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Accurate lung cancer staging is vitally important because treatment options and prognosis differ significantly by stage. The staging algorithm should include a contrast computed tomography (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) of the chest and the upper abdomen including adrenals, positron emission tomography\/<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> for staging the mediastinum and to rule out extrathoracic metastasis in patients considered for surgical resection, endosonography\u2010guided needle sampling procedure replacing mediastinoscopy for near complete mediastinal staging, and brain imaging as clinically indicated. Applicability of evidence\u2010based guidelines for staging of lung cancer depends on the available expertise and level of resources and is directly impacted by financial issues. Considering the diversity of healthcare infrastructure and economic performance of <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>sian countries, optimal and cost\u2010effective use of staging methods appropriate to the available resources is prudent. The pulmonologist plays a central role in the multidisciplinary approach to lung cancer diagnosis, staging and management. Regional respiratory societies such as the Asian Pacific Society of Respirology should work with national respiratory societies to strive for uniform standards of care. For developing countries, a minimum set of care standards should be formulated. Cost\u2010effective delivery of optimal care for lung cancer patients, including staging within the various healthcare systems, should be encouraged and most importantly, tobacco control implementation should receive an absolute priority status in all countries in Asia.<\/jats:p>","DOI":"10.1111\/resp.12489","type":"journal-article","created":{"date-parts":[[2015,2,14]],"date-time":"2015-02-14T11:20:45Z","timestamp":1423912845000},"page":"526-534","source":"Crossref","is-referenced-by-count":40,"title":["Lung cancer staging now and in the future"],"prefix":"10.1111","volume":"20","author":[{"given":"Chong\u2010Kin","family":"Liam","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sita","family":"Andarini","sequence":"additional","affiliation":[{"name":"Department of Pulmonology and Respiratory Medicine University of Indonesia\u2010Persahabatan Hospital  Jakarta Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pyng","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine National University Hospital  Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James Chung\u2010Man","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Medicine Queen Mary Hospital\u2010University of Hong Kong  Hong Kong, SAR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ngo Quy","family":"Chau","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hanoi Medical University  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamsak","family":"Tscheikuna","sequence":"additional","affiliation":[{"name":"Division of Respiratory Diseases and Tuberculosis, Department of Internal Medicine, Faculty of Medicine Siriraj Hospital Mahidol University  Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,2,14]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"63","article-title":"Cancer statistics","volume":"2013","author":"Siegel R","year":"2013","journal-title":"CA Cancer J. 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