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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 (author)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden
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- Søreide, Kjetil (author)
- Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway
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- Andersson, Bodil (author)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden
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- Hansen, Carsten Palnæs (author)
- Department of Surgery, University of Copenhagen, Rigshospitalet, Denmark
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- Seppänen, Hanna (author)
- Department of Gastrointestinal Surgery, Meilahti Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
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- Sparrelid, Ernesto (author)
- Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet at Karolinska University Hospital, Stockholm, Sweden
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- Labori, Knut Jørgen (author)
- Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Oslo, Norway and Institute of Clinical Medicine, University of Oslo, Oslo, Norway
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- Kirkegård, Jakob (author)
- Department of Surgery, HPB Section, Aarhus University Hospital, Aarhus, Denmark
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- Kauhanen, Saila (author)
- Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland
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- Månsson, Christopher (author)
- Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
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- Nymo, Linn Såve (author)
- Department of Gastrointestinal Surgery, University Hospital of North Norway, Tromsø, Norway
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- Nortunen, Minna (author)
- Department of Surgery, Oulu University Hospital and Medical Research Center Oulu, Oulu, Finland
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- Björnsson, Bergthor (author)
- Department of Surgery in Linköping and Department of Biomedicine and Clinical Sciences, Linköping University, Linköping, Sweden
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- Kivivuori, Antti (author)
- Department of Surgery, Kuopio University Hospital, Kuopio, Finland
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- Tingstedt, Bobby (author)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden
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- Bratlie, Svein-Olav (author)
- Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden
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- Waardal, Kim (author)
- Department of Acute and Digestive Surgery, Haukeland University Hospital, Bergen, Norway
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- Laukkarinen, Johanna (author)
- Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Finland
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- Halimi, Asif (author)
- Umeå universitet,Institutionen för diagnostik och intervention,Kirurgi
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- Lindberg, Hannes (author)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden
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- Olin, Håkan (author)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden
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- Andersson, Roland (author)
- Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden
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(creator_code:org_t)
- 2024
- 2024
- English.
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In: Scandinavian Journal of Gastroenterology. - : Taylor & Francis. - 0036-5521 .- 1502-7708.
- Related links:
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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Abstract
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- 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.
Subject headings
- 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)
Keyword
- guidelines
- lead time bias
- Pancreatic cancer
- recurrence
- rescue therapy
- surveillance
- survival
Publication and Content Type
- ref (subject category)
- for (subject category)
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- By the author/editor
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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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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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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Gastroenterology ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
- Articles in the publication
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Scandinavian Jou ...
- By the university
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Umeå University