A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study—Part 1 (Head and Neck Surgery)
Background: The Head and Neck Cancer Working Group of Swiss Group for Clinical Cancer Research (SAKK) has investigated the level of consensus (LOC) and discrepancy in everyday practice of diagnosis and treatment in head and neck cancer.Materials and Methods: An online survey was iteratively generate...
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Frontiers Media S.A.
2019-10-01
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doaj-5b9a1d2d93464c3da1b2efd333974e6f2020-11-24T21:45:12ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2019-10-01910.3389/fonc.2019.01125468215A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study—Part 1 (Head and Neck Surgery)Pavel Dulguerov0Martina A. Broglie1Martina A. Broglie2Guido Henke3Marco Siano4Marco Siano5Paul Martin Putora6Paul Martin Putora7Christian Simon8Daniel Zwahlen9Daniel Zwahlen10Gerhard F. Huber11Gerhard F. Huber12Giorgio Ballerini13Lorenza Beffa14Roland Giger15Sacha Rothschild16Sandro V. Negri17Olgun Elicin18Department of Otorhinolaryngology, Head and Neck Surgery, Geneva University Hospital, Geneva, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, Cantonal Hospital St. Gallen, St. Gallen, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, SwitzerlandDepartment of Radiation Oncology, Cantonal Hospital St. Gallen, St. Gallen, SwitzerlandDepartment of Medical Oncology, Cantonal Hospital St. Gallen, St. Gallen, SwitzerlandDepartment of Medical Oncology, Hôpital Riviera-Chablais, Vevey, SwitzerlandDepartment of Radiation Oncology, Cantonal Hospital St. Gallen, St. Gallen, SwitzerlandDepartment of Radiation Oncology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Lausanne, Lausanne, SwitzerlandDepartment of Radiation Oncology, Cantonal Hospital Graubünden, Chur, Switzerland0Department of Radiation Oncology, Cantonal Hospital of Winterthur, Winterthur, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, Cantonal Hospital St. Gallen, St. Gallen, SwitzerlandDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland1Department of Radiation Oncology, Clinica Luganese SA, Lugano, Switzerland2Department of Radiation Oncology, Cantonal Hospital Lucerne, Lucerne, Switzerland3Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, Bern, Switzerland4Department of Medical Oncology, University Hospital of Basel, Basel, Switzerland5Department of Otorhinolaryngology, Lindenhofspital, Bern, SwitzerlandDepartment of Radiation Oncology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandBackground: The Head and Neck Cancer Working Group of Swiss Group for Clinical Cancer Research (SAKK) has investigated the level of consensus (LOC) and discrepancy in everyday practice of diagnosis and treatment in head and neck cancer.Materials and Methods: An online survey was iteratively generated with 10 Swiss university and teaching hospitals. LOC below 50% was defined as no agreement, while higher LOC were arbitrarily categorized as low (51–74%), moderate (75–84%), and high (≥85%).Results: Any LOC was achieved in 62% of topics (n = 60). High, moderate and low LOC were found in 18, 20, and 23%, respectively. Regarding Head and Neck Surgery, Radiation Oncology, Medical Oncology, and biomarkers, LOC was achieved in 50, 57, 83, and 43%, respectively.Conclusions: Consensus on clinical topics is rather low for surgeons and radiation oncologists. The questions discussed might highlight discrepancies, stimulate standardization of practice, and prioritize topics for future clinical research.https://www.frontiersin.org/article/10.3389/fonc.2019.01125/fullconsensushead and neck cancerpatterns of carepractice patternssurvey |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pavel Dulguerov Martina A. Broglie Martina A. Broglie Guido Henke Marco Siano Marco Siano Paul Martin Putora Paul Martin Putora Christian Simon Daniel Zwahlen Daniel Zwahlen Gerhard F. Huber Gerhard F. Huber Giorgio Ballerini Lorenza Beffa Roland Giger Sacha Rothschild Sandro V. Negri Olgun Elicin |
spellingShingle |
Pavel Dulguerov Martina A. Broglie Martina A. Broglie Guido Henke Marco Siano Marco Siano Paul Martin Putora Paul Martin Putora Christian Simon Daniel Zwahlen Daniel Zwahlen Gerhard F. Huber Gerhard F. Huber Giorgio Ballerini Lorenza Beffa Roland Giger Sacha Rothschild Sandro V. Negri Olgun Elicin A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study—Part 1 (Head and Neck Surgery) Frontiers in Oncology consensus head and neck cancer patterns of care practice patterns survey |
author_facet |
Pavel Dulguerov Martina A. Broglie Martina A. Broglie Guido Henke Marco Siano Marco Siano Paul Martin Putora Paul Martin Putora Christian Simon Daniel Zwahlen Daniel Zwahlen Gerhard F. Huber Gerhard F. Huber Giorgio Ballerini Lorenza Beffa Roland Giger Sacha Rothschild Sandro V. Negri Olgun Elicin |
author_sort |
Pavel Dulguerov |
title |
A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study—Part 1 (Head and Neck Surgery) |
title_short |
A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study—Part 1 (Head and Neck Surgery) |
title_full |
A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study—Part 1 (Head and Neck Surgery) |
title_fullStr |
A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study—Part 1 (Head and Neck Surgery) |
title_full_unstemmed |
A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study—Part 1 (Head and Neck Surgery) |
title_sort |
review of controversial issues in the management of head and neck cancer: a swiss multidisciplinary and multi-institutional patterns of care study—part 1 (head and neck surgery) |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Oncology |
issn |
2234-943X |
publishDate |
2019-10-01 |
description |
Background: The Head and Neck Cancer Working Group of Swiss Group for Clinical Cancer Research (SAKK) has investigated the level of consensus (LOC) and discrepancy in everyday practice of diagnosis and treatment in head and neck cancer.Materials and Methods: An online survey was iteratively generated with 10 Swiss university and teaching hospitals. LOC below 50% was defined as no agreement, while higher LOC were arbitrarily categorized as low (51–74%), moderate (75–84%), and high (≥85%).Results: Any LOC was achieved in 62% of topics (n = 60). High, moderate and low LOC were found in 18, 20, and 23%, respectively. Regarding Head and Neck Surgery, Radiation Oncology, Medical Oncology, and biomarkers, LOC was achieved in 50, 57, 83, and 43%, respectively.Conclusions: Consensus on clinical topics is rather low for surgeons and radiation oncologists. The questions discussed might highlight discrepancies, stimulate standardization of practice, and prioritize topics for future clinical research. |
topic |
consensus head and neck cancer patterns of care practice patterns survey |
url |
https://www.frontiersin.org/article/10.3389/fonc.2019.01125/full |
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