Surveillance after surgery for pancreatic cancer: a global scoping review of guidelines and a nordic survey of contemporary practice

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Surveillance after surgery for pancreatic cancer : a global scoping review of guidelines and a nordic survey of contemporary practice

Ansari, Daniel (författare): Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden

Søreide, Kjetil (författare): Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway

Andersson, Bodil (författare): Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden

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Hansen, Carsten Palnæs (författare): Department of Surgery, University of Copenhagen, Rigshospitalet, Denmark

Seppänen, Hanna (författare): Department of Gastrointestinal Surgery, Meilahti Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

Sparrelid, Ernesto (författare): Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet at Karolinska University Hospital, Stockholm, Sweden

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

Kirkegård, Jakob (författare): Department of Surgery, HPB Section, Aarhus University Hospital, Aarhus, Denmark

Kauhanen, Saila (författare): Division of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland

Månsson, Christopher (författare): Department of Surgical Sciences, Uppsala University, Uppsala, Sweden

Nymo, Linn Såve (författare): Department of Gastrointestinal Surgery, University Hospital of North Norway, Tromsø, Norway

Nortunen, Minna (författare): Department of Surgery, Oulu University Hospital and Medical Research Center Oulu, Oulu, Finland

Björnsson, Bergthor (författare): Department of Surgery in Linköping and Department of Biomedicine and Clinical Sciences, Linköping University, Linköping, Sweden

Kivivuori, Antti (författare): Department of Surgery, Kuopio University Hospital, Kuopio, Finland

Tingstedt, Bobby (författare): Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden

Bratlie, Svein-Olav (författare): Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden

Waardal, Kim (författare): Department of Acute and Digestive Surgery, Haukeland University Hospital, Bergen, Norway

Laukkarinen, Johanna (författare): Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Finland

Halimi, Asif (författare): Umeå universitet,Institutionen för diagnostik och intervention,Kirurgi

Lindberg, Hannes (författare): Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden

Olin, Håkan (författare): Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden

Andersson, Roland (författare): Department of Surgery, Clinical Sciences Lund, Lund University, Skåne University Hospital, Lund, Sweden

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2024
2024
Engelska.
Ingår i: Scandinavian Journal of Gastroenterology. - : Taylor & Francis. - 0036-5521 .- 1502-7708.

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://umu.diva-por... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; visa färre...

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Abstract Ämnesord

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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.

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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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Gastroenterologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Cancer och onkol ...

Artiklar i publikationen: Scandinavian Jou ...

Av lärosätet: Umeå universitet

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