Identifying consensus and areas for future research in chondrosarcoma : a report from the Birmingham Orthopaedic Oncology Meeting.
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Jeys Lee M, Morris Guy V, Kurisunkal Vineet J, Botello Eduardo, Boyle Richard A, Ebeid Walid, Houdek Matthew T, Puri Ajay, Ruggieri Pietro, Brennan Bernadette, BOOM Consensus Meeting Participants, Laitinen Minna K, Abad Repiso Santiago, Abdelbary Hesham, Abiad Mejia Alejandro, Abood Ahmed A, Abril Martin Juan C, Abudu Adesegun, Abu Elhamd Ayman, Acosta Marthelena, Ae Keisuke, Agarwal Manish, Ajit Singh Vivek, Akiyama Toru, Alshaygy Ibrahim, Albergo Jose I, Alexander John, Alfaro Patricio A, Alpan Bugra, Amaya-Valero Jose, Anderson Megan, Andreou Dimosthenis, Annabell Lucas, Anthony Christopher, Aoude Ahmed, Arteagoitia-Colino Iraia, Asavamongkolkul Apichat, Aston William, Asua Mentxaka Libe, Azzopardi Christine, Baad-Hansen Thomas, Badr Ismail T, Baixauli-Garcia Francisco, Baker Gavin, Balach Tessa, Baldi Giacomo G, Barry Janie, Basile Georges, Bastoni Stefano, Basuki Mohammad, Bauer Henrik, Bayliss Lee, Becker Ricardo G, Bedi Angad, Benevenia Joseph, Bengoa Francisco, Bergh Peter, Bergovec Marko, Bernthal Nicholas, Binitie Odion, Boddie David, Boffano Michele, Bonilla Huertas Patricia, Borgognoni Anna B, Botchu Rajesh, Bramer Jos, Brar Rahat, Branford-White Harriet, Broekhuis Demien, Broida Samuel E, Budny Tymoteusz, Burke Zachary D, Cabrolier Jorge, Calvo-Haro Jose A, Calvo Tapies Jorge R, Cardoso Rodrigo, Carey Smith Richard, Carvallo Pedro I, Casales Fresenga Nicolas, Casanova Jose M, Ceballos Oscar, Cebrian Parra Juan L, Chacon Cartaya Sara, Chan Chung M, Cho Yoon Joo, Choong Peter, Chung Yang-Guk, Ciechanowicz Dawid, Clara-Altamirano Miguel A, Clever David, Colina Sebastian M, Consuegra Luis, Couch Cory, Cribb Gillian, Cuervo Carlos, Cusick Laurence A, Dadia Solomon, Dagher Tanios, Dammerer Dietmar, Davies Mark, Davies Nerys, de la Rosa Martino Luis P, de Santos de la Fuente Francisco J, de Vaal Marieke, Deckers Claudia, Delgado Obando Javier, Deo Shaneel, Deventer Niklas, Di Bella Claudia, Domson Gregory, Donati Davide M, Dorleijn Desiree M, Du Toit Jacques, Dunne Debra, Duran Ciarrochi Rodolfo, Ekman Elina, El Ghoneimy Ahmed M, Endo Makoto, Eralp Levent, Etaiwi Mahmoud, Evans Scott, Evrard Robin, Eward Will, Farese Alberto, Ferguson Peter C, Ferreira Cardoso Pedro F, Fiorenza Fabrice, Flint Michael, Flores Hector, Freitas Joao, Fuchs Bruno, Fujiwara Tomohiro, Funovics Philipp T, Galli Serra Marcos, Gamie Zakareya, Garces-Zarzalejo Carlos, Gazendam Aaron, Gebert Carsten, Gerbers Jasper G, Gerrand Craig, Abou-Nouar Ghaith, Ghert Michelle, Ghosh Kanishka M, Gibbons Max, Gomez-Mier Luis C, Gomez-Vallejo Jesus, Gomez-Mascard Anne, Gonzalez Marcos R, Gonzalez-Lizan Fausto, Gosheger Georg, Goudie Stuart, Goulding Krista, Goumenos Stavros D, Griffin Anthony, Gulia Ashish, Gupta Sanjay, Gupta Amit, Guzman Maurice, Haitham Mohammed, Hardes Jendrik, Hardoy Francisco, Hasan Yusuf, Hauer Georg, Havard Helard, Haydon Rex, Healey John, Hernandez Gonzalez Nerea, Hernandez-Lopez Adriana, Hesla Asle, Hess Matthew, Hilton Thomas, Hongsaprabhas Chindanai, Hornicek Francis, Hosking Keith, Houghton Eleanor, Idowu Oluwaseyi K, Ippolito Joseph, Isler Marc, Iwata Shintaro, Jagiello Jake, Jenkins Neil, Jenkins Thomas, Jeys Charlotte, Jeys Tom, Johnson Luke, Johnston Andy, Joo Min Wook, Jutte Paul C, Kaldas Kadri, Kamat Amar, Kannan Sudhir, Kapanci Bilal, Khan Zeeshan, Kobayashi Hiroshi, Kollender Yehuda, Koob Sebastian, Kotrych Daniel, Kyte Richard, Lamo de Espinosa Jose M, Lazarides Alexander L, Le Nail Louis-Romee, Legosz Pawel, Lehner Burkhard, Leithner Andreas, Lejoly Maryse, Lewis Valerae O, Lin Peng, Linares Francisco, Lozano-Calderon Santiago A, Mahendra Ashish, Mahyudin Ferdiansyah, Mandia Mancebo Fermin J, Torrejon Sara M, Marx Christian, Mascard Eric, Mattei Jean-Camille, McCullough Louise, McMahon Sam, Medellin Rincon Manuel R, Miller Benjamin, Miwa Shinji, Molina Uribe Gustavo, Moon Bryan, Morgan-Jones Rhidian, Moriel Garcesco Diego J, Morris Carol, Morrison Steward, Mottard Sophie, Moura Marcio, Muster Linde, Nakayama Robert, Narhari Prashant, Navas Ana, Nayak Prakash, Neugebauer Johannes, Newman Erik T, Nieminen Jyrki, Nyqvist Emmy, Nystrom Lukas, O'Reilly-Harbidge Sarah, O'Toole Gary, Oliveira Vania, Olivier André, Omar Mohamed, Ortiz-Cruz Eduardo J, Ozger Harzem, Ozkan Korhan, Pala Elisa, Palmerini Emanuela, Pang Grant, Papagelopoulos Panayiotis, Paraliticci Giovanni, Parry Michael C, Patton Sam, Peake David, Peiro Ibanez Ana, Perez Munoz Israel, Perianayagam Ganapathy R, Petersen Michael M, Ploegmakers Joris, Pollock Robin, Powell Gerard, Pretell Juan, Puetzler Jan, Qamar Faisal, Raja Anand, Rajasekaran Raja B, Ramkumar Dipak, Randall R L, Rankin Kenneth S, Raskin Kevin A, Rassppan Kumaran, Repsa Lauris, Ropars Mickael, Rose Peter, Sadek Wael, Salcedo German, Saleemi Aasim, Sambri Andrea, Sar Hartej, Scanferla Roberto, Schubert Thomas, Schwarze Jan, Scoccianti Guido, Scrimshire Ashley, Sekita Tetsuya, Shehadeh Ahmad, Shoaib Ahmed, Shreemal Bhim, Shumelinsky Felix, Siegel Geoffrey, Silveri Claudio, Silverwood Robert, Sinnaeve Friedl, Sison Jerome, Slade Andrea, Smolle Maria A, Snyman Franz, Sommerville Scott, Sood Sahil, Spiguel Andre, St-Yves Hugo, Staals Eric L, Stacchiotti Silvia, Stavropoulos Nikolas, Steadman Peter, Stevenson Jonathan D, Sullivan Mikaela, Sys Gwen, Szostakowski Bartlomiej, Tamburini Angela, Taniguchi Yuta, Temple Thomas, Theil Christoph, Thorkildsen Joachim, Tibbo Meagan, Tillman Roger, Toda Yu, Tootsi Kaspar, Torner Rubies Ferran, Traub Frank, Trikoupis Ioannis, Tsagkozis Panagiotis, Tsoi Kim, Tsuchiya Hiroyuki, Vainio Veli-Matti, Valcarcel Antonio, Valencia Juan, Van Beeck Annelies, Van de Sande Michel, Van Den Berghe Thomas, Van de Geest Ingrid, Van der Heijden Lizz, Van der Wal Robert, Van Langevelde Kirsten, Vaz Gualter, Velez Villa Roberto, Verspoor Floortje, Verstraete Koenraad, Visgauss Julia, Vyrva Oleg, Wafa Hazem, Walter Sebastian, Wan Ismail Wan F, Wang Edward, Wang Patrick Q, Warnock David, Werier Joel, Weschenfelder Wolfram, Wong Kwok-Chuen, Woulthuyzen-Bakker Marjan, Wunder Jay, Wysinghe Indica, Yamamoto Norio, Ye Zhaoming, Yoon Seung-Jae, Zainul Abidin Suraya, Zamora Tomas, Zecchetto Pierluca, Zhang Liuzhe, Zumarraga Juan P, Campanacci Domenico A
Аннотация
METHODS: With representation from Europe (43%; n = 133), North America (17%; n = 53), South America (16%; n = 49), Asia (13%; n = 40), Australasia (5%; n = 16), the Middle East (4%; n = 12), and Africa (2%; n = 6), the combined experience of treating bone sarcomas among attendees totalled approximately 30,000 cases annually, equivalent to 66 years of experience in the UK alone. The meeting's process began with the formation of a local organizing committee, regional leads, and a scientific committee comprising representatives from 150 specialist units across 47 countries. Supported by major orthopaedic oncology organizations, the meeting used a modified Delphi process to develop consensus statements through online questionnaires, thematic groupings, narrative reviews, and anonymous pre-meeting polling.
RESULTS: Strong (> 80%) consensus was achieved on 19 out of 21 statements, reflecting agreement among delegates. Key areas of consensus included the role of radiology in diagnosis and surveillance, the management of locally recurrent disease, and the treatment of dedifferentiated chondrosarcoma. Notably, there was agreement that routine chemotherapy has no role in chondrosarcoma treatment, and radiological surveillance is safe for intraosseous chondrosarcomas. Despite the overall consensus, areas of controversy remain, particularly regarding the treatment of atypical cartilage tumours and surgical margins. These unresolved issues underscore the need for further research and collaboration within the orthopaedic oncology community.
CONCLUSION: BOOM represents the largest global consensus meeting in orthopaedic oncology, providing valuable guidance for clinicians managing chondrosarcoma worldwide. The consensus statements offer a reference for clinical practice, highlight key research priorities, and aim to improve patient outcomes on a global scale.