Ten recommendations for sarcoma surgery: consensus of the surgical societies based on the German S3 guideline “Adult Soft Tissue Sarcomas”
Purpose The evidence-based (S3) guideline “Adult Soft Tissue Sarcomas” (AWMF Registry No. 032/044OL) published by the German Guideline Program in Oncology (GGPO) covers all aspects of sarcoma treatment with 229 recommendations. Representatives of all medical specialties involved in sarcoma treatment...
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| creator | Jakob, Jens Andreou, Dimosthenis Bedke, Jens Denschlag, Dominik Dürr, Hans Roland Frese, Steffen Gösling, Thomas Graeter, Thomas Grünwald, Viktor Grützmann, Robert Hoffmann, Jürgen Juhasz-Boess, Ingolf Kasper, Bernd Kogosov, Vlada Knoefel, Wolfram Trudo Lehner, Burkhard Lehnhardt, Marcus Lindner, Lars H. Matthies, Cordula Sehouli, Jalid Ugurel, Selma Hohenberger, Peter |
| description | Purpose
The evidence-based (S3) guideline “Adult Soft Tissue Sarcomas” (AWMF Registry No. 032/044OL) published by the German Guideline Program in Oncology (GGPO) covers all aspects of sarcoma treatment with 229 recommendations. Representatives of all medical specialties involved in sarcoma treatment contributed to the guideline. This paper compiles the most important recommendations for surgeons selected by delegates from the surgical societies.
Methods
A Delphi process was used. Delegates from the surgical societies involved in guideline process selected the 15 recommendations that were most important to them. Votes for similar recommendations were tallied. From the resulting ranked list, the 10 most frequently voted recommendations were selected and confirmed by consensus in the next step.
Results
The statement “Resection of primary soft tissue sarcomas of the extremities should be performed as a wide resection. The goal is an R0 resection” was selected as the most important term. The next highest ranked recommendations were the need for a preoperative biopsy, performing preoperative MRI imaging with contrast, and discussing all cases before surgery in a multidisciplinary sarcoma committee.
Conclusion
The evidence-based guideline “Adult Soft Tissue Sarcomas” is a milestone to improve the care of sarcoma patients in Germany. The selection of the top ten recommendations by surgeons for surgeons has the potential to improve the dissemination and acceptance of the guideline and thus improve the overall outcome of sarcoma patients. |
| doi_str_mv | 10.1007/s00423-023-03002-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10333354</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2836296626</sourcerecordid><originalsourceid>FETCH-LOGICAL-c447t-3feac5ac6d844af3befd92b59ad91ed34e798e77f3b4019d3b63fb6138525c083</originalsourceid><addsrcrecordid>eNp9kc9qFTEUxoMotlZfwIVk6WY0_-afGylFq1Bwca_rkEnO3KbMJDVnUuiuT-AT6Mv1Sczt1FI3Bg4J-X3nOyEfIa85e8cZa98jY0rIiu1LMiYq-YQcciXrSqiaP310PiAvEC8YY03bq-fkQLZKMi76Q_JzC4EmsHGeITiz-BiQjjFRNKlcGoo57SBdf6C2EAiYkcaRLudwR7w1E8VoPSwekA4GwdEY7vgppNkEupF0l72DyQegtze_jl2eFrqJ40K3HjED3ayj8Pbm90vybDQTwqv7_Yh8__xpe_KlOvt2-vXk-KyySrVLJUcwtja2cZ1SZpQDjK4XQ90b13NwUkHbd9C2hSjGeyeHRo5Dw2VXi9qyTh6Rj6vvZR5mcBbCksykL5OfTbrW0Xj9Lwn-XO_ileZMllWr4vD23iHFHxlw0bNHC9NkAsSMWnSyEX3TiKZIxSq1KSImGB_mcKb3Seo1Sc32tU9Sy9L05vELH1r-RlcEchVgQaFkpC9iTqH82v9s_wCYNK7n</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2836296626</pqid></control><display><type>article</type><title>Ten recommendations for sarcoma surgery: consensus of the surgical societies based on the German S3 guideline “Adult Soft Tissue Sarcomas”</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Jakob, Jens ; Andreou, Dimosthenis ; Bedke, Jens ; Denschlag, Dominik ; Dürr, Hans Roland ; Frese, Steffen ; Gösling, Thomas ; Graeter, Thomas ; Grünwald, Viktor ; Grützmann, Robert ; Hoffmann, Jürgen ; Juhasz-Boess, Ingolf ; Kasper, Bernd ; Kogosov, Vlada ; Knoefel, Wolfram Trudo ; Lehner, Burkhard ; Lehnhardt, Marcus ; Lindner, Lars H. ; Matthies, Cordula ; Sehouli, Jalid ; Ugurel, Selma ; Hohenberger, Peter</creator><creatorcontrib>Jakob, Jens ; Andreou, Dimosthenis ; Bedke, Jens ; Denschlag, Dominik ; Dürr, Hans Roland ; Frese, Steffen ; Gösling, Thomas ; Graeter, Thomas ; Grünwald, Viktor ; Grützmann, Robert ; Hoffmann, Jürgen ; Juhasz-Boess, Ingolf ; Kasper, Bernd ; Kogosov, Vlada ; Knoefel, Wolfram Trudo ; Lehner, Burkhard ; Lehnhardt, Marcus ; Lindner, Lars H. ; Matthies, Cordula ; Sehouli, Jalid ; Ugurel, Selma ; Hohenberger, Peter</creatorcontrib><description>Purpose
The evidence-based (S3) guideline “Adult Soft Tissue Sarcomas” (AWMF Registry No. 032/044OL) published by the German Guideline Program in Oncology (GGPO) covers all aspects of sarcoma treatment with 229 recommendations. Representatives of all medical specialties involved in sarcoma treatment contributed to the guideline. This paper compiles the most important recommendations for surgeons selected by delegates from the surgical societies.
Methods
A Delphi process was used. Delegates from the surgical societies involved in guideline process selected the 15 recommendations that were most important to them. Votes for similar recommendations were tallied. From the resulting ranked list, the 10 most frequently voted recommendations were selected and confirmed by consensus in the next step.
Results
The statement “Resection of primary soft tissue sarcomas of the extremities should be performed as a wide resection. The goal is an R0 resection” was selected as the most important term. The next highest ranked recommendations were the need for a preoperative biopsy, performing preoperative MRI imaging with contrast, and discussing all cases before surgery in a multidisciplinary sarcoma committee.
Conclusion
The evidence-based guideline “Adult Soft Tissue Sarcomas” is a milestone to improve the care of sarcoma patients in Germany. The selection of the top ten recommendations by surgeons for surgeons has the potential to improve the dissemination and acceptance of the guideline and thus improve the overall outcome of sarcoma patients.</description><identifier>ISSN: 1435-2451</identifier><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-023-03002-3</identifier><identifier>PMID: 37430129</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdominal Surgery ; Adult ; Brief Report ; Cardiac Surgery ; Consensus ; General Surgery ; Germany ; Humans ; Medicine ; Medicine & Public Health ; Registries ; Sarcoma - surgery ; Surgeons ; Thoracic Surgery ; Traumatic Surgery ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2023-07, Vol.408 (1), p.272-272, Article 272</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-3feac5ac6d844af3befd92b59ad91ed34e798e77f3b4019d3b63fb6138525c083</citedby><cites>FETCH-LOGICAL-c447t-3feac5ac6d844af3befd92b59ad91ed34e798e77f3b4019d3b63fb6138525c083</cites><orcidid>0000-0002-8499-7172</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-023-03002-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-023-03002-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,778,782,883,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37430129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jakob, Jens</creatorcontrib><creatorcontrib>Andreou, Dimosthenis</creatorcontrib><creatorcontrib>Bedke, Jens</creatorcontrib><creatorcontrib>Denschlag, Dominik</creatorcontrib><creatorcontrib>Dürr, Hans Roland</creatorcontrib><creatorcontrib>Frese, Steffen</creatorcontrib><creatorcontrib>Gösling, Thomas</creatorcontrib><creatorcontrib>Graeter, Thomas</creatorcontrib><creatorcontrib>Grünwald, Viktor</creatorcontrib><creatorcontrib>Grützmann, Robert</creatorcontrib><creatorcontrib>Hoffmann, Jürgen</creatorcontrib><creatorcontrib>Juhasz-Boess, Ingolf</creatorcontrib><creatorcontrib>Kasper, Bernd</creatorcontrib><creatorcontrib>Kogosov, Vlada</creatorcontrib><creatorcontrib>Knoefel, Wolfram Trudo</creatorcontrib><creatorcontrib>Lehner, Burkhard</creatorcontrib><creatorcontrib>Lehnhardt, Marcus</creatorcontrib><creatorcontrib>Lindner, Lars H.</creatorcontrib><creatorcontrib>Matthies, Cordula</creatorcontrib><creatorcontrib>Sehouli, Jalid</creatorcontrib><creatorcontrib>Ugurel, Selma</creatorcontrib><creatorcontrib>Hohenberger, Peter</creatorcontrib><title>Ten recommendations for sarcoma surgery: consensus of the surgical societies based on the German S3 guideline “Adult Soft Tissue Sarcomas”</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Purpose
The evidence-based (S3) guideline “Adult Soft Tissue Sarcomas” (AWMF Registry No. 032/044OL) published by the German Guideline Program in Oncology (GGPO) covers all aspects of sarcoma treatment with 229 recommendations. Representatives of all medical specialties involved in sarcoma treatment contributed to the guideline. This paper compiles the most important recommendations for surgeons selected by delegates from the surgical societies.
Methods
A Delphi process was used. Delegates from the surgical societies involved in guideline process selected the 15 recommendations that were most important to them. Votes for similar recommendations were tallied. From the resulting ranked list, the 10 most frequently voted recommendations were selected and confirmed by consensus in the next step.
Results
The statement “Resection of primary soft tissue sarcomas of the extremities should be performed as a wide resection. The goal is an R0 resection” was selected as the most important term. The next highest ranked recommendations were the need for a preoperative biopsy, performing preoperative MRI imaging with contrast, and discussing all cases before surgery in a multidisciplinary sarcoma committee.
Conclusion
The evidence-based guideline “Adult Soft Tissue Sarcomas” is a milestone to improve the care of sarcoma patients in Germany. The selection of the top ten recommendations by surgeons for surgeons has the potential to improve the dissemination and acceptance of the guideline and thus improve the overall outcome of sarcoma patients.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Brief Report</subject><subject>Cardiac Surgery</subject><subject>Consensus</subject><subject>General Surgery</subject><subject>Germany</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Registries</subject><subject>Sarcoma - surgery</subject><subject>Surgeons</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Vascular Surgery</subject><issn>1435-2451</issn><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kc9qFTEUxoMotlZfwIVk6WY0_-afGylFq1Bwca_rkEnO3KbMJDVnUuiuT-AT6Mv1Sczt1FI3Bg4J-X3nOyEfIa85e8cZa98jY0rIiu1LMiYq-YQcciXrSqiaP310PiAvEC8YY03bq-fkQLZKMi76Q_JzC4EmsHGeITiz-BiQjjFRNKlcGoo57SBdf6C2EAiYkcaRLudwR7w1E8VoPSwekA4GwdEY7vgppNkEupF0l72DyQegtze_jl2eFrqJ40K3HjED3ayj8Pbm90vybDQTwqv7_Yh8__xpe_KlOvt2-vXk-KyySrVLJUcwtja2cZ1SZpQDjK4XQ90b13NwUkHbd9C2hSjGeyeHRo5Dw2VXi9qyTh6Rj6vvZR5mcBbCksykL5OfTbrW0Xj9Lwn-XO_ileZMllWr4vD23iHFHxlw0bNHC9NkAsSMWnSyEX3TiKZIxSq1KSImGB_mcKb3Seo1Sc32tU9Sy9L05vELH1r-RlcEchVgQaFkpC9iTqH82v9s_wCYNK7n</recordid><startdate>20230711</startdate><enddate>20230711</enddate><creator>Jakob, Jens</creator><creator>Andreou, Dimosthenis</creator><creator>Bedke, Jens</creator><creator>Denschlag, Dominik</creator><creator>Dürr, Hans Roland</creator><creator>Frese, Steffen</creator><creator>Gösling, Thomas</creator><creator>Graeter, Thomas</creator><creator>Grünwald, Viktor</creator><creator>Grützmann, Robert</creator><creator>Hoffmann, Jürgen</creator><creator>Juhasz-Boess, Ingolf</creator><creator>Kasper, Bernd</creator><creator>Kogosov, Vlada</creator><creator>Knoefel, Wolfram Trudo</creator><creator>Lehner, Burkhard</creator><creator>Lehnhardt, Marcus</creator><creator>Lindner, Lars H.</creator><creator>Matthies, Cordula</creator><creator>Sehouli, Jalid</creator><creator>Ugurel, Selma</creator><creator>Hohenberger, Peter</creator><general>Springer Berlin Heidelberg</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8499-7172</orcidid></search><sort><creationdate>20230711</creationdate><title>Ten recommendations for sarcoma surgery: consensus of the surgical societies based on the German S3 guideline “Adult Soft Tissue Sarcomas”</title><author>Jakob, Jens ; Andreou, Dimosthenis ; Bedke, Jens ; Denschlag, Dominik ; Dürr, Hans Roland ; Frese, Steffen ; Gösling, Thomas ; Graeter, Thomas ; Grünwald, Viktor ; Grützmann, Robert ; Hoffmann, Jürgen ; Juhasz-Boess, Ingolf ; Kasper, Bernd ; Kogosov, Vlada ; Knoefel, Wolfram Trudo ; Lehner, Burkhard ; Lehnhardt, Marcus ; Lindner, Lars H. ; Matthies, Cordula ; Sehouli, Jalid ; Ugurel, Selma ; Hohenberger, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-3feac5ac6d844af3befd92b59ad91ed34e798e77f3b4019d3b63fb6138525c083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Brief Report</topic><topic>Cardiac Surgery</topic><topic>Consensus</topic><topic>General Surgery</topic><topic>Germany</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Registries</topic><topic>Sarcoma - surgery</topic><topic>Surgeons</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jakob, Jens</creatorcontrib><creatorcontrib>Andreou, Dimosthenis</creatorcontrib><creatorcontrib>Bedke, Jens</creatorcontrib><creatorcontrib>Denschlag, Dominik</creatorcontrib><creatorcontrib>Dürr, Hans Roland</creatorcontrib><creatorcontrib>Frese, Steffen</creatorcontrib><creatorcontrib>Gösling, Thomas</creatorcontrib><creatorcontrib>Graeter, Thomas</creatorcontrib><creatorcontrib>Grünwald, Viktor</creatorcontrib><creatorcontrib>Grützmann, Robert</creatorcontrib><creatorcontrib>Hoffmann, Jürgen</creatorcontrib><creatorcontrib>Juhasz-Boess, Ingolf</creatorcontrib><creatorcontrib>Kasper, Bernd</creatorcontrib><creatorcontrib>Kogosov, Vlada</creatorcontrib><creatorcontrib>Knoefel, Wolfram Trudo</creatorcontrib><creatorcontrib>Lehner, Burkhard</creatorcontrib><creatorcontrib>Lehnhardt, Marcus</creatorcontrib><creatorcontrib>Lindner, Lars H.</creatorcontrib><creatorcontrib>Matthies, Cordula</creatorcontrib><creatorcontrib>Sehouli, Jalid</creatorcontrib><creatorcontrib>Ugurel, Selma</creatorcontrib><creatorcontrib>Hohenberger, Peter</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jakob, Jens</au><au>Andreou, Dimosthenis</au><au>Bedke, Jens</au><au>Denschlag, Dominik</au><au>Dürr, Hans Roland</au><au>Frese, Steffen</au><au>Gösling, Thomas</au><au>Graeter, Thomas</au><au>Grünwald, Viktor</au><au>Grützmann, Robert</au><au>Hoffmann, Jürgen</au><au>Juhasz-Boess, Ingolf</au><au>Kasper, Bernd</au><au>Kogosov, Vlada</au><au>Knoefel, Wolfram Trudo</au><au>Lehner, Burkhard</au><au>Lehnhardt, Marcus</au><au>Lindner, Lars H.</au><au>Matthies, Cordula</au><au>Sehouli, Jalid</au><au>Ugurel, Selma</au><au>Hohenberger, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ten recommendations for sarcoma surgery: consensus of the surgical societies based on the German S3 guideline “Adult Soft Tissue Sarcomas”</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2023-07-11</date><risdate>2023</risdate><volume>408</volume><issue>1</issue><spage>272</spage><epage>272</epage><pages>272-272</pages><artnum>272</artnum><issn>1435-2451</issn><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>Purpose
The evidence-based (S3) guideline “Adult Soft Tissue Sarcomas” (AWMF Registry No. 032/044OL) published by the German Guideline Program in Oncology (GGPO) covers all aspects of sarcoma treatment with 229 recommendations. Representatives of all medical specialties involved in sarcoma treatment contributed to the guideline. This paper compiles the most important recommendations for surgeons selected by delegates from the surgical societies.
Methods
A Delphi process was used. Delegates from the surgical societies involved in guideline process selected the 15 recommendations that were most important to them. Votes for similar recommendations were tallied. From the resulting ranked list, the 10 most frequently voted recommendations were selected and confirmed by consensus in the next step.
Results
The statement “Resection of primary soft tissue sarcomas of the extremities should be performed as a wide resection. The goal is an R0 resection” was selected as the most important term. The next highest ranked recommendations were the need for a preoperative biopsy, performing preoperative MRI imaging with contrast, and discussing all cases before surgery in a multidisciplinary sarcoma committee.
Conclusion
The evidence-based guideline “Adult Soft Tissue Sarcomas” is a milestone to improve the care of sarcoma patients in Germany. The selection of the top ten recommendations by surgeons for surgeons has the potential to improve the dissemination and acceptance of the guideline and thus improve the overall outcome of sarcoma patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37430129</pmid><doi>10.1007/s00423-023-03002-3</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-8499-7172</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1435-2451 |
| ispartof | Langenbeck's archives of surgery, 2023-07, Vol.408 (1), p.272-272, Article 272 |
| issn | 1435-2451 1435-2443 1435-2451 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10333354 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Adult Brief Report Cardiac Surgery Consensus General Surgery Germany Humans Medicine Medicine & Public Health Registries Sarcoma - surgery Surgeons Thoracic Surgery Traumatic Surgery Vascular Surgery |
| title | Ten recommendations for sarcoma surgery: consensus of the surgical societies based on the German S3 guideline “Adult Soft Tissue Sarcomas” |
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