Latin American Consensus on the Treatment of Head and Neck Cancer.
СтатьяОбзорConsensus StatementПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Matos Leandro Luongo, Kowalski Luiz Paulo, Chaves Aline Lauda Freitas, de Oliveira Thiago Bueno, Marta Gustavo Nader, Curado Maria Paula, de Castro Junior Gilberto, Farias Terence P, Bardales Gustavo Sarria, Cabrera Mario Avila, Capuzzo Renato de Castro, de Carvalho Genival Barbosa, Cernea Claudio Roberto, Dedivitis Rogério Aparecido, Dias Fernando Luiz, Estefan Andrés Munyo, Falco Agustin Horacio, Ferraris Gustavo Alberto, Gonzalez-Motta Alejandro, Gouveia Andre Guimarães, Jacinto Alexandre Arthur, Kulcsar Marco Aurelio Vamondes, Leite Ana Kober, Lira Renan Bezerra, Mak Milena Perez, De Marchi Pedro, de Mello Evandro Sobroza, de Matos Fátima Cristina Mendes, Montero Pablo H, de Moraes Eduardo Dias, de Moraes Fabio Ynoe, Morais Diego Chaves Rezende, Poenitz Fernando Miguel, Poitevin Adela, Riveros Hernán Ortiz, Sanabria Álvaro, Ticona-Castro Miguel, Vartanian José Guilherme, Viani Gustavo, Vines Eugenio F, William Junior William Nassib, Conway David, Virani Shama, Brennan Paul, HEADSpAcE Consortium
Аннотация
Head and neck squamous cell carcinoma (HNSCC) is well known as a serious health problem worldwide, especially in low-income countries or those with limited resources, such as most countries in Latin America. International guidelines cannot always be applied to a population from a large region with specific conditions. This study established a Latin American guideline for care of patients with head and neck cancer and presented evidence of HNSCC management considering availability and oncologic benefit. A panel composed of 41 head and neck cancer experts systematically worked according to a modified Delphi process on (1) document compilation of evidence-based answers to different questions contextualized by resource availability and oncologic benefit regarding Latin America (region of limited resources and/or without access to all necessary health care system infrastructure), (2) revision of the answers and the classification of levels of evidence and degrees of recommendations of all recommendations, (3) validation of the consensus through two rounds of online surveys, and (4) manuscript composition. The consensus consists of 12 sections: Head and neck cancer staging, Histopathologic evaluation of head and neck cancer, Head and neck surgery-oral cavity, Clinical oncology-oral cavity, Head and neck surgery-oropharynx, Clinical oncology-oropharynx, Head and neck surgery-larynx, Head and neck surgery-larynx/hypopharynx, Clinical oncology-larynx/hypopharynx, Clinical oncology-recurrent and metastatic head and neck cancer, Head and neck surgery-reconstruction and rehabilitation, and Radiation therapy. The present consensus established 48 recommendations on HNSCC patient care considering the availability of resources and focusing on oncologic benefit. These recommendations could also be used to formulate strategies in other regions like Latin America countries.