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Hepatocellular carcinoma surveillance: Eastern and Western perspectives

Eastern and Western guidelines for the management of hepatocellular carcinoma (HCC) are known to significantly differ on many points, because they reflect different diagnostic and therapeutic approaches to this cancer. Importantly, these guidelines are primarily consensus-driven when it comes to sur...

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Autores principales: Purcell, Yvonne, Copin, Pauline, Paulatto, Luisa, Pommier, Romain, Vilgrain, Valérie, Ronot, Maxime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Ultrasound in Medicine 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6595126/
https://www.ncbi.nlm.nih.gov/pubmed/30690962
http://dx.doi.org/10.14366/usg.18043
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author Purcell, Yvonne
Copin, Pauline
Paulatto, Luisa
Pommier, Romain
Vilgrain, Valérie
Ronot, Maxime
author_facet Purcell, Yvonne
Copin, Pauline
Paulatto, Luisa
Pommier, Romain
Vilgrain, Valérie
Ronot, Maxime
author_sort Purcell, Yvonne
collection PubMed
description Eastern and Western guidelines for the management of hepatocellular carcinoma (HCC) are known to significantly differ on many points, because they reflect different diagnostic and therapeutic approaches to this cancer. Importantly, these guidelines are primarily consensus-driven when it comes to surveillance, both in term of the tests used and surveillance program design. The main difference between East and West lies in clinical practice, as several Eastern countries implement coordinated and systematic surveillance programs, while most Western countries rely on individual adherence to surveillance recommendations. This review article presents an overview of the evidence supporting surveillance programs for HCC, with a particular focus on the efficacy, cost-effectiveness, and consequences of this approach for patient survival. Western and Eastern guideline recommendations are discussed.
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spelling pubmed-65951262019-07-06 Hepatocellular carcinoma surveillance: Eastern and Western perspectives Purcell, Yvonne Copin, Pauline Paulatto, Luisa Pommier, Romain Vilgrain, Valérie Ronot, Maxime Ultrasonography Review Article Eastern and Western guidelines for the management of hepatocellular carcinoma (HCC) are known to significantly differ on many points, because they reflect different diagnostic and therapeutic approaches to this cancer. Importantly, these guidelines are primarily consensus-driven when it comes to surveillance, both in term of the tests used and surveillance program design. The main difference between East and West lies in clinical practice, as several Eastern countries implement coordinated and systematic surveillance programs, while most Western countries rely on individual adherence to surveillance recommendations. This review article presents an overview of the evidence supporting surveillance programs for HCC, with a particular focus on the efficacy, cost-effectiveness, and consequences of this approach for patient survival. Western and Eastern guideline recommendations are discussed. Korean Society of Ultrasound in Medicine 2019-07 2018-10-28 /pmc/articles/PMC6595126/ /pubmed/30690962 http://dx.doi.org/10.14366/usg.18043 Text en Copyright © 2019 Korean Society of Ultrasound in Medicine (KSUM) This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Purcell, Yvonne
Copin, Pauline
Paulatto, Luisa
Pommier, Romain
Vilgrain, Valérie
Ronot, Maxime
Hepatocellular carcinoma surveillance: Eastern and Western perspectives
title Hepatocellular carcinoma surveillance: Eastern and Western perspectives
title_full Hepatocellular carcinoma surveillance: Eastern and Western perspectives
title_fullStr Hepatocellular carcinoma surveillance: Eastern and Western perspectives
title_full_unstemmed Hepatocellular carcinoma surveillance: Eastern and Western perspectives
title_short Hepatocellular carcinoma surveillance: Eastern and Western perspectives
title_sort hepatocellular carcinoma surveillance: eastern and western perspectives
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6595126/
https://www.ncbi.nlm.nih.gov/pubmed/30690962
http://dx.doi.org/10.14366/usg.18043
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