Initial report from the SAR-TRACK (SELNET) registry: a multicentric international retrospective analysis on the quality of the management of limb and trunk wall soft-tissue sarcomas (2012-2022) in Ibero-American countries.
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Martin-Broto Javier, Castro Victor, Gutierrez Antonio, Haro Varas Juan Carlos, Salazar-Salazar Darwin Valentin, Casavilca Sandro, Falla Martin, Rodriguez Andres, Soule Tomas, Pfluger Yanina, Gonzalez Lucia, Gonzalez Donna Maria Lucila, Colas Cinthia Gauna, Cabañas León Maria Luisa, Rojas Scheffer Laura, Batista Campos Fernando Augusto, D'Almeida Costa Felipe, Duarte de Miranda Marques Tomas Mansur, Aguiar Samuel, Sarai Caro-Sanchez Claudia Haydee, Alamilla-Garcia Gabriela Concepción, Reyna Perez Kevin F, Garcia-Ortega Dorian Yarih, Guzman Rodolfo, Jimenez Natalia, Badilla-Gonzalez Ronald, Galvez Villanueva Marco, Maldonado-Meléndez Mike, Aguil Gema, Cantero-Duerksen Laura, Alfonso Recalde Sylvana Soledad, Claros Edith, Limon Ronald, Pacheco Marina, German Gisela, Tissera Maria Agustina, Lopes David Bruna Bianca, Cristina de Melo Andreia, Camaño Melisa, Silveri Fajardo Claudio Victor, Hernandez Adriana, Rebolledo Luis Matamala, Cruz Josefina, Martinez-Trufero Javier, Valverde Claudia, Provenzano Salvatore, Palmerini Emanuela, Dufresne Armelle, Lopez-Jimenez Carlos, Ledesma Patricio, Marin Isabel, S Moura David, Hindi Nadia, Chacon Matias
Аннотация
METHODS: Data from sarcoma patients managed in SELNET institutions (2012-2022) were collected. The primary objective was to analyze the adherence to quality factors during diagnosis and treatment, comparing Ibero-American (IA) and Spanish (SP) institutions.
FINDINGS: Data from 1523 localized patients with sarcoma of limbs or trunk-wall were included in this analysis. The median age was 50 (28), with 780 (51%) being female in the whole series. Ethnicity data was not available. Patients managed in IA underwent fewer core biopsies [n = 138 (25%) vs n = 153 (57%), p < 0.0001], fewer magnetic resonance imaging (MRI) [n = 464 (59%) vs 500 (68%), p = 0.003], and fewer MDT discussions before surgery [n = 208 (27%) vs 737 (99.6%), p < 0.0001]. Surgical margin involvement occurred more often in IA cases [n = 215 (27%) vs n = 61 (9%), p < 0.0001], and less radiotherapy was administered in patients from IA [n = 172 (37%) vs n = 185 (62%), p < 0.0001].
INTERPRETATION: This analysis establishes the baseline reality at the initial stage of SELNET, highlighting substantial opportunities for improving adherence to CPGs in Ibero-America.
FUNDING: SELNET was supported by a European Horizon 2020 grant (H2020-SC1-BHC-2018-2020).