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Clinical management of gastric cancer: results of a multicentre survey

BACKGROUND: The National Comprehensive Cancer Network clinical practice guidelines in oncology-gastric cancer guidelines have been widely used to provide appropriate recommendations for the treatment of patients with gastric cancer. The aim of this study was to examine the adherence of surgical onco...

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Autores principales: Zhang, Xiaolong, Li, Nanjing, Wei, Wen, Yao, Wenxiu, Xie, Ke, Hu, Jiankun, Shen, Lida, Ji, Weizheng, Lu, You, Wen, Feng, Jiang, Yu, Xu, Feng, Feng, Hong, Bi, Feng, Li, Qiu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3224384/
https://www.ncbi.nlm.nih.gov/pubmed/21864355
http://dx.doi.org/10.1186/1471-2407-11-369
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author Zhang, Xiaolong
Li, Nanjing
Wei, Wen
Yao, Wenxiu
Xie, Ke
Hu, Jiankun
Shen, Lida
Ji, Weizheng
Lu, You
Wen, Feng
Jiang, Yu
Xu, Feng
Feng, Hong
Bi, Feng
Li, Qiu
author_facet Zhang, Xiaolong
Li, Nanjing
Wei, Wen
Yao, Wenxiu
Xie, Ke
Hu, Jiankun
Shen, Lida
Ji, Weizheng
Lu, You
Wen, Feng
Jiang, Yu
Xu, Feng
Feng, Hong
Bi, Feng
Li, Qiu
author_sort Zhang, Xiaolong
collection PubMed
description BACKGROUND: The National Comprehensive Cancer Network clinical practice guidelines in oncology-gastric cancer guidelines have been widely used to provide appropriate recommendations for the treatment of patients with gastric cancer. The aim of this study was to examine the adherence of surgical oncologists, medical oncologists, and radiation oncologists' to the recommended guidelines. METHODS: A questionnaire asking the treatment options for gastric cancer cases was sent to 394 Chinese oncology specialists, including surgical oncologists, medical oncologists, and radiation oncologists working in hospitals joined in The Western Cooperative Gastrointestinal Oncology Group of China. The questionnaire involved a series of clinical scenarios regarding the interpretation of surgery, neoadjuvant, adjuvant, and advanced treatment planning of gastric cancer. RESULTS: Analysis of 358 respondents (91%) showed variations between each specialization and from the recommended guidelines in the management approaches to specific clinical scenarios. The majority of specialists admitted that less than 50% of patients received multidisciplinary evaluation before treatment. The participants gave different responses to questions involving adjuvant, neoadjuvant, and advanced settings, compared to the recommended guidelines. CONCLUSIONS: These results highlight the heterogeneity of the treatment of gastric cancer. Surgical oncologists, medical oncologists, and radiation oncologists are not adhering to the recommended guidelines.
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spelling pubmed-32243842011-11-27 Clinical management of gastric cancer: results of a multicentre survey Zhang, Xiaolong Li, Nanjing Wei, Wen Yao, Wenxiu Xie, Ke Hu, Jiankun Shen, Lida Ji, Weizheng Lu, You Wen, Feng Jiang, Yu Xu, Feng Feng, Hong Bi, Feng Li, Qiu BMC Cancer Research Article BACKGROUND: The National Comprehensive Cancer Network clinical practice guidelines in oncology-gastric cancer guidelines have been widely used to provide appropriate recommendations for the treatment of patients with gastric cancer. The aim of this study was to examine the adherence of surgical oncologists, medical oncologists, and radiation oncologists' to the recommended guidelines. METHODS: A questionnaire asking the treatment options for gastric cancer cases was sent to 394 Chinese oncology specialists, including surgical oncologists, medical oncologists, and radiation oncologists working in hospitals joined in The Western Cooperative Gastrointestinal Oncology Group of China. The questionnaire involved a series of clinical scenarios regarding the interpretation of surgery, neoadjuvant, adjuvant, and advanced treatment planning of gastric cancer. RESULTS: Analysis of 358 respondents (91%) showed variations between each specialization and from the recommended guidelines in the management approaches to specific clinical scenarios. The majority of specialists admitted that less than 50% of patients received multidisciplinary evaluation before treatment. The participants gave different responses to questions involving adjuvant, neoadjuvant, and advanced settings, compared to the recommended guidelines. CONCLUSIONS: These results highlight the heterogeneity of the treatment of gastric cancer. Surgical oncologists, medical oncologists, and radiation oncologists are not adhering to the recommended guidelines. BioMed Central 2011-08-24 /pmc/articles/PMC3224384/ /pubmed/21864355 http://dx.doi.org/10.1186/1471-2407-11-369 Text en Copyright ©2011 Zhang et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Zhang, Xiaolong
Li, Nanjing
Wei, Wen
Yao, Wenxiu
Xie, Ke
Hu, Jiankun
Shen, Lida
Ji, Weizheng
Lu, You
Wen, Feng
Jiang, Yu
Xu, Feng
Feng, Hong
Bi, Feng
Li, Qiu
Clinical management of gastric cancer: results of a multicentre survey
title Clinical management of gastric cancer: results of a multicentre survey
title_full Clinical management of gastric cancer: results of a multicentre survey
title_fullStr Clinical management of gastric cancer: results of a multicentre survey
title_full_unstemmed Clinical management of gastric cancer: results of a multicentre survey
title_short Clinical management of gastric cancer: results of a multicentre survey
title_sort clinical management of gastric cancer: results of a multicentre survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3224384/
https://www.ncbi.nlm.nih.gov/pubmed/21864355
http://dx.doi.org/10.1186/1471-2407-11-369
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