Latin American Consensus on the Treatment of Head and Neck Cancer
Head and neck squamous cell carcinoma (HNSCC) is well known as a serious health problem worldwide, especially in low-income countries or those with limited resources, such as most countries in Latin America. International guidelines cannot always be applied to a population from a large region with specific conditions. This study established a Latin American guideline for care of patients with head and neck cancer and presented evidence of HNSCC management considering availability and oncologic benefit. A panel composed of 41 head and neck cancer experts systematically worked according to a modified Delphi process on (1) document compilation of evidence-based answers to different questions contextualized by resource availability and oncologic benefit regarding Latin America (region of limited resources and/or without access to all necessary health care system infrastructure), (2) revision of the answers and the classification of levels of evidence and degrees of recommendations of all recommendations, (3) validation of the consensus through two rounds of online surveys, and (4) manuscript composition. The consensus consists of 12 sections: Head and neck cancer staging, Histopathologic evaluation of head and neck cancer, Head and neck surgery—oral cavity, Clinical oncology—oral cavity, Head and neck surgery—oropharynx, Clinical oncology—oropharynx, Head and neck surgery—larynx, Head and neck surgery—larynx/hypopharynx, Clinical oncology—larynx/hypopharynx, Clinical oncology—recurrent and metastatic head and neck cancer, Head and neck surgery—reconstruction and rehabilitation, and Radiation therapy. The present consensus established 48 recommendations on HNSCC patient care considering the availability of resources and focusing on oncologic benefit. These recommendations could also be used to formulate strategies in other regions like Latin America countries. , This study formulated 48 recommendations for the care of HNSCC patients, accounting for resource availability and prioritizing oncological benefits.
Citação
@online{leandro_luongo2024,
author = {Leandro Luongo , Matos and Luiz Paulo , Kowalski and Aline
Lauda Freitas , Chaves and Oliveira, Thiago Bueno, De and Gustavo
Nader , Marta and Maria Paula , Curado and Castro Junior, Gilberto,
De and Terence P. , Farias and Gustavo Sarria , Bardales and Mario
Avila , Cabrera and Renato De Castro , Capuzzo and Carvalho, Genival
Barbosa, De and Claudio Roberto , Cernea and Rogério Aparecido ,
Dedivitis and Fernando Luiz , Dias and Andrés Munyo , Estefan and
Agustin Horacio , Falco and Gustavo Alberto , Ferraris and Alejandro
, Gonzalez-Motta and Andre Guimarães , Gouveia and Alexandre Arthur
, Jacinto and Marco Aurelio Vamondes , Kulcsar and Ana Kober , Leite
and Renan Bezerra , Lira and Milena Perez , Mak and Marchi, Pedro,
De and Mello, Evandro Sobroza, De and Matos, Fátima Cristina Mendes,
De and Pablo H. , Montero and Moraes, Eduardo Dias, De and Moraes,
Fabio Ynoe, De and Diego Chaves Rezende , Morais and Fernando Miguel
, Poenitz and Adela , Poitevin and Hernán Ortiz , Riveros and Álvaro
, Sanabria and Miguel , Ticona-Castro and José Guilherme , Vartanian
and Gustavo , Viani and Eugenio F. , Vines and Junior, William
Nassib, William and David , Conway and Shama , Virani and Paul ,
Brennan and},
title = {Latin American Consensus on the Treatment of Head and Neck
Cancer},
number = {10},
date = {2024-04-01},
doi = {10.1200/GO.23.00343},
langid = {pt-BR},
abstract = {Head and neck squamous cell carcinoma (HNSCC) is well
known as a serious health problem worldwide, especially in
low-income countries or those with limited resources, such as most
countries in Latin America. International guidelines cannot always
be applied to a population from a large region with specific
conditions. This study established a Latin American guideline for
care of patients with head and neck cancer and presented evidence of
HNSCC management considering availability and oncologic benefit. A
panel composed of 41 head and neck cancer experts systematically
worked according to a modified Delphi process on (1) document
compilation of evidence-based answers to different questions
contextualized by resource availability and oncologic benefit
regarding Latin America (region of limited resources and/or without
access to all necessary health care system infrastructure), (2)
revision of the answers and the classification of levels of evidence
and degrees of recommendations of all recommendations, (3)
validation of the consensus through two rounds of online surveys,
and (4) manuscript composition. The consensus consists of 12
sections: Head and neck cancer staging, Histopathologic evaluation
of head and neck cancer, Head and neck surgery—oral cavity, Clinical
oncology—oral cavity, Head and neck surgery—oropharynx, Clinical
oncology—oropharynx, Head and neck surgery—larynx, Head and neck
surgery—larynx/hypopharynx, Clinical oncology—larynx/hypopharynx,
Clinical oncology—recurrent and metastatic head and neck cancer,
Head and neck surgery—reconstruction and rehabilitation, and
Radiation therapy. The present consensus established 48
recommendations on HNSCC patient care considering the availability
of resources and focusing on oncologic benefit. These
recommendations could also be used to formulate strategies in other
regions like Latin America countries. , This study formulated 48
recommendations for the care of HNSCC patients, accounting for
resource availability and prioritizing oncological benefits.}
}