Definition, diagnosis and treatment of oligometastatic oesophagogastric cancer: A Delphi consensus study in Europe.
Por:
Kroese T, van Laarhoven H, Schoppman S, Deseyne P, van Cutsem E, Haustermans K, Nafteux P, Thomas M, Obermannova R, Mortensen H, Nordsmark M, Pfeiffer P, Elme A, Adenis A, Piessen G, Bruns C, Lordick F, Gockel I, Moehler M, Gani C, Liakakos T, Reynolds J, Morganti A, Rosati R, Castoro C, Cellini F, D'Ugo D, Roviello F, Bencivenga M, de Manzoni G, van Berge Henegouwen M, Hulshof M, van Dieren J, Vollebergh M, van Sandick J, Jeene P, Muijs C, Slingerland M, Voncken F, Hartgrink H, Creemers G, van der Sangen M, Nieuwenhuijzen G, Berbee M, Verheij M, Wijnhoven B, Beerepoot L, Mohammad N, Mook S, Ruurda J, Kolodziejczyk P, Polkowski W, Wyrwicz L, Alsina M, Pera M, Kanonnikoff T, Cervantes A, Nilsson M, Monig S, Wagner A, Guckenberger M, Griffiths E, Smyth E, Hanna G, Markar S, Chaudry M, Hawkins M, Cheong E, van Hillegersberg R, van Rossum P
Publicada:
1 ene 2023
Ahead of Print:
1 mar 2023
Resumen:
BACKGROUND: Local treatment improves the outcomes for oligometastatic disease (OMD, i.e. an intermediate state between locoregional and widespread disseminated disease). However, consensus about the definition, diagnosisand treatment of oligometastatic oesophagogastric cancer is lacking. The aim of this study was to develop a multidisciplinary European consensus statement on the definition, diagnosisand treatment of oligometastatic oesophagogastric cancer.; METHODS: In total, 65 specialists in the multidisciplinary treatment for oesophagogastric cancer from 49 expert centres across 16 European countries were requested to participate in this Delphi study. The consensus finding process consisted of a starting meeting, 2 online Delphi questionnaire roundsand an online consensus meeting. Input for Delphi questionnaires consisted of (1) a systematic review on definitions of oligometastatic oesophagogastric cancerand (2) a discussion of real-life clinical cases by multidisciplinary teams. Experts were asked to score each statement on a 5-point Likert scale. The agreement was scored to be either absent/poor (<50%), fair (50%-75%)or consensus (=75%).; RESULTS: A total of 48 experts participated in the starting meeting, both Delphi rounds, and the consensus meeting (overall response rate: 71%). OMD was considered in patients with metastatic oesophagogastric cancer limited to 1 organ with =3 metastases or 1 extra-regional lymph node station (consensus). In addition, OMD was considered in patients without progression at restaging after systemic therapy (consensus). For patients with synchronous or metachronous OMD with a disease-free interval =2 years, systemic therapy followed by restaging to consider local treatment was considered as treatment (consensus). For metachronous OMD with a disease-free interval >2 years, either upfront local treatment or systemic treatment followed by restaging was considered as treatment (fair agreement).; CONCLUSION: The OMEC project has resulted in a multidisciplinary European consensus statement for the definition, diagnosis and treatment of oligometastatic oesophagogastric adenocarcinoma and squamous cell cancer. This can be used to standardise inclusion criteria for future clinical trials. Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.
Filiaciones:
Kroese T:
Department of Surgery, University Medical Center Utrecht, Utrecht University
van Laarhoven H:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Schoppman S:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Deseyne P:
Department of Surgery, University Medical Center Utrecht, Utrecht University
van Cutsem E:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Haustermans K:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Nafteux P:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Thomas M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Obermannova R:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Mortensen H:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Nordsmark M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Pfeiffer P:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Elme A:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Adenis A:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Piessen G:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Bruns C:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Lordick F:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Gockel I:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Moehler M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Gani C:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Liakakos T:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Reynolds J:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Morganti A:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Rosati R:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Castoro C:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Cellini F:
Department of Surgery, University Medical Center Utrecht, Utrecht University
D'Ugo D:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Roviello F:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Bencivenga M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
de Manzoni G:
Department of Surgery, University Medical Center Utrecht, Utrecht University
van Berge Henegouwen M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Hulshof M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
van Dieren J:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Vollebergh M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
van Sandick J:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Jeene P:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Muijs C:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Slingerland M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Voncken F:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Hartgrink H:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Creemers G:
Department of Surgery, University Medical Center Utrecht, Utrecht University
van der Sangen M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Nieuwenhuijzen G:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Berbee M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Verheij M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Wijnhoven B:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Beerepoot L:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Mohammad N:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Mook S:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Ruurda J:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Kolodziejczyk P:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Polkowski W:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Wyrwicz L:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Alsina M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Pera M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Kanonnikoff T:
Department of Medical Oncology, Hospital Clinico Universitario de Valencia, University of Valencia, Incliva Biomedical Research Institute, Valencia, Spain
Cervantes A:
Department of Medical Oncology, Hospital Clinico Universitario de Valencia, University of Valencia, Incliva Biomedical Research Institute, Valencia, Spain
Nilsson M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Monig S:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Wagner A:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Guckenberger M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Griffiths E:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Smyth E:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Hanna G:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Markar S:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Chaudry M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Hawkins M:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Cheong E:
Department of Surgery, University Medical Center Utrecht, Utrecht University
van Hillegersberg R:
Department of Surgery, University Medical Center Utrecht, Utrecht University
van Rossum P:
Department of Surgery, University Medical Center Utrecht, Utrecht University
Department of Surgery, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands
hybrid, Green Published
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