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Actualisation des recommandations cliniques pour le cancer de l’oesophage et de l’estomac / T. Lerut / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2012)
Actualisation des recommandations cliniques pour le cancer de l’oesophage et de l’estomac [printed text] / T. Lerut, Author ; Sabine Stordeur, Author ; Leen Verleye, Author ; Joan Vlayen , Author ; Tom Boterberg, Author ; Gert De Hertogh, Author ; J. De Mey, Author ; Pierre Deprez, Author ; P. Flamen, Author ; P. Pattyn, Author ; Jean-Luc Van Laethem, Author ; Marc Peeters, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2012 . - XV, 85 p. : Ill. ; A4. - (KCE Reports B. Good Clinical Practice (GCP); 179B) .
ISSN : D/2012/10.273/33 : € 0,00
Languages : English (eng) French (fre)
Descriptors: Indexation
2009-02 ; Esophageal Neoplasms ; Practice Guideline [Publication type] ; R179 ; Stomach Neoplasms
Classification
WI 149 Digestive System -- NeoplasmsAbstract: Le Centre Fédéral d’Expertise des Soins de Santé (KCE) et le Collège d’Oncologie ont réalisé une mise à jour des recommandations de bonne pratique pour la prise en charge des cancers de l’œsophage et de l’estomac, qui dataient de 2008. Il existe à présent davantage de preuves pour recommander la combinaison chimio-radiothérapie (cancer de l’œsophage) et la chimiothérapie (cancer de l’estomac) avant une intervention chirurgicale. De plus, le diagnostic et le traitement seront de préférence assurés par des prestataires de soins bénéficiant d’une expérience suffisante et qui se concertent à chaque stade de la prise en charge lors de réunions multidisciplinaires. Contents note: 1. INTRODUCTION 7 -- 1.1. SCOPE 7 -- 1.2. EPIDEMIOLOGY 7 -- 1.2.1. Oesophageal cancer 7 -- 1.2.2. Gastric cancer 9 -- 2. METHODOLOGY 10 -- 2.1. GENERAL APPROACH 10 -- 2.2. CLINICAL QUESTIONS 10 -- 2.3. LITERATURE SEARCH AND SELECTION CRITERIA 10 -- 2.4. QUALITY APPRAISAL 10 -- 2.5. DATA EXTRACTION AND EVIDENCE SUMMARY 10 -- 2.6. FORMULATION OF RECOMMENDATIONS 12 -- 3. DEFINITIONS 13 -- 3.1. TOPOGRAPHIC DEFINITIONS 13 -- 3.2. EARLY LESIONS 14 -- 3.2.1. Histology of the normal oesophagus 14 -- 3.2.2. Barrett’s oesophagus 15 -- 3.2.3. Dysplasia in squamous epithelium 16 -- 3.2.4. Dysplasia in columnar epithelium 16 -- 3.3. EARLY VERSUS LOCALLY-ADVANCED INVASIVE DISEASE 19 -- 4. CLINICAL RECOMMENDATIONS FOR OESOPHAGEAL CANCER 19 -- 4.1. FLOWCHART 19 -- 4.2. STAGING 20 -- 4.2.1. Computed tomography 20 -- 4.2.2. Endoscopic ultrasonography 21 -- 4.2.3. Positron-emission tomography 22 -- 4.2.4. Magnetic resonance imaging 23 -- 4.2.5. Bronchoscopy and bronchoscopic ultrasound 23 -- 4.2.6. Thoracoscopy and laparoscopy 23 -- 4.3. TREATMENT OF MUCOSAL CANCER 25 -- 4.4. TREATMENT OF CANCER BEYOND THE MUCOSA 26 -- 4.4.1. Neoadjuvant treatment 26 -- 4.4.2. Response assessment and restaging 30 -- 4.4.3. Surgical treatment 32 -- 4.4.4. Adjuvant treatment 36 -- 4.4.5. Non-surgical treatment with curative intent 37 -- 4.5. TREATMENT OF METASTATIC DISEASE 39 -- 4.5.1. Endoscopic ablation 40 -- 4.5.2. Stents 40 -- 4.5.3. Palliative surgery 41 -- 4.5.4. Systemic treatment 41 -- 4.5.5. Radiotherapy 41 -- 4.6. SUPPORTIVE CARE 43 -- 4.7. FOLLOW-UP 43 -- 4.8. TREATMENT OF RECURRENT DISEASE 44 -- 5. CLINICAL RECOMMENDATIONS FOR GASTRIC CANCER 45 -- 5.1. FLOWCHART 45 -- 5.2. STAGING 46 -- 5.2.1. Computed tomography 46 -- 5.2.2. Endoscopic ultrasonography 48 -- 5.2.3. Positron-emission tomography 49 -- 5.2.4. Magnetic resonance imaging 50 -- 5.2.5. Laparoscopy 50 -- 5.2.6. Sentinel lymph node mapping 51 -- 5.3. TREATMENT OF MUCOSAL CANCER 52 -- 5.4. TREATMENT OF CANCER BEYOND THE MUCOSA 53 -- 5.4.1. Neoadjuvant treatment 53 -- 5.4.2. Surgical treatment 55 -- 5.4.3. Adjuvant treatment 59 -- 5.5. TREATMENT OF METASTATIC DISEASE 61 -- 5.5.1. Palliative surgery 61 -- 5.5.2. Stents 61 -- 5.5.3. Chemotherapy and targeted treatment 62 -- 5.5.4. Supportive care 63 -- 5.6. FOLLOW-UP 64 -- 5.7. TREATMENT OF RECURRENT DISEASE 65 -- 6. REFERENCES 66 Link for e-copy: https://doi.org/10.57598/R179B Format of e-copy: PDF (1,1 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2996 Copies(0)
Status No copy Guideline pour la prise en charge du cancer oesophagien et gastrique / Marc Peeters / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2008)
Copies(0)
Status No copy Indicateurs de qualité pour la prise en charge du cancer de l’oesophage et de l’estomac / Joan Vlayen / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)
Indicateurs de qualité pour la prise en charge du cancer de l’oesophage et de l’estomac : Synthèse [printed text] / Joan Vlayen , Author ; Cindy De Gendt, Author ; Sabine Stordeur, Author ; Viki Schillemans, Author ; Cécile Camberlin , Author ; France Vrijens , Author ; E. Van Eycken, Author ; T. Lerut, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2013 . - 31 p. : Ill., ; A4. - (KCE Reports B. Good Clinical Practice (GCP); 200BS) .
ISSN : D/2013/10.273/18 : € 0,00
Etude n° 2009-02
Languages : French (fre)
Descriptors: Indexation
2009-02 ; Esophageal Neoplasms ; Physician's Practice Patterns ; Quality Assurance, Health Care ; Quality Indicators, Health Care ; Quality of Health Care ; R200 ; Stomach Neoplasms
Classification
WI 149 Digestive System -- NeoplasmsLink for e-copy: https://doi.org/10.57598/R200BS Format of e-copy: PDF (1 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3182 Copies(0)
Status No copy Kwaliteitsindicatoren voor de aanpak van slokdarm- en maagkanker / Joan Vlayen / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)
Kwaliteitsindicatoren voor de aanpak van slokdarm- en maagkanker : Synthese [printed text] / Joan Vlayen , Author ; Cindy De Gendt, Author ; Sabine Stordeur, Author ; Viki Schillemans, Author ; Cécile Camberlin , Author ; France Vrijens , Author ; E. Van Eycken, Author ; T. Lerut, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2013 . - 31 p. : Ill., ; A4. - (KCE Reports A. Good Clinical Practice (GCP); 200As) .
ISSN : D/2013/10.273/17 : € 0,00
Studie n° 2009-02
Languages : Dutch (nla)
Descriptors: Indexation
2009-02 ; Esophageal Neoplasms ; Physician's Practice Patterns ; Quality Assurance, Health Care ; Quality Indicators, Health Care ; Quality of Health Care ; R200 ; Stomach Neoplasms
Classification
WI 149 Digestive System -- NeoplasmsLink for e-copy: https://doi.org/10.57598/R200AS Format of e-copy: PDF (1,3 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3183 Copies(0)
Status No copy Quality indicators for oesophageal and gastric cancer / Sabine Stordeur in European Journal of Cancer Care, 24(2015)03 ([05/01/2015])
[article] Quality indicators for oesophageal and gastric cancer : a population-based study in Belgium, 2004-2008 [printed text] / Sabine Stordeur, Author ; Joan Vlayen , Author ; France Vrijens , Author ; Cécile Camberlin , Author ; Cindy De Gendt, Author ; E. Van Eycken, Author ; T. Lerut, Author . - 2015 . - 376-386.
Languages : English (eng)
in European Journal of Cancer Care > 24(2015)03 [05/01/2015] . - 376-386
Descriptors: Classification
W 1 Serials. Periodicals
Indexation
2009-02 ; Esophageal Neoplasms ; Journal Article ; Neoplasms ; Peer Review ; Quality Assurance, Health Care ; Quality Indicators, Health Care ; Quality of Health Care ; R200 ; Stomach Neoplasms ; Survival AnalysisAbstract: This study aimed at developing and measuring quality indicators for oesophageal cancer (OC) and gastric cancer (GC) and to support quality improvement for practitioners. Quality indicators were identified from a systematic literature search including clinical guidelines. The selection process involved experts evaluating relevance, reliability, interpretability and actionability of each indicator. Three national databases were linked: the cancer registry, the population registry and the claims database. Completeness and validity of the data were validated before being measured for 10,660 patients diagnosed between 2004 and 2008. From a final set of 29 indicators, 18 were measurable using the available data. In 2008, less than 50% of patients were discussed at a multidisciplinary team meeting and less than 90% underwent a computed tomography scan 1 month after incidence date for cancer staging. Five-year relative survival was 22% for OC and 34.3% for GC. The post-operative mortality in OC patients was 4.8% (30 days) and 9.9% (90 days), whereas it reached 5.6 and 12.0% respectively in GC patients. This study demonstrates the feasibility to develop a set of quality indicators for gastro-oesophageal cancer. A mixed picture of the quality of care was illustrated for some relevant care processes. Nevertheless, 5-year survival is higher than reported in neighbouring countries. Link for e-copy: http://dx.doi.org/10.1111/ecc.12279 Format of e-copy: PDF [Requires Subscription) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3660 [article]Quality indicators for the management of upper gastrointestinal cancer / Joan Vlayen / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)
PermalinkQuality indicators for the management of upper gastrointestinal cancer / Joan Vlayen / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2013)
PermalinkUpdate of the national guideline on upper gastrointestinal cancer / T. Lerut / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2012)
PermalinkUpdate van de praktijkrichtlijn voor slokdarm- en maagkanker / T. Lerut / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2012)
PermalinkWetenschappelijke ondersteuning van het College voor Oncologie / Marc Peeters / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2008)
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