Recommendations for the treatment of vulvar cancer in settings with limited resources: Report from the International Gynecological Cancer Society consensus meeting
IntroductionDue to scant literature and the absence of high-level evidence, the treatment of vulvar cancer is even more challenging in countries facing limited resources, where direct application of international guidelines is difficult. Recommendations from a panel of experts convened to address so...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.928568/full |
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| author | Fernando Cotait Maluf Fernando Cotait Maluf Graziela Dal Molin Zibetti Eduardo Paulino Andreia Cristina de Melo Douglas Racy Robson Ferrigno Pedro Luiz Serrano Uson Junior Reitan Ribeiro Renato Moretti Jose Carlos Sadalla Angelica Nogueira Rodrigues Filomena Marino Carvalho Glauco Baiocchi Donato Callegaro-Filho Roberto Angioli |
| author_facet | Fernando Cotait Maluf Fernando Cotait Maluf Graziela Dal Molin Zibetti Eduardo Paulino Andreia Cristina de Melo Douglas Racy Robson Ferrigno Pedro Luiz Serrano Uson Junior Reitan Ribeiro Renato Moretti Jose Carlos Sadalla Angelica Nogueira Rodrigues Filomena Marino Carvalho Glauco Baiocchi Donato Callegaro-Filho Roberto Angioli |
| author_sort | Fernando Cotait Maluf |
| collection | DOAJ |
| description | IntroductionDue to scant literature and the absence of high-level evidence, the treatment of vulvar cancer is even more challenging in countries facing limited resources, where direct application of international guidelines is difficult. Recommendations from a panel of experts convened to address some of these challenges were developed.MethodsThe panel met in Rio de Janeiro in September 2019 during the International Gynecological Cancer Society congress and was composed of specialists from countries in Africa, Asia, Eastern Europe, Latin America, and the Middle East. The panel addressed 62 questions and provided recommendations for the management of early, locally advanced, recurrent, and/or metastatic vulvar cancer. Consensus was defined as at least 75% of the voting members selecting a particular recommendation, whereas a majority vote was considered when one option garnered between 50.0% and 74.9% of votes. Resource limitation was defined as any issues limiting access to qualified surgeons, contemporary imaging or radiation-oncology techniques, antineoplastic drugs, or funding for the provision of contemporary medical care.ResultsConsensus was reached for nine of 62 (14.5%) questions presented to the panel, whereas a majority vote was reached for 29 (46.7%) additional questions. For the remaining questions, there was considerable heterogeneity in the recommendations.ConclusionThe development of guidelines focusing on areas of the world facing more severe resource limitations may improve medical practice and patient care. |
| first_indexed | 2024-04-11T09:59:36Z |
| format | Article |
| id | doaj.art-789623c8dbff4c1499e03dcddf28c105 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-11T09:59:36Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-789623c8dbff4c1499e03dcddf28c1052022-12-22T04:30:27ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-09-011210.3389/fonc.2022.928568928568Recommendations for the treatment of vulvar cancer in settings with limited resources: Report from the International Gynecological Cancer Society consensus meetingFernando Cotait Maluf0Fernando Cotait Maluf1Graziela Dal Molin Zibetti2Eduardo Paulino3Andreia Cristina de Melo4Douglas Racy5Robson Ferrigno6Pedro Luiz Serrano Uson Junior7Reitan Ribeiro8Renato Moretti9Jose Carlos Sadalla10Angelica Nogueira Rodrigues11Filomena Marino Carvalho12Glauco Baiocchi13Donato Callegaro-Filho14Roberto Angioli15Hospital BP Mirante, São Paulo, BrazilHospital Israelita Albert Einstein, São Paulo, BrazilHospital BP Mirante, São Paulo, BrazilOncomed, Rio de Janeiro, BrazilInstituto Nacional de Câncer – INCA, Rio de Janeiro, BrazilHospital BP Mirante, São Paulo, BrazilHospital BP Mirante, São Paulo, BrazilHospital Israelita Albert Einstein, São Paulo, BrazilInstituto de Oncologia do Paraná, Paraná, BrazilHospital Israelita Albert Einstein, São Paulo, BrazilHospital Sírio Libanês, São Paulo, BrazilUniversidade Federal de Minas Gerais, Minas Gerais, BrazilFaculdade de Medicina da Universidade de São Paulo (USP), São Paulo, BrazilA. C. Camargo Cancer Center, São Paulo, BrazilHospital Israelita Albert Einstein, São Paulo, BrazilHospital BP Mirante, São Paulo, BrazilIntroductionDue to scant literature and the absence of high-level evidence, the treatment of vulvar cancer is even more challenging in countries facing limited resources, where direct application of international guidelines is difficult. Recommendations from a panel of experts convened to address some of these challenges were developed.MethodsThe panel met in Rio de Janeiro in September 2019 during the International Gynecological Cancer Society congress and was composed of specialists from countries in Africa, Asia, Eastern Europe, Latin America, and the Middle East. The panel addressed 62 questions and provided recommendations for the management of early, locally advanced, recurrent, and/or metastatic vulvar cancer. Consensus was defined as at least 75% of the voting members selecting a particular recommendation, whereas a majority vote was considered when one option garnered between 50.0% and 74.9% of votes. Resource limitation was defined as any issues limiting access to qualified surgeons, contemporary imaging or radiation-oncology techniques, antineoplastic drugs, or funding for the provision of contemporary medical care.ResultsConsensus was reached for nine of 62 (14.5%) questions presented to the panel, whereas a majority vote was reached for 29 (46.7%) additional questions. For the remaining questions, there was considerable heterogeneity in the recommendations.ConclusionThe development of guidelines focusing on areas of the world facing more severe resource limitations may improve medical practice and patient care.https://www.frontiersin.org/articles/10.3389/fonc.2022.928568/fullvulvar cancerlimited resourceschemotherapygynecologic cancerslimited resources countries |
| spellingShingle | Fernando Cotait Maluf Fernando Cotait Maluf Graziela Dal Molin Zibetti Eduardo Paulino Andreia Cristina de Melo Douglas Racy Robson Ferrigno Pedro Luiz Serrano Uson Junior Reitan Ribeiro Renato Moretti Jose Carlos Sadalla Angelica Nogueira Rodrigues Filomena Marino Carvalho Glauco Baiocchi Donato Callegaro-Filho Roberto Angioli Recommendations for the treatment of vulvar cancer in settings with limited resources: Report from the International Gynecological Cancer Society consensus meeting Frontiers in Oncology vulvar cancer limited resources chemotherapy gynecologic cancers limited resources countries |
| title | Recommendations for the treatment of vulvar cancer in settings with limited resources: Report from the International Gynecological Cancer Society consensus meeting |
| title_full | Recommendations for the treatment of vulvar cancer in settings with limited resources: Report from the International Gynecological Cancer Society consensus meeting |
| title_fullStr | Recommendations for the treatment of vulvar cancer in settings with limited resources: Report from the International Gynecological Cancer Society consensus meeting |
| title_full_unstemmed | Recommendations for the treatment of vulvar cancer in settings with limited resources: Report from the International Gynecological Cancer Society consensus meeting |
| title_short | Recommendations for the treatment of vulvar cancer in settings with limited resources: Report from the International Gynecological Cancer Society consensus meeting |
| title_sort | recommendations for the treatment of vulvar cancer in settings with limited resources report from the international gynecological cancer society consensus meeting |
| topic | vulvar cancer limited resources chemotherapy gynecologic cancers limited resources countries |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.928568/full |
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