Treatment of Patients With Late-Stage Colorectal Cancer: ASCO Resource-Stratified Guideline
| Autor: | Adina-Emilia Croitoru, Bassem I. Zaki, Ashley Efrain Alarcon-Rozas, E. Gabriela Chiorean, Catherine Teh, Pritesh V. Lohar, Govind Nandakumar, Azmina Rose, Temidayo Fadelu, Se Hoon Park, Andrew Odhiambo, Sarah Temin, Surbhi Grover, Mary D. Chamberlin, Suyapa Bejarano, Erika Ruiz Garcia |
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| Rok vydání: | 2020 |
| Předmět: |
0303 health sciences
Cancer Research medicine.medical_specialty Resource (biology) Consensus business.industry Colorectal cancer MEDLINE Late stage Guideline medicine.disease 03 medical and health sciences 0302 clinical medicine Oncology 030220 oncology & carcinogenesis Family medicine Medicine Humans Special Articles business Colorectal Neoplasms 030304 developmental biology |
| Zdroj: | JCO Global Oncology |
| ISSN: | 2687-8941 |
| Popis: | PURPOSETo provide expert guidance to clinicians and policymakers in resource-constrained settings on the management of patients with late-stage colorectal cancer.METHODSASCO convened a multidisciplinary, multinational Expert Panel that reviewed existing guidelines, conducted a modified ADAPTE process, and used a formal consensus process with additional experts for two rounds of formal ratings.RESULTSExisting sets of guidelines from four guideline developers were identified and reviewed; adapted recommendations from five guidelines form the evidence base and provided evidence to inform the formal consensus process, which resulted in agreement of ≥ 75% on all recommendations.RECOMMENDATIONSCommon elements of symptom management include addressing clinically acute situations. Diagnosis should involve the primary tumor and, in some cases, endoscopy, and staging should involve digital rectal exam and/or imaging, depending on resources available. Most patients receive treatment with chemotherapy, where chemotherapy is available. If, after a period of chemotherapy, patients become candidates for surgical resection with curative intent of both primary tumor and liver or lung metastatic lesions on the basis of evaluation in multidisciplinary tumor boards, the guidelines recommend patients undergo surgery in centers of expertise if possible. On-treatment surveillance includes a combination of taking medical history, performing physical examinations, blood work, and imaging; specifics, including frequency, depend on resource-based setting. Additional information is available at www.asco.org/resource-stratified-guidelines . |
| Databáze: | OpenAIRE |
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