias":"china","iso_code":"CN"},{"name":"Egypte","alias":"egypt","iso_code":"EG"},{"name":"Espagne","alias":"spain","iso_code":"ES"},{"name":"Inde","alias":"india","iso_code":"IN"},{"name":"République de 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(HIFU)","alias":"high-intensity-focused-ultrasound-ablation-hifu"},{"name":"Prostatectomie","alias":"prostatectomy"},{"name":"Ablation par radiofréquence","alias":"radiofrequency-ablation"},{"name":"Ablation d'une tumeur de la moelle épinière","alias":"removal-of-spinal-cord-tumor"},{"name":"Chirurgie du mélanome","alias":"melanoma-surgery"},{"name":"Néphrectomie","alias":"nephrectomy"},{"name":"Chirurgie du cancer de l'estomac","alias":"gastrectomy"},{"name":"Radiothérapie","alias":"radiotherapy"},{"name":"Une greffe de moelle osseuse","alias":"bone-marrow-transplantation"},{"name":"Omentectomie","alias":"omentectomy"},{"name":"Craniotomie","alias":"craniotomy"},{"name":"Résection transnasale de la tumeur","alias":"transnasal-resection-of-tumor"},{"name":"Greffe de moelle osseuse autologue","alias":"autologous-bone-marrow-transplantation"},{"name":"Transplantation allogénique de moelle osseuse d'un donneur apparenté","alias":"allogenic-bone-marrow-transplantation-from-a-related-donor"},{"name":"Transplantation allogénique de moelle osseuse provenant d'un donneur non apparenté","alias":"allogenic-bone-marrow-transplantation-from-an-unrelated-donor"},{"name":"Œsophagectomie","alias":"esophagectomy"},{"name":"Résection de l'intestin grêle","alias":"small-intestine-surgery"},{"name":"Thérapie hormonale","alias":"hormonal-therapy"},{"name":"Résection transurétrale de la prostate (TURP)","alias":"transurethral-resection-of-the-prostate-turp"},{"name":"Thérapie à l'iode radioactif","alias":"radioiodine-therapy"},{"name":"Chirurgie du cancer du sein","alias":"operation-on-breast-cancer"},{"name":"Trachélectomie (cervicectomie)","alias":"trachelectomy-cervicectomy"},{"name":"Hystérectomie (ablation de l’utérus)","alias":"hysterectomy"},{"name":"Immunothérapie","alias":"immunotherapy"},{"name":"Thérapie ciblée","alias":"targeted-therapy"},{"name":"Lumpectomie","alias":"lumpectomy"},{"name":"Thyroïdectomie subtotale","alias":"subtotal-thyroidectomy"},{"name":"Chimiothérapie intrapéritonéale hyperthermique (HIPEC)","alias":"hyperthermic-intraperitoneal-chemotherapy"},{"name":"Ovariectomie","alias":"oophorectomy"},{"name":"Chirurgie de Whipple","alias":"whipple-surgery"},{"name":"Énucléation de l'oeil","alias":"enucleation-of-eyes"},{"name":"Orchidectomie","alias":"orchiectomy"},{"name":"Lymphadénectomie","alias":"lymphadenectomy"},{"name":"Résection transurétrale de la vessie","alias":"transurethral-resection-of-the-bladder"},{"name":"Pancréatectomie distale","alias":"distal-pancreatectomy"},{"name":"Microchirurgie de Mohs","alias":"mohs-surgery"},{"name":"Large excision du mélanome","alias":"wide-excision-of-melanoma"},{"name":"Lobectomie","alias":"lobectomy"},{"name":"Opération de Wertheim-Meigs","alias":"the-wertheim-meigs-operation"},{"name":"Chirurgie du cancer du 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Infusion-based regimens are outside this profile."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":2,"unit":"weeks","qualifier":"Light activity from day 1; strenuous exercise gradually over 1 to 2 weeks if tolerability and breathing allow."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Time to first radiologic response assessment, about 6 to 12 weeks. Not a cure endpoint; therapy continues."},"fly_home_after_days":{"min":0,"max":14,"unit":"days","qualifier":"No procedure; travel is possible after baseline workup, once stable with enough medication. Tolerability review at about 2–4 weeks."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"After the first dose; tolerability and laboratory review."}},{"purpose":"result_review","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"After the first dose; first response imaging and clinic review."}},{"purpose":"assessment","requirement":"routine","after":{"min":84,"max":180,"unit":"days","qualifier":"After the first dose; periodic imaging every 2 to 3 months, later intervals individualized."}}],"indications":["Advanced or metastatic NSCLC with EGFR exon 19 deletion","Advanced or metastatic NSCLC with EGFR L858R mutation","Adjuvant therapy after resection of EGFR-mutated NSCLC","Unresectable stage III EGFR-mutated NSCLC after chemoradiotherapy"],"main_risks":["Diarrhea, dry skin, rash, paronychia, mouth sores; usually manageable.","Interstitial lung disease: rare but serious; stop drug, urgent evaluation.","QT prolongation; rarely reduced heart function.","Low blood counts and liver enzyme changes found on monitoring.","Eye symptoms and rare severe skin reactions.","Drug interactions, especially with CYP3A4 inducers."],"pain":"Taking the oral tablet is painless. Treatment-related discomfort, such as mouth sores, nail-fold tenderness, rash or headache, can occur and is managed symptomatically.","preparation":["Confirm NSCLC and EGFR mutation by tissue or liquid biopsy","Baseline staging, usually CT with brain imaging, per the oncologist.","Baseline blood counts, liver and kidney tests, electrolytes","ECG and cardiac assessment as indicated","Review all medicines and supplements for CYP3A4 and QT interactions.","Counseling on side effects, dosing, skin and nail care","Contraception advice and when to contact the oncology team"],"recovery_timeline":[{"phase":"Treatment start (day 0)","description":"Baseline assessment and counseling, then daily oral osimertinib starts at home. No hospital stay; light activity continues from day 1.","restrictions":["Take the tablet daily as directed","Avoid interacting drugs and supplements unless cleared","Use contraception as advised"]},{"phase":"Days 1 to 28","description":"Mild diarrhea, dry skin, rash, nail changes, mouth sores and fatigue may appear; supportive care helps. Exercise resumes gradually.","restrictions":["Daily skin, nail and mouth care","Maintain hydration","Increase exercise gradually, guided by oncology team"]},{"phase":"Weeks 6 to 12","description":"First response imaging and clinic review; initial response is judged and monitoring continues.","restrictions":["Continue treatment unless the oncology team advises otherwise"]},{"phase":"Ongoing therapy (months 3 to 6 and beyond)","description":"Daily therapy with periodic reviews and imaging until progression or intolerance; repeat testing if disease progresses.","restrictions":["Continue regular monitoring as scheduled","Do not stop or change dose without oncology advice"]},{"phase":"At any time","description":"Seek urgent care for new cough, breathlessness, fever, chest pain, palpitations, severe diarrhea, severe rash, eye pain, or infection or bleeding signs.","restrictions":["Do not wait for the next review","Team may pause the drug during assessment"]}],"rehabilitation_days":{"min":0,"max":7,"unit":"days","qualifier":"Oral therapy without procedure; time to settle into daily routine, affected by rash, diarrhea, fatigue and disease burden."},"result_longevity":"Disease control typically lasts months to a few years until resistance develops; median first-line progression-free survival was roughly 1.5 years. Benefit lasts only during therapy; not a cure.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":4,"max":8,"unit":"visits","qualifier":"Planned oncology reviews in the first 6 months from treatment start."},"stages":[{"code":"baseline_start","label":"Baseline assessment, counseling and start of daily oral therapy","after":{"min":0,"max":0,"unit":"days","qualifier":"Counted from treatment start."}},{"code":"early_tolerability_review","label":"Tolerability and laboratory review","after":{"min":14,"max":28,"unit":"days","qualifier":"After the first dose."}},{"code":"first_response_assessment","label":"First response imaging and clinic review","after":{"min":42,"max":84,"unit":"days","qualifier":"After the first dose; timing varies by clinic."}},{"code":"ongoing_scheduled_reviews","label":"Ongoing reviews with periodic imaging every 2 to 3 months","after":{"min":84,"max":180,"unit":"days","qualifier":"After the first dose; later intervals individualized."}}],"qualifier":"Daily oral osimertinib after biomarker confirmation, continued until progression or intolerance. Counts cover first 6 months only."},"success":{"metric":"Objective response rate (tumor shrinkage on imaging)","value":80,"unit":"percent","horizon":"First response imaging, about 6 to 12 weeks after first dose","population":"Adults with advanced EGFR exon 19 or L858R NSCLC on first-line osimertinib","evidence_status":"limited"},"techniques":[{"name":"Oral EGFR tyrosine kinase inhibitor (osimertinib)","suits_whom":"Adults with EGFR-mutated advanced NSCLC.","recovery":"Taken at home daily; no procedural recovery, with side-effect management and monitoring as directed."},{"name":"Other oral targeted inhibitors (ALK, ROS1, RET, MET, BRAF/MEK, KRAS G12C, HER2)","suits_whom":"Patients with the matching actionable alteration; the choice follows biomarker results and approvals.","recovery":"Taken at home as continuous therapy; monitoring and side effects are agent-specific."},{"name":"Antibody-based targeted regimens, such as EGFR-MET bispecific antibody or antibody-drug conjugates","suits_whom":"Selected patients with specific alterations or after progression on oral inhibitors; availability varies.","recovery":"Given by intravenous infusion in a treatment unit; schedules and observation are product-specific."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":3,"unit":"hours","qualifier":"Initial clinic visit for counseling and start; daily tablet takes minutes and therapy continues until progression."},"initial_assessment_documents":["Lung biopsy pathology report","EGFR and other biomarker test report (NGS)","Chest CT or PET-CT report and images","Brain MRI report","Recent blood tests with liver and kidney function","Previous cancer treatment summary (if available)"],"travel_trips":{"min":1,"max":3,"one_trip_possible":true,"qualifier":"Daily oral therapy; one 1-2 week trip covers workup and start; imaging and reviews may need return trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the doctor explains the risks of any biopsy needed for the tumor before it is done","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/targeted-therapies","host":"cancer.gov","quote":"Your doctor will explain the risks of having a biopsy for your type of tumor.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check whether the doctor explains that cancer cells can become resistant to targeted therapy","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/targeted-therapies","host":"cancer.gov","quote":"Cancer cells can become resistant to targeted therapy.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check the plan for regular visits, blood tests and scans, which show whether the treatment is working","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/targeted-therapies","host":"cancer.gov","quote":"These regular visits and tests will help the doctor know whether the treatment is working.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that the side effects of the specific targeted drug you would receive are explained before treatment starts","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/targeted-therapies","host":"cancer.gov","quote":"The side effects that you may have depends on the type of targeted therapy you receive and how your body reacts to it.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check that your tumor has been tested for drug targets, which is needed most of the time","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/targeted-therapies","host":"cancer.gov","quote":"But most of the time, your tumor will need to be tested to see if it contains targets for which there is a drug.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Promise that the doctor can know for certain how you will feel during treatment","scope":"treatment_type","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/targeted-therapies","host":"cancer.gov","quote":"Doctors and nurses cannot know for certain how you will feel during treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Ad or quote calling targeted therapy free of serious side 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clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your lung cancer can be removed with surgery","name":"Lung cancer surgery","source":{"url":"https://www.nhs.uk/conditions/lung-cancer/treatment/","host":"nhs.uk","quote":"You may have surgery to remove cancer from your 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