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Surveillance after ...
Surveillance after surgery for pancreatic cancer : a global scoping review of guidelines and a nordic survey of contemporary practice
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- Ansari, Daniel (författare)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden,Lund Univ, Sweden
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- Søreide, Kjetil (författare)
- Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway,Stavanger Univ Hosp, Norway; Univ Bergen, Norway
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- Andersson, Bodil (författare)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden,Lund Univ, Sweden
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- Hansen, Carsten Palnæs (författare)
- Department of Surgery, University of Copenhagen, Rigshospitalet, Denmark,Univ Copenhagen, Denmark
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- Seppänen, Hanna (författare)
- Department of Gastrointestinal Surgery, Meilahti Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland,Univ Helsinki, Finland; Helsinki Univ Hosp, Finland
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- Sparrelid, Ernesto (författare)
- Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet at Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Sweden
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- Labori, Knut Jørgen (författare)
- Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Oslo, Norway and Institute of Clinical Medicine, University of Oslo, Oslo, Norway,Oslo Univ Hosp, Norway; Univ Oslo, Norway
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- Kirkegård, Jakob (författare)
- Department of Surgery, HPB Section, Aarhus University Hospital, Aarhus, Denmark,Aarhus Univ Hosp, Denmark
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- Kauhanen, Saila (författare)
- Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland,Turku Univ Hosp, Finland
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- Månsson, Christopher (författare)
- Department of Surgical Sciences, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden
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- Nymo, Linn Såve (författare)
- Department of Gastrointestinal Surgery, University Hospital of North Norway, Tromsø, Norway,Univ Hosp North Norway, Norway
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- Nortunen, Minna (författare)
- Department of Surgery, Oulu University Hospital and Medical Research Center Oulu, Oulu, Finland,Oulu Univ Hosp, Finland; Med Res Ctr Oulu, Finland
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- Björnsson, Bergthor (författare)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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- Kivivuori, Antti (författare)
- Department of Surgery, Kuopio University Hospital, Kuopio, Finland,Kuopio Univ Hosp, Finland
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- Tingstedt, Bobby (författare)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden,Lund Univ, Sweden
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- Bratlie, Svein-Olav (författare)
- Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden,Sahlgrens Univ Hosp, Sweden
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- Waardal, Kim (författare)
- Department of Acute and Digestive Surgery, Haukeland University Hospital, Bergen, Norway,Haukeland Hosp, Norway
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- Laukkarinen, Johanna (författare)
- Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Finland,Tampere Univ Hosp, Finland
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- Halimi, Asif (författare)
- Umeå universitet,Institutionen för diagnostik och intervention,Kirurgi,Umea Univ, Sweden
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- Lindberg, Hannes (författare)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden,Lund Univ, Sweden
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- Olin, Håkan (författare)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden,Lund Univ, Sweden
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- Andersson, Roland (författare)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden,Lund Univ, Sweden
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(creator_code:org_t)
- 2024
- 2024
- Engelska.
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Ingår i: Scandinavian Journal of Gastroenterology. - : Taylor & Francis. - 0036-5521 .- 1502-7708.
- Relaterad länk:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objectives: Most patients with pancreatic cancer who have undergone surgical resection eventually develop disease recurrence. This study aimed to investigate whether there is evidence to support routine surveillance after pancreatic cancer surgery, with a secondary aim of analyzing the implementation of surveillance strategies in the Nordic countries.Materials and Methods: A scoping review was conducted to identify clinical practice guidelines globally and research studies relating to surveillance after pancreatic cancer resection. This was followed by a survey among 20 pancreatic units from four Nordic countries to assess their current practice of follow-up for operated patients.Results: Altogether 16 clinical practice guidelines and 17 research studies were included. The guidelines provided inconsistent recommendations regarding postoperative surveillance of pancreatic cancer. The clinical research data were mainly based on retrospective cohort studies with low level of evidence and lead-time bias was not addressed. Active surveillance was recommended in Sweden and Denmark, but not in Norway beyond the post-operative/adjuvant period. Finland had no national recommendations for surveillance. The Nordic survey revealed a wide variation in reported practice among the different units. About 75% (15 of 20 units) performed routine postoperative surveillance. Routine CA 19-9 testing was used by 80% and routine CT by 67% as part of surveillance. About 73% of centers continued follow-up until 5 years postoperatively.Conclusion: Evidence for routine long-term (i.e. 5 years) surveillance after pancreatic cancer surgery remains limited. Most pancreatic units in the Nordic countries conduct regular follow-up, but protocols vary.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Nyckelord
- guidelines
- lead time bias
- Pancreatic cancer
- recurrence
- rescue therapy
- surveillance
- survival
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- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Ansari, Daniel
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Søreide, Kjetil
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Andersson, Bodil
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Hansen, Carsten ...
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Seppänen, Hanna
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Sparrelid, Ernes ...
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visa fler...
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Labori, Knut Jør ...
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Kirkegård, Jakob
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Kauhanen, Saila
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Månsson, Christo ...
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Nymo, Linn Såve
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Nortunen, Minna
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Björnsson, Bergt ...
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Kivivuori, Antti
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Tingstedt, Bobby
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Bratlie, Svein-O ...
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Waardal, Kim
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Laukkarinen, Joh ...
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Halimi, Asif
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Lindberg, Hannes
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Olin, Håkan
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Andersson, Rolan ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Gastroenterologi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Cancer och onkol ...
- Artiklar i publikationen
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Scandinavian Jou ...
- Av lärosätet
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Umeå universitet
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Linköpings universitet
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Karolinska Institutet