"IHPBA-APHPBA临床实践指南":国际德尔菲共识对胆囊癌的建议
, Jagannath Palepu1, Itaru Endo2
1Continental Cancer Centre, Continental Hospitals, Hyderabad, India; Dept. of Surgical Oncology Lilavati Hospital & Research Centre and SL Raheja Hospital, Mumbai, India.
概括
这项研究通过国际德尔菲共识建立了胆囊癌 (GBC) 管理的全球实践指南. 这些建议为GBC治疗提供了统一的术语和实际的临床指导.
科学领域:
- 肝胆道手术 肝胆道手术
- 在瘤学瘤学.
- 临床实践指南 临床实践指南
背景情况:
- 胆囊癌 (GBC) 管理需要标准化的全球实践指南.
- 国际和亚太地区肝胰胆协会 (IHPBA-APHPBA) 发起了一项德尔菲共识研究.
- 该研究旨在制定适用于全球的GBC管理准则.
研究的目的:
- 建立关于胆囊癌 (GBC) 管理的国际共识.
- 为GBC制定统一的术语和实际的临床指导方针.
- 解决GBC诊断和治疗的关键方面.
主要方法:
- 一个四轮的混合德尔菲共识过程,涉及来自17个国家的45名专家.
- 利用电子邮件,在线咨询和面对面的讨论来获得专家的意见.
- 管理了68个与GBC管理相关的临床问题 (CQ).
主要成果:
- 在临床问题的92.6% (63/68) 上达成共识.
- 建议涵盖GBC流行病学,早期,偶然和高级阶段的管理.
- 定义了根基切除程度,肝切除,淋巴结剖析和边界切除的GBC.
结论:
- 这是第一个提供统一的GBC管理指南的国际德尔菲共识.
- 这些建议为GBC建立了标准化的术语和实际的临床方法.
- 对于诸如边界切除和局部先进的GBC等有争议的问题,需要进一步的研究.
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