{"key":"op_693_IL","page":{"url":"https://ua.bookimed.com/clinics/country=israel/procedure=chemotherapy-for-lung-cancer/","procedure":{"id":693,"slug":"chemotherapy-for-lung-cancer","name":"Хіміотерапія при раку легень","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"oncology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":1,"iso":"IL","name":"Ізраїль"},"currency":"USD","data_date":"2026-09-24"},"pages":{"clinics_url":"https://ua.bookimed.com/clinics/country=israel/procedure=chemotherapy-for-lung-cancer/","cost_url":"https://ua.bookimed.com/clinics/country=israel/procedure=chemotherapy-for-lung-cancer/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":600,"to":13000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":14000,"to":32000},"uk":{"from":9500,"to":17500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Тель Авів","from":600},{"city":"Єрусалим","from":7200}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":1500,"to":3500},{"country_iso":"FR","from":3500,"to":5800},{"country_iso":"GB","from":9500,"to":17500},{"country_iso":"US","from":14000,"to":32000},{"country_iso":"TR","from":800,"to":1500},{"country_iso":"MX","from":4500,"to":8500},{"country_iso":"DE","from":3500,"to":9500},{"country_iso":"CA","from":6500,"to":13500},{"country_iso":"AE","from":6500,"to":14000},{"country_iso":"TH","from":4200,"to":6500},{"country_iso":"PL","from":1800,"to":4800},{"country_iso":"KR","from":1500,"to":11000},{"country_iso":"CZ","from":3500,"to":7000},{"country_iso":"AT","from":4500,"to":10500},{"country_iso":"ES","from":2200,"to":5600},{"country_iso":"IT","from":3500,"to":6800},{"country_iso":"CN","from":5000,"to":8000},{"country_iso":"AU","from":6500,"to":13000},{"country_iso":"IN","from":800,"to":4500},{"country_iso":"MY","from":3000,"to":6500},{"country_iso":"VN","from":2800,"to":4200},{"country_iso":"BR","from":4500,"to":6800}],"base_country":"US","base_is_fallback":false},"savings":{"pct":96,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":3,"items":[{"id":1,"name":"Sourasky Medical Center (Ichilov)","city":"Tel Aviv","rating":4.5,"reviews_count":172,"accreditations":["World's Best Smart Hospitals 2021 by Newsweek","World's Best Hospitals 2021 by Newsweek","World's Best Hospitals 2020 by Newsweek","Patient choice for Check-up","Fastest treatment organization","Joint Commission International","World's Best Specialized Hospitals 2022 by Newsweek","World's Best Smart Hospitals 2023 by Newsweek","World's Best Hospitals 2022 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":"Specializes in lung cancer with a 90% success rate for metastatic cancer treatment. Offers Foundation One CDx testing to personalize chemotherapy.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":8,"name":"Assuta Medical Center","city":"Tel Aviv","rating":4.4,"reviews_count":13,"accreditations":["Joint Commission International"],"rank":2,"has_procedure":true,"why_ranked":"JCI-accredited (first in Israel), with PET-CT and MRI on site. Oncology department reports 100% diagnostic accuracy and a 77% non-surgical treatment rate for lung cancer chemotherapy.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":16,"name":"Hadassah Medical Center","city":"Jerusalem","rating":4.2,"reviews_count":13,"accreditations":["Nobel Peace Prize","World's Best Hospitals 2021 by Newsweek","World's Best Smart Hospitals 2021 by Newsweek","World's Best Smart Hospitals 2023 by Newsweek"],"rank":3,"has_procedure":true,"why_ranked":"Offers modern immunotherapies and participates in clinical trials for new treatments. Includes specialists in lung cancer with innovative approaches like CAR-T therapy.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":4,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2,"slug":"tel-aviv","name":"Тель Авів","clinics_count":1,"price_from":600,"profile":{"city_type":"Mediterranean coastal economic and tech hub","access":["Ben Gurion Airport (TLV), 20 km southeast of city"],"sources":["https://en.wikipedia.org/wiki/Tel_Aviv","https://en.wikipedia.org/wiki/Ben_Gurion_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":3,"slug":"jerusalem","name":"Єрусалим","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":7200,"profile":{"city_type":"Historic city in the Judaean Mountains","access":["Ben Gurion Airport (TLV), 45 km from Jerusalem"],"sources":["https://en.wikipedia.org/wiki/Jerusalem","https://en.wikipedia.org/wiki/Ben_Gurion_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Small cell lung cancer, platinum-etoposide, often with immunotherapy or radiotherapy","NSCLC without targetable drivers, often with immunotherapy","Adjuvant or neoadjuvant therapy around surgery in selected resectable NSCLC","Concurrent chemoradiotherapy for selected locally advanced disease","Palliative treatment for symptoms and survival in advanced disease"],"contraindications":["Severe uncontrolled infection","Inadequate bone marrow, liver or kidney function for agents","Poor performance status; harm outweighs benefit (relative)","Pregnancy (relative; agent- and trimester-dependent)","Known severe hypersensitivity to a planned agent"],"operation_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Per cycle day, including premedication and hydration; depends on regimen and platinum agent."},"anesthesia":["none"],"sessions_or_stages":{"sessions":{"min":4,"max":6,"unit":"visits","qualifier":"Cycles usually every 3 weeks; number depends on setting, response and tolerance."},"stages":[{"code":"cycle_1","label":"First cycle with baseline assessment","after":{"min":0,"max":0,"unit":"days","qualifier":"Starting day of treatment."}},{"code":"cycle_2","label":"Second cycle","after":{"min":21,"max":28,"unit":"days","qualifier":"Delayed if blood counts have not recovered."}},{"code":"interim_imaging","label":"Interim response imaging","after":{"min":42,"max":63,"unit":"days","qualifier":"After two to three cycles."}},{"code":"cycles_3_6","label":"Remaining cycles","after":{"min":42,"max":105,"unit":"days","qualifier":"Every 3 weeks until 4-6 cycles completed."}}],"qualifier":"Repeated cycles over about 3-4 months, each a short infusion visit."},"hospital_nights":{"value":{"min":0,"max":2,"unit":"nights","qualifier":"Usually 0-2 nights per cycle; longer for extended cisplatin hydration or complications."},"source":"parsed_details"},"treatment_conditions":["day_case"],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Functional recovery after final cycle; depends on cumulative toxicity, age and fitness."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After each cycle once nausea, hydration and blood counts are stable; neutropenia peaks days 7-14."},"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Many patients work reduced hours between cycles; depends on fatigue, blood counts and job demands."},"exercise_resume_weeks":{"min":1,"max":4,"unit":"weeks","qualifier":"Light walking encouraged early; intensity depends on fatigue, blood counts and oncologist clearance."},"final_result_months":{"min":2,"max":4,"unit":"months","qualifier":"Response assessed by imaging after 2-4 cycles; depends on stage, histology and regimen."},"result_longevity":"Disease control lasts months to a few years depending on stage and histology. Chemotherapy alone is rarely curative except in selected early or chemoradiation settings.","main_risks":["Myelosuppression: neutropenia with infection risk, anemia, thrombocytopenia","Nausea and vomiting","Fatigue","Hair loss (agent-dependent)","Nephrotoxicity, ototoxicity and neuropathy (notably with platinum agents)","Infusion or hypersensitivity reactions (e.g., taxanes)","Mucositis and diarrhea (agent-dependent)","Rarely, treatment-related death or serious organ toxicity"],"complication_rate_pct":{"min":30,"max":70,"unit":"percent","qualifier":"Grade 3-4 adverse events (mainly neutropenia, anemia, nausea) across platinum-doublet regimens; treatment-related death under 2%."},"revision_rate_pct":{"status":"missing","reason":"not_collected"},"success":{"metric":"Objective tumor response rate (shrinkage on imaging)","value":35,"horizon":"After 2-4 cycles, at interim imaging","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"No surgical scars; small port-site scar only if a central venous port is placed.","pain":"Infusion causes little pain beyond cannulation. Side effects such as nausea, fatigue, mouth sores or neuropathy are managed with supportive medication.","preparation":["Confirm histology and molecular testing results","Baseline blood, kidney and liver tests","Review hearing and neuropathy status","Dental check and treat infections","Plan central venous access if needed","Take antiemetic and steroid premedication","Hydrate well before platinum infusion","Review current medications and supplements","Stop smoking","Arrange local lab for blood counts"],"recovery_timeline":[{"phase":"Infusion day","description":"Premedication, intravenous chemotherapy and hydration in infusion unit, then discharge.","restrictions":["Avoid driving if sedated","Rest afterwards"]},{"phase":"Days 1-5","description":"Nausea, fatigue and appetite loss are most common.","restrictions":["Take antiemetics as prescribed","Maintain fluids"]},{"phase":"Days 7-14","description":"Blood counts reach lowest point with higher infection risk; hair loss may begin.","restrictions":["Avoid crowds and sick contacts","Report fever above 38 C urgently"]},{"phase":"Days 15-21","description":"Counts recover and energy improves before the next cycle.","restrictions":["Proceed only if blood counts adequate"]},{"phase":"After final cycle","description":"Gradual recovery over several weeks with restaging imaging; monitor neuropathy and hearing.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Blood count check at nadir, often done locally."}},{"purpose":"assessment","requirement":"routine","after":{"min":21,"max":24,"unit":"days","qualifier":"Pre-cycle review with blood, kidney and liver tests."}},{"purpose":"result_review","requirement":"routine","after":{"min":42,"max":63,"unit":"days","qualifier":"Interim CT after 2-3 cycles to assess response."}},{"purpose":"result_review","requirement":"routine","after":{"min":84,"max":126,"unit":"days","qualifier":"End-of-treatment imaging after final cycle."}},{"purpose":"other","requirement":"conditional","after":{"min":3,"max":21,"unit":"days","qualifier":"Urgent review for fever, severe vomiting or dehydration."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you can ask the treatment team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Get a second opinion from a doctor on the treatment options and whether treatment is necessary","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"No mention of aftercare before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"A lack of information about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Serious trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/coping/survivorship/late-effects","host":"cancer.gov","quote":"If you have serious trouble breathing, your doctor may prescribe oxygen therapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Shortness of breath","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/coping/survivorship/late-effects","host":"cancer.gov","quote":"Lung damage can cause shortness of breath, wheezing, fever, dry cough, congestion, and feeling tired.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bad cough","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/organ-inflammation","host":"cancer.gov","quote":"Inflammation in the lungs, called pneumonitis, can cause you to feel short of breath and have a bad cough.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the 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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Many patients work reduced hours between cycles; depends on fatigue, blood counts and job demands."},"complication_rate_pct":{"min":30,"max":70,"unit":"percent","qualifier":"Grade 3-4 adverse events (mainly neutropenia, anemia, nausea) across platinum-doublet regimens; treatment-related death under 2%."},"contraindications":["Severe uncontrolled infection","Inadequate bone marrow, liver or kidney function for agents","Poor performance status; harm outweighs benefit (relative)","Pregnancy (relative; agent- and trimester-dependent)","Known severe hypersensitivity to a planned agent"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Usually 0-2 nights per cycle; longer for extended cisplatin hydration or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":4,"unit":"weeks","qualifier":"Light walking encouraged early; intensity depends on fatigue, blood counts and oncologist clearance."},"final_result_months":{"min":2,"max":4,"unit":"months","qualifier":"Response assessed by imaging after 2-4 cycles; depends on stage, histology and regimen."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After each cycle once nausea, hydration and blood counts are stable; neutropenia peaks days 7-14."},"follow_up_visits":[{"purpose":"assessment","after":{"min":7,"max":14,"unit":"days","qualifier":"Blood count check at nadir, often done locally."},"requirement":"routine"},{"purpose":"assessment","after":{"min":21,"max":24,"unit":"days","qualifier":"Pre-cycle review with blood, kidney and liver tests."},"requirement":"routine"},{"purpose":"result_review","after":{"min":42,"max":63,"unit":"days","qualifier":"Interim CT after 2-3 cycles to assess response."},"requirement":"routine"},{"purpose":"result_review","after":{"min":84,"max":126,"unit":"days","qualifier":"End-of-treatment imaging after final cycle."},"requirement":"routine"},{"purpose":"other","after":{"min":3,"max":21,"unit":"days","qualifier":"Urgent review for fever, severe vomiting or dehydration."},"requirement":"conditional"}],"indications":["Small cell lung cancer, platinum-etoposide, often with immunotherapy or radiotherapy","NSCLC without targetable drivers, often with immunotherapy","Adjuvant or neoadjuvant therapy around surgery in selected resectable NSCLC","Concurrent chemoradiotherapy for selected locally advanced disease","Palliative treatment for symptoms and survival in advanced disease"],"main_risks":["Myelosuppression: neutropenia with infection risk, anemia, thrombocytopenia","Nausea and vomiting","Fatigue","Hair loss (agent-dependent)","Nephrotoxicity, ototoxicity and neuropathy (notably with platinum agents)","Infusion or hypersensitivity reactions (e.g., taxanes)","Mucositis and diarrhea (agent-dependent)","Rarely, treatment-related death or serious organ toxicity"],"pain":"Infusion causes little pain beyond cannulation. Side effects such as nausea, fatigue, mouth sores or neuropathy are managed with supportive medication.","preparation":["Confirm histology and molecular testing results","Baseline blood, kidney and liver tests","Review hearing and neuropathy status","Dental check and treat infections","Plan central venous access if needed","Take antiemetic and steroid premedication","Hydrate well before platinum infusion","Review current medications and supplements","Stop smoking","Arrange local lab for blood counts"],"recovery_timeline":[{"phase":"Infusion day","description":"Premedication, intravenous chemotherapy and hydration in infusion unit, then discharge.","restrictions":["Avoid driving if sedated","Rest afterwards"]},{"phase":"Days 1-5","description":"Nausea, fatigue and appetite loss are most common.","restrictions":["Take antiemetics as prescribed","Maintain fluids"]},{"phase":"Days 7-14","description":"Blood counts reach lowest point with higher infection risk; hair loss may begin.","restrictions":["Avoid crowds and sick contacts","Report fever above 38 C urgently"]},{"phase":"Days 15-21","description":"Counts recover and energy improves before the next cycle.","restrictions":["Proceed only if blood counts adequate"]},{"phase":"After final cycle","description":"Gradual recovery over several weeks with restaging imaging; monitor neuropathy and hearing.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Functional recovery after final cycle; depends on cumulative toxicity, age and fitness."},"result_longevity":"Disease control lasts months to a few years depending on stage and histology. Chemotherapy alone is rarely curative except in selected early or chemoradiation settings.","revision_rate_pct":null,"scars":"No surgical scars; small port-site scar only if a central venous port is placed.","sessions_or_stages":{"sessions":{"min":4,"max":6,"unit":"visits","qualifier":"Cycles usually every 3 weeks; number depends on setting, response and tolerance."},"stages":[{"code":"cycle_1","label":"First cycle with baseline assessment","after":{"min":0,"max":0,"unit":"days","qualifier":"Starting day of treatment."}},{"code":"cycle_2","label":"Second cycle","after":{"min":21,"max":28,"unit":"days","qualifier":"Delayed if blood counts have not recovered."}},{"code":"interim_imaging","label":"Interim response imaging","after":{"min":42,"max":63,"unit":"days","qualifier":"After two to three cycles."}},{"code":"cycles_3_6","label":"Remaining cycles","after":{"min":42,"max":105,"unit":"days","qualifier":"Every 3 weeks until 4-6 cycles completed."}}],"qualifier":"Repeated cycles over about 3-4 months, each a short infusion visit."},"success":{"metric":"Objective tumor response rate (shrinkage on imaging)","value":35,"unit":"percent of patients","horizon":"After 2-4 cycles, at interim imaging","population":"Adults with advanced NSCLC receiving first-line platinum doublet chemotherapy","evidence_status":"limited"},"techniques":[{"name":"Platinum doublet IV chemotherapy for NSCLC (cisplatin or carboplatin)","suits_whom":"Many patients with NSCLC, in adjuvant, chemoradiation or advanced settings; regimen choice depends on histology and fitness.","recovery":"Given in repeated cycles; recovery between cycles depends on toxicity and blood counts."},{"name":"Platinum-etoposide chemotherapy for small cell lung cancer","suits_whom":"Patients with limited- or extensive-stage SCLC, sometimes combined with radiotherapy or immunotherapy.","recovery":"Given in repeated cycles; recovery varies with toxicity."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Per cycle day, including premedication and hydration; depends on regimen and platinum agent."},"initial_assessment_documents":["Biopsy pathology report with histology","Molecular and PD-L1 testing report","Chest CT scan images and report","PET-CT report","Brain MRI report","Recent blood count, kidney and liver tests"],"travel_trips":{"min":4,"max":6,"one_trip_possible":false,"qualifier":"Usually 4-6 cycles every 3 weeks over 3-4 months; each cycle needs a separate 1-3 day visit."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you can ask the treatment team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Get a second opinion from a doctor on the treatment options and whether treatment is necessary","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"No mention of aftercare before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"A lack of information about the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Serious trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/coping/survivorship/late-effects","host":"cancer.gov","quote":"If you have serious trouble breathing, your doctor may prescribe oxygen therapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Shortness of breath","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/coping/survivorship/late-effects","host":"cancer.gov","quote":"Lung damage can cause shortness of breath, wheezing, fever, dry cough, congestion, and feeling tired.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bad cough","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/organ-inflammation","host":"cancer.gov","quote":"Inflammation in the lungs, called pneumonitis, can cause you to feel short of breath and have a bad cough.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the 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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You and your care team choose a nonchemotherapy lung-cancer treatment","name":"Radiation therapy","source":{"url":"https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq","host":"cancer.gov","quote":"- Surgery - Radiation therapy - Chemotherapy - Targeted therapy - Immunotherapy - Laser therapy - Photodynamic therapy (PDT) - Cryosurgery - Electrocautery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You and your care team choose immune-based treatment","name":"Immunotherapy","source":{"url":"https://www.cancer.gov/types/lung/patient/small-cell-lung-treatment-pdq","host":"cancer.gov","quote":"- Surgery - Chemotherapy - Radiation therapy - Immunotherapy - Targeted Therapy - Laser therapy - Endoscopic stent placement","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":283}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"platinum-doublet-iv","name":"Platinum doublet IV chemotherapy for NSCLC (cisplatin or carboplatin)","how_it_works":{"text":"The medicines travel throughout the body to treat cancer","source":{"url":"https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq","host":"cancer.gov","quote":"Chemotherapy for non-small cell lung cancer is usually systemic, meaning it is injected into a vein or given by mouth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"platinum-etoposide","name":"Platinum-etoposide chemotherapy for small cell lung cancer","how_it_works":{"text":"Two medicines work together to treat small cell lung cancer","source":{"url":"https://www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq","host":"cancer.gov","quote":"Chemotherapy for patients with ED SCLC is commonly given as a two-drug combination of platinum and etoposide in doses associated with at least moderate toxic effects (as in limited-stage [LD] SCLC).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"platinum-doublet-iv","name":"Platinum doublet IV chemotherapy for NSCLC (cisplatin or carboplatin)","how_it_works":{"id":"H1","text":"The medicines travel throughout the body to treat cancer","source":{"url":"https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq","host":"cancer.gov","quote":"Chemotherapy for non-small cell lung cancer is usually systemic, meaning it is injected into a vein or given by mouth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Many patients with NSCLC, in adjuvant, chemoradiation or advanced settings; regimen choice depends on histology and fitness.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Given in repeated cycles; recovery between cycles depends on toxicity and blood counts."},{"id":"platinum-etoposide","name":"Platinum-etoposide chemotherapy for small cell lung cancer","how_it_works":{"id":"H1","text":"Two medicines work together to treat small cell lung cancer","source":{"url":"https://www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq","host":"cancer.gov","quote":"Chemotherapy for patients with ED SCLC is commonly given as a two-drug combination of platinum and etoposide in doses associated with at least moderate toxic effects (as in limited-stage [LD] SCLC).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients with limited- or extensive-stage SCLC, sometimes combined with radiotherapy or immunotherapy.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Given in repeated cycles; recovery varies with toxicity."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You and your care team choose a nonchemotherapy lung-cancer treatment","name":"Radiation therapy","source":{"url":"https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq","host":"cancer.gov","quote":"- Surgery - Radiation therapy - Chemotherapy - Targeted therapy - Immunotherapy - Laser therapy - Photodynamic therapy (PDT) - Cryosurgery - Electrocautery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You and your care team choose immune-based treatment","name":"Immunotherapy","source":{"url":"https://www.cancer.gov/types/lung/patient/small-cell-lung-treatment-pdq","host":"cancer.gov","quote":"- Surgery - Chemotherapy - Radiation therapy - Immunotherapy - Targeted Therapy - Laser therapy - Endoscopic stent placement","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":283}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"British citizens can visit Israel as tourists without a visa","source":{"url":"https://www.gov.uk/foreign-travel-advice/israel/entry-requirements","host":"gov.uk","quote":"You can visit Israel without a visa as a tourist.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"passport_validity","audience":"uk","volatile":true,"text":"To enter Israel, your passport must have an expiry date at least 90 days after the date you arrive","source":{"url":"https://www.gov.uk/foreign-travel-advice/israel/entry-requirements","host":"gov.uk","quote":"To enter Israel or Palestine, your passport must have an ‘expiry date’ at least 90 days after the date you arrive.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"arrival_form","audience":"uk","volatile":true,"text":"Visitors must get an Electronic Travel Authorisation (ETA) before arriving in Israel","source":{"url":"https://www.gov.uk/foreign-travel-advice/israel/entry-requirements","host":"gov.uk","quote":"As of 1 January 2025, to visit Israel you will need to get an Electronic Travel Authorisation (ETA) before you arrive.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"hospital_payment","audience":"all","volatile":false,"text":"Hospitals in Israel insist on payment and may take legal action to stop you leaving until bills are paid","source":{"url":"https://www.gov.uk/foreign-travel-advice/israel/health","host":"gov.uk","quote":"Hospitals will insist on payment and may take legal action to stop you leaving until bills are paid.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["azerbaijan","china","egypt","germany","greece","india","italy","republic-of-korea","spain","switzerland","thailand","turkey","ukraine"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.47,"count":198,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Chemotherapy for lung cancer in Israel typically costs from _op_693_price_from_ to _op_693_price_to_. The final price depends on the specific drug protocol, number of cycles, and whether the facility is public or private. In the US, this procedure costs _price_compare_US_average_ on average. Most Israeli oncology centers include oncologist consultations and basic clinical monitoring in their pricing.</p>\n\n<ul>\n<li><strong>Single session cost.</strong> Prices for one cycle often start around $600 at specialized centers.</li>\n<li><strong>Advanced drug protocols.</strong> Multi-drug combinations or targeted therapies can increase costs by 15–20% per cycle.</li>\n<li><strong>Facility location.</strong> Major hubs like Tel Aviv and Jerusalem are the primary centers for oncology.</li>\n<li><strong>Private facility premium.</strong> Private medical complexes may charge more than regional public hospitals for personalized care.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight.</strong> Tel Aviv is a major hub where Assuta Medical Center offers sessions starting around $600. Sourasky Medical Center provides high-tier care with a 90% cancer treatment success rate. Patients there can consult with world-class specialists like Ofer Merimsky. Many top clinics are accredited by Joint Commission International (JCI). They often provide free airport transfers and interpreters to assist international patients during treatment.</p>","faq":[{"q":"What is the primary use of chemotherapy for lung cancer in Israel?","a":"<p>Chemotherapy for lung cancer in Israel primarily serves as a systemic treatment for small cell lung cancer and advanced non-small cell lung cancer. Clinics like Sourasky Medical Center and Sheba Medical Center utilize platinum-based regimens to destroy metastatic cells, shrink tumors, and extend patient survival.</p> <ul> <li><strong>Advanced stage management:</strong> Destroys metastatic cells in stage 4 cases using systemic platinum-based agents.</li> <li><strong>Neoadjuvant therapy:</strong> Shrinks tumors before surgical intervention to improve successful resection rates.</li> <li><strong>Adjuvant therapy:</strong> Eliminates remaining microscopic cells after surgery to prevent cancer recurrence.</li> <li><strong>Combined modalities:</strong> Pairs chemotherapy with immunotherapy or radiotherapy to enhance therapeutic response.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli oncology centers like Sourasky Medical Center integrate genomic profiling into standard chemotherapy planning. By using Foundation One CDx testing, doctors can identify if a patient needs targeted therapy first. This prevents unnecessary chemotherapy sessions for those with specific genetic mutations like EGFR.</p> <p><strong>Patient Consensus:</strong> Patients emphasize verifying your specific cancer subtype, such as NSCLC or SCLC, before starting treatment. Many recommend discussing biomarker testing to see if combining chemotherapy with immunotherapy could improve your outcome.</p>"},{"q":"When is chemotherapy used along with other treatments?","a":"<p>Chemotherapy is combined with surgery, radiation, immunotherapy, or targeted therapy to increase survival rates and prevent recurrence. In Israel, clinicians use neoadjuvant chemotherapy to shrink tumors before surgery or adjuvant therapy to eliminate microscopic cells, often integrating personalized genomic profiling to select specific drug combinations.</p> <ul> <li><strong>Neoadjuvant protocol:</strong> Used for tumors over 4 cm to improve surgical success.</li> <li><strong>Adjuvant therapy:</strong> Administered after surgery to lower the risk of cancer returning.</li> <li><strong>Concurrent treatment:</strong> Scheduled alongside radiation to make tumor cells more sensitive.</li> <li><strong>Targeted combinations:</strong> Paired with drugs like Tagrisso to delay mutation resistance.</li> <li><strong>Genomic profiling:</strong> Guided by tests like Foundation One CDx for precision drug selection.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli specialists like Dr. Ari Raphael at Sourasky Medical Center leverage advanced genomic profiling to personalize combinations. Data shows that adding chemotherapy to targeted therapies like osimertinib can delay cancer progression for an extra year compared to using targeted drugs alone. High-volume centers such as Sourasky treat 40,000 cancer patients annually, providing immense data for these precise protocols.</p> <p><strong>Patient Consensus:</strong> Many patients emphasize getting a second opinion on mutation status before starting, as markers like EGFR or PD-L1 determine if chemotherapy is used alone or paired with immunotherapy.</p>"},{"q":"What are the main side effects of chemotherapy, and how are they managed?","a":"<p>Chemotherapy targets rapidly dividing cells, often affecting the digestive tract, hair follicles, and bone marrow. Common symptoms include fatigue, nausea, and hair loss. Israeli oncology centers manage these through personalized genomic profiling and advanced supportive therapies to minimize discomfort and improve treatment tolerance.</p> <ul> <li><strong>Nausea management:</strong> Oncologists prescribe antiemetic drugs like Zofran before symptoms peak for better control.</li> <li><strong>Infusion fatigue:</strong> Patients often experience peak exhaustion 4–7 days post-infusion; gentle walking improves energy.</li> <li><strong>Scalp cooling:</strong> Technologies like cooling caps protect hair follicles by reducing blood flow during sessions.</li> <li><strong>Hematologic support:</strong> Doctors monitor blood counts to manage neutropenia and anemia with specialized growth factors.</li> <li><strong>Digestive health:</strong> Standard protocols include proactive bowel routines and electrolyte-rich hydration to prevent severe constipation.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Leading Israeli centers like Sourasky Medical Center utilize Foundation One CDx genomic profiling to select targeted agents. This precision approach often replaces or supplements traditional chemotherapy. It specifically targets cancer mutations while sparing healthy tissue, which significantly reduces the severity of systemic side effects compared to standard treatments.</p> <p><strong>Patient Consensus:</strong> Many patients emphasize that taking anti-nausea medication and steroids early in the morning prevents the `crash` and sleep disruption. Maintaining hydration through soups or ice cream is a practical way to manage appetite loss and dehydration.</p>"},{"q":"Is targeted therapy used instead of chemotherapy?","a":"<p>Targeted therapy replaces chemotherapy as a first-line treatment for lung cancer when specific genetic mutations like EGFR, ALK, or ROS1 are confirmed. Specialized facilities in Israel, including Sourasky Medical Center, utilize genomic profiling to identify these markers, allowing for high-precision treatment that spares healthy cells.</p> <ul> <li><strong>Targeted mutations:</strong> Focuses on specific genes including EGFR, ALK, ROS1, and KRAS biomarkers.</li> <li><strong>Diagnostic tools:</strong> Uses Foundation One CDx genetic testing to identify applicable protein markers.</li> <li><strong>Success rates:</strong> Sourasky Medical Center reports a 90% average success rate for cancer treatments.</li> <li><strong>Side effects:</strong> Typically causes milder reactions like itching rather than severe chemotherapy-induced nausea.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli oncology centers lead in molecular medicine by integrating liquid biopsies and genomic profiling directly into the initial consultation. Dr. Ari Raphael at Sourasky even moderates a Molecular Tumor Board specifically to match patients with the latest targeted drugs. This infrastructure means patients often transition from diagnosis to targeted treatment much faster than in systems relying on traditional tissue biopsies alone.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that quality of life improves significantly on targeted drugs compared to chemotherapy. Many stress the vital importance of completing comprehensive biomarker testing before agreeing to any standard chemo protocol.</p>"},{"q":"What types of chemotherapy are available in Israel?","a":"<p>Israel offers advanced chemotherapy types including platinum-based combinations, hyperthermic intraperitoneal chemotherapy (HIPEC), and chemoembolization. Oncology centers like Sourasky and Sheba integrate these with immunotherapy (Keytruda) and targeted therapies. Precision is ensured through Next-Generation Sequencing (NGS) and Foundation One CDx genetic testing.</p> <ul> <li><strong>Treatment focus:</strong> Standard first-line platinum-based chemotherapy remains the cornerstone for most oncology protocols.</li> <li><strong>Advanced delivery:</strong> HIPEC provides heated, concentrated doses directly to abdominal organs during surgery.</li> <li><strong>Precision tools:</strong> Liquid biopsies and NGS guide personalized drug selection based on molecular status.</li> <li><strong>Innovative trials:</strong> Clinics offer access to novel mRNA therapies and viral intra-tumoral injections.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli oncology stands out by treating over 40,000 patients annually at Sourasky Medical Center alone. Data shows clinics here prioritize JCI-accredited precision medicine. Senior experts like Dr. Ari Raphael often lead national genomic initiatives. This high volume leads to refined protocols in combined therapy.</p> <p><strong>Patient Consensus:</strong> Patients value how Israeli doctors integrate immunotherapy like Keytruda directly with standard platinum-based regimens. Many highlight that molecular testing for mutations like EGFR or ALK is standard before starting treatment.</p>"},{"q":"What is the role of clinical trials in Israel for lung cancer?","a":"<p>Clinical trials in Israel provide early access to experimental lung cancer therapies like immunotherapy and gene therapy. These government-authorized studies occur at major JCI-accredited centers. Many focus on molecular profiling and nanoparticle technology to treat advanced or treatment-resistant cases years before global availability.</p> <ul> <li><strong>Treatment access:</strong> Provides novel drugs for advanced small cell lung cancer.</li> <li><strong>Personalized medicine:</strong> Uses genomic profiling to match therapies to specific tumor mutations.</li> <li><strong>Advanced tech:</strong> Tests AI-driven immunotherapy and iron oxide nanoparticles for targeted destruction.</li> <li><strong>Regulatory safety:</strong> Ministry of Health oversight ensures adherence to international safety standards.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli oncology centers like Sourasky or Sheba prioritize translational research. Dr. Ari Raphael at Sourasky specifically leads Phase 1 and 3 trials focusing on liquid biopsies. This allows patients to access experimental protocols that precisely monitor drug resistance during treatment in real-time.</p> <p><strong>Patient Consensus:</strong> Patients value how trials offer a strategic pathway to cutting-edge antibody-drug conjugates when standard care fails. Many emphasize the importance of verifying trial availability for specific lung cancer subtypes through official clinical databases before traveling.</p>"},{"q":"Why is Israel a top destination for neurosurgery?","a":"<p>Israel is a premier neurosurgery hub due to its fusion of high-density medical innovation and elite surgical expertise. Top facilities like Sheba Medical Center integrate AI-guided navigation and real-time intraoperative MRI. Specialized centers report 98% success rates for complex procedures including awake craniotomy and movement disorder treatments.</p> <ul> <li><strong>Advanced technology:</strong> Clinics utilize MRI-guided focused ultrasound (MRgFUS) and robotic systems for incisions.</li> <li><strong>Surgical expertise:</strong> Surgeons like Dr. Zvi Ram lead international associations with 25+ years experience.</li> <li><strong>Rapid access:</strong> International patients typically schedule complex brain or spine surgeries within 2–4 weeks.</li> <li><strong>Accredited care:</strong> Major centers like Sourasky (Ichilov) and Assuta hold JCI accreditation for safety.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows a clear divide between public and private options in Israel. Private centers like Assuta Medical Center perform over 92,000 operations annually and allow patients to select their specific lead surgeon. This is a vital advantage for complex cases where a specific expert like Dr. Eli Ashkenazi is preferred for his 1,000+ spine surgery record.</p> <p><strong>Patient Consensus:</strong> Patients emphasize bringing original imaging on a USB for local review to streamline the surgical plan. They also note that private packages often include hotel coordination and airport transfers, making the logistics much smoother.</p>"},{"q":"What types of neurosurgical conditions are treated in Israel?","a":"<p>Israeli neurosurgeons treat a full spectrum of conditions ranging from brain and spinal tumors to complex functional disorders. Specialized centers utilize advanced technologies like Gamma Knife, deep brain stimulation, and intraoperative MRI to manage epilepsy, Parkinson disease, and cerebrovascular pathologies with high precision.</p> <ul> <li><strong>Oncological conditions:</strong> Treatment for gliomas, meningiomas, and pituitary tumors using skull base resection.</li> <li><strong>Functional disorders:</strong> Management of Parkinson disease and essential tremors via deep brain stimulation.</li> <li><strong>Spinal pathologies:</strong> Correction of scoliosis, herniated discs, and spinal tumors using robotic systems.</li> <li><strong>Cerebrovascular care:</strong> Surgical repair of brain aneurysms and arteriovenous malformations with endovascular interventions.</li> <li><strong>Pediatric neurosurgery:</strong> Specialized care for hydrocephalus and congenital anomalies at dedicated children centers.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli hospitals often combine specialties to handle complex cases. At Sourasky Medical Center, neurosurgeons like Dr. Zvi Lidar bridge neurosurgery and orthopedics for spinal care. This multidisciplinary approach allows clinics to perform 34,000+ operations annually. Choosing a facility with this crossover expertise often leads to more comprehensive treatment plans for degenerative diseases.</p> <p><strong>Patient Consensus:</strong> Patients value the ability to access specialized treatments like fluorescence-guided surgery for tumors which are often unavailable elsewhere. Many note that the staff is fluent in English and provides clear communication through teleconsultations before traveling.</p>"},{"q":"Which hospitals in Israel are best known for neurosurgery?","a":"<p>Israel is home to world-renowned neurosurgery centers like Sourasky Medical Center, Sheba Medical Center, and Hadassah Medical Center. These facilities are globally ranked for treating complex brain tumors, spinal disorders, and movement diseases. They utilize advanced technologies like Gamma Knife, robotic systems, and intra-operative MRI.</p> <ul> <li><strong>Sourasky (Ichilov):</strong> Performs 2,500+ neurosurgical operations yearly with a 98% success rate in Tel Aviv.</li> <li><strong>Sheba Medical Center:</strong> Ranked among the world's top 10 hospitals. It treats 1.9 million patients annually.</li> <li><strong>Hadassah Medical Center:</strong> A Nobel Peace Prize nominee. It leads in pediatric neurosurgery and gene-based therapies.</li> <li><strong>Assuta Medical Center:</strong> Israel's largest private facility. It specializes in minimally invasive spine and brain surgeries.</li> <li><strong>Schneider Children's:</strong> The primary center for pediatric neurosurgery. It treats 275,000 children every year.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Our data shows that while most patients focus on Tel Aviv, Rambam Medical Center in Haifa offers unique expertise in neuro-trauma. It operates a specialized neuro-ICU and serves nearly 1 million patients annually. This makes it an essential choice for complex post-trauma brain surgeries that requires intensive recovery support.</p> <p><strong>Patient Consensus:</strong> Patients note it is important to start consultations early. They often highlight that the precision and follow-up care for complex brain tumors exceeded their expectations. One patient emphasized how quickly they could connect with top professors for second opinions during critical neurosurgical cases.</p>"},{"q":"Who are Israel’s leading neurosurgeons?","a":"<p>Israel's leading neurosurgeons include Prof. Zvi Ram, Prof. Shlomi Constantini, and Prof. Itzhak Fried at Sourasky Medical Center. These specialists hold leadership roles in the European Association of Neurosurgical Societies (EANS) and the World Society for Stereotactic and Functional Neurosurgery (WSSFN). They utilize advanced intraoperative mapping and robotic systems.</p> <ul> <li><strong>Prof. Zvi Ram:</strong> Expert in minimally invasive brain tumor surgery and gene-based oncology therapies.</li> <li><strong>Prof. Shlomi Constantini:</strong> Specializes in complex pediatric neuro-endoscopy and brain tumor microsurgery.</li> <li><strong>Prof. Itzhak Fried:</strong> Authority on epilepsy surgery, functional brain mapping, and deep brain stimulation.</li> <li><strong>Dr. Eli Ashkenazi:</strong> Leading spine surgeon at Assuta, specializing in the innovative TOPS system.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data from Sourasky and Sheba indicates a strong correlation between high surgical volumes and patient safety. For example, Sourasky performs 34,000+ operations annually with a 90% oncology success rate. Patients seeking complex tumor removals should prioritize centers like these where surgeons perform hundreds of specific cases each year.</p> <p><strong>Patient Consensus:</strong> Patients emphasize the importance of finding a surgeon who specializes specifically in your condition rather than a generalist. Many note that high-volume centers provide better access to English-speaking staff and coordinated care for international visitors.</p>"},{"q":"What are the admission requirements for international neurosurgery patients?","a":"<p>International neurosurgery patients in Israel must provide comprehensive medical records including recent MRI or CT scans translated into English. Admission requires a clinical review by specialists to confirm treatment feasibility. Hospitals often mandate full advance payment or a significant deposit before confirming surgery dates or issuing visa support letters.</p> <ul> <li><strong>Medical documentation:</strong> Submit detailed English-translated reports and imaging for clinical review within 48 hours.</li> <li><strong>Financial clearance:</strong> Provide proof of funds for approximately _price_from_ to _price_to_ for treatment.</li> <li><strong>Visa support:</strong> Clinics like Sourasky Medical Center (Ichilov) issue official letters for medical B-2 visas.</li> <li><strong>Consultation phase:</strong> Initial assessment often occurs via online consultation with surgeons like Dr. Strauss Ido.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows that top Israeli facilities like Sheba Medical Center and Hadassah Medical Center handle massive patient volumes, exceeding 1,000,000 people annually. This high demand means clinics prioritize complex or rare cases over routine procedures. Patients with unique or high-risk conditions often receive faster admission approval than those seeking standard treatments available elsewhere.</p> <p><strong>Patient Consensus:</strong> Patients note that having all imaging results ready in English is essential for quick scheduling. Many emphasize that while the medical care is excellent, coordinating around Shabbat closures is necessary to avoid unexpected diagnostic delays.</p>"},{"q":"How long will I need to stay in Israel for neurosurgery and follow-up?","a":"<p>A standard stay for neurosurgery in Israel ranges from 10 to 14 days for uncomplicated cases. Patients undergoing complex procedures like brain tumor removal or deep brain stimulation often require 4 to 6 weeks. This timeline covers pre-operative diagnostics, the surgical procedure, and essential post-operative monitoring.</p> <ul> <li><strong>Hospitalization duration:</strong> Minimally invasive procedures require 1–3 days. Regular craniotomies average 3–10 days.</li> <li><strong>Local recovery:</strong> Stay in Israel for 7–14 days post-discharge for mandatory follow-up checks.</li> <li><strong>Flight safety:</strong> Surgeons recommend waiting 4–6 weeks before flying to stabilize internal head pressure.</li> <li><strong>Follow-up schedule:</strong> In-person clinical reviews typically occur at days 3, 7, and 14 post-surgery.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data from Sourasky Medical Center shows they treat over 400,000 patients annually with high success rates. Clinics with such high volumes, like Hadassah or Assuta, often have streamlined discharge protocols. This helps international patients transition to hotel-based recovery faster while maintaining access to top specialists.</p> <p><strong>Patient Consensus:</strong> Patients note it is vital not to rush home too early. Some travelers extended their stay to 3 weeks due to swelling or to ensure they received final surgeon clearance before flying.</p>"},{"q":"What advanced technologies make Israeli neurosurgery minimally invasive?","a":"<p>Israeli neurosurgery uses robotic guidance, real-time 3D imaging, and incisionless technologies to minimize physical trauma. Systems like Mazor Robotics provide sub-millimeter precision for spine implants. MRI-guided focused ultrasound (MRgFUS) treats tremors without incisions. These advanced tools ensure high accuracy and reduce recovery times.</p> <ul> <li><strong>Robotic systems:</strong> Mazor and ROSA robotics enable precise instrument placement through tiny incisions.</li> <li><strong>Incisionless ultrasound:</strong> MRgFUS uses high-intensity sound waves to treat brain tissue without anesthesia.</li> <li><strong>Digital navigation:</strong> Intraoperative MRI and 3D mapping allow surgeons to verify results in real-time.</li> <li><strong>Advanced endoscopy:</strong> Transnasal and trans-orbital approaches remove tumors without traditional skull-opening craniotomies.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli clinics like Sourasky or Hadassah integrate proprietary Israeli-born technologies like Surgical Theater before they hit global markets. Our data shows these centers often use VR flight-through models for pre-surgical planning. This allows surgeons to rehearse complex cases, which is a key factor in their 90% success rates.</p> <p><strong>Patient Consensus:</strong> Patients note that technologies like the Gamma Knife allowed them to return home in days rather than weeks. Many move from traditional 10cm incisions to cuts under 2cm when using robotic-assisted systems.</p>"},{"q":"Why is Israel considered a top destination for neurosurgery?","a":"<p>Israel is a global leader in neurosurgery due to its integration of proprietary medical innovations and internationally trained specialists. High-capacity centers like Sourasky Medical Center (Ichilov) perform over 34,000 annual surgeries. Patients access advanced techniques like awake craniotomy and MR-guided focused ultrasound.</p> <ul> <li><strong>Advanced technology:</strong> Facilities use CyberKnife, Gamma Knife, and robotic systems for precision.</li> <li><strong>Expert credentials:</strong> Specialists like Dr. Zvi Ram hold leadership roles in European neurosurgical societies.</li> <li><strong>Global training:</strong> Most senior neurosurgeons completed fellowships at premier United States and European institutions.</li> <li><strong>Specialized departments:</strong> Centers feature niche units for pediatric neurosurgery, skull base, and functional disorders.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli neurosurgery stands out because of the high concentration of dually certified experts. Many top surgeons, such as Dr. Zvi Lidar, are certified to practice in both Israel and the USA. This ensures that patients receive American-standard surgical care while staying in Tel Aviv or Jerusalem. Our data shows that private centers like Assuta offer significantly faster access to these specific specialists compared to the public system.</p> <p><strong>Patient Consensus:</strong> Patients note it is important to confirm a surgeon's specific volume of cases for your exact condition. They also value the ability to get expert second opinions quickly through online consultations with world-renowned professors.</p>"},{"q":"Which hospitals are ranked among the best for neurosurgery in Israel?","a":"<p>Sheba Medical Center and Sourasky Medical Center (Ichilov) are among the best neurosurgery hospitals in Israel. These JCI-accredited facilities perform thousands of operations annually. They utilize advanced technologies like CyberKnife and intraoperative MRI to treat complex brain tumors and cerebrovascular lesions.</p> <ul> <li><strong>Sheba Medical Center:</strong> Ranked among the top 10 world hospitals by Newsweek magazine.</li> <li><strong>Sourasky (Ichilov):</strong> Reports a 98% success rate and performs 2,500+ neurosurgical operations annually.</li> <li><strong>Hadassah Medical Center:</strong> Known for pioneering endoscopic techniques and integrated advanced research programs.</li> <li><strong>Assuta Medical Center:</strong> Israel largest private facility specializing in minimally invasive spine procedures.</li> <li><strong>Rambam Medical Center:</strong> Employs Nobel Prize laureates and serves as a major referral center.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Our data shows that top Israeli centers like Sourasky and Hadassah perform over 40,000 total operations yearly. This high volume allows surgeons to maintain a 90% success rate even in complex oncology cases. Patients seeking robotic spine surgery or deep brain stimulation should focus on these high-capacity municipal centers for the most experienced teams.</p> <p><strong>Patient Consensus:</strong> Patients appreciate that some hospitals quickly coordinate consultations even during regional strikes. Families of pediatric patients especially value surgeons trained at prestigious international institutions.</p>"},{"q":"Who are the leading neurosurgeons in Israel?","a":"<p>Israel's leading neurosurgeons include Professor Zvi Ram, Professor Shlomi Constantini, and Professor Itzhak Fried at Sourasky Medical Center. These experts specialize in awake craniotomy, pediatric brain tumors, and functional mapping. Most hold JCI accreditation and international fellowships from institutions like Johns Hopkins and Yale.</p> <ul> <li><strong>Brain tumors:</strong> Professor Zvi Ram specializes in image-guided microsurgery and complex brain mapping techniques.</li> <li><strong>Pediatric expertise:</strong> Professor Shlomi Constantini leads pediatric neurosurgery, focusing on endoscopic treatments and malformations.</li> <li><strong>Functional surgery:</strong> Professor Itzhak Fried is a global authority on epilepsy and deep brain stimulation.</li> <li><strong>Spine specialists:</strong> Dr. Zvi Lidar and Dr. Eli Ashkenazi focus on minimally invasive spinal oncology.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows that top-tier Israeli neurosurgeons, such as those at Sourasky Medical Center, often hold dual board certifications in Israel and the US. This unique crossover ensures patients receive American-standard protocols. These specialists typically manage over 34,000 annual operations, providing high-volume clinical experience that smaller private clinics cannot match.</p> <p><strong>Patient Consensus:</strong> Patients note that highly qualified doctors like Professor Shlomo Constantini provide satisfactory answers quickly. People emphasize that outcomes often depend on the hospital’s integrated resources rather than just a doctor's prestige.</p>"},{"q":"What neurosurgical conditions and sub-specialties are treated in Israel?","a":"<p>Israel is a global leader in neurosurgery, treating complex brain and spinal conditions using robotic-assisted and minimally invasive techniques. Highly specialized units at JCI-accredited centers like Sourasky Medical Center (Ichilov) and Hadassah Medical Center focus on neuro-oncology, pediatric neurosurgery, and functional procedures.</p> <ul> <li><strong>Neuro-oncology:</strong> Treating glioblastoma, meningioma, and skull base tumors with 90% success rates.</li> <li><strong>Functional neurosurgery:</strong> Performing deep brain stimulation (DBS) for Parkinson’s and drug-resistant epilepsy.</li> <li><strong>Pediatric specialty:</strong> Specialized care for congenital defects and childhood tumors at Schneider Children’s.</li> <li><strong>Spine surgery:</strong> Utilizing Mazor X robotic systems for scoliosis and herniated disc correction.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Israeli neurosurgical departments often function as rapid-response hubs for international patients. Data shows that large centers like Sourasky, which serves 1,800,000 patients annually, can organize expert video consultations in a very short time. This speed is critical for neuro-oncology cases where starting treatment a few days earlier significantly impacts outcomes.</p> <p><strong>Patient Consensus:</strong> Patients note that Israeli teams often accept high-risk cases that other hospitals decline. They emphasize the importance of using local coordinators to manage travel logistics or potential local disruptions during their two-week stay.</p>"},{"q":"What documentation do international patients need before traveling to Israel for neurosurgery?","a":"<p>International patients traveling to Israel for neurosurgery require a valid passport, an entry permit or medical visa, and a formal hospital invitation. You must provide recent MRI or CT scans in DICOM format and detailed medical summaries. Proof of private health insurance and financial stability are also mandatory for border entry.</p> <ul> <li><strong>Travel authorization:</strong> Most visa-exempt travelers now need an approved ETA-IL before departure.</li> <li><strong>Hospital invitation:</strong> A signed letter from facilities like Sourasky Medical Center is required.</li> <li><strong>Medical records:</strong> Provide updated summaries of diagnoses, medications, and previous neurological treatments.</li> <li><strong>Imaging files:</strong> Digital copies of scans are essential for planning complex brain surgeries.</li> <li><strong>Legal consent:</strong> Notarized power of attorney is required for patients under 18 years old.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Our data shows that top neurosurgeons at Hadassah Medical Center and Sourasky often request records 4–6 weeks before arrival. Submitting these early prevents appointment shifts. High-volume centers with over 30,000 annual operations have dedicated portals for secure DICOM file uploads. Using these ensures your surgeon reviews high-quality images before you land in Tel Aviv.</p> <p><strong>Patient Consensus:</strong> Patients emphasize bringing physical copies and digital backups of all scans on a USB drive. They also note that private insurance needs pre-authorization specifically for neurosurgery to avoid payment delays at the clinic.</p>"}],"h2":[{"text":"Як це працює","kind":"content"},{"text":"Яка вартість хіміотерапії при раку легень в Ізраїлі?","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з хіміотерапії при раку легень у Ізраїлі: 3 перевірені клініки та ціни","kind":"content"},{"text":"Огляд процедури Хіміотерапія при раку легень в Ізраїлі","kind":"content"},{"text":"Отримайте медичну консультацію щодо хіміотерапії при раку легень в Ізраїлі: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Відгуки про Bookimed: дізнайтеся про реальний досвід пацієнтів","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"Ключові факти про хіміотерапію при раку легень","kind":"content"},{"text":"FAQ з хіміотерапії при раку легень в Ізраїлі","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}