Felipe Carvajal1,2, Claudia Carvajal1, Tomás Merino3,4, Verónica López1, Javier Retamales1, Evelyn San Martín5, Freddy Alarcón1, Mónica Cuevas1, Francisca Barahona1, Ignacio Véliz1, Juvenal A Ríos6, Sergio Becerra4. 1. Departamento de Radio Oncología, Instituto Nacional del Cáncer, Santiago, Chile. 2. Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Santiago, Chile. 3. Departamento de Hemato-Oncolgía. Pontificia Universidad Católica de Chile, Santiago, Chile. 4. Departamento del Cáncer, Ministerio de Salud, Santiago, Chile. 5. Departamento de Radio Oncología, Hospital Clínico de Magallanes, Punta Arenas, Chile. 6. Programas para el Futuro, Facultad de Estudios Interdisciplinarios, y Escuela de Medicina, Facultad de Ciencias, Universidad Mayor, Santiago, Chile.
Abstract
BACKGROUND: Cervical cancer is a public health problem in Latin America. Radiotherapy plays a fundamental role both as definitive or adjuvant treatment. There are important intra and inter-country differences regarding access and availability of radiotherapy facilities in this region. The aim of a study was to standardize the basic clinical and technical criteria for the radiation treatment of patients with CC in Chile and provide a guide for Latin American Radiation Oncologists. MATERIALS AND METHODS: Forty-one expert radiation oncologists from the Chilean Radiation Oncology Society made a consensus using the Delphi methodology. RESULTS: There was a high degree of agreement for each of the recommendations. Those with the lowest percentage were related to the definition of the conformal 3D technique as the standard for definitive external radiotherapy (81%) and the criteria for extended nodal irradiation (85%). CONCLUSIONS: These recommendations present an updated guide for radiotherapy treatment of patients with cervical cancer for Latin America. Those should be implemented according to local resources of each institution.
BACKGROUND: Cervical cancer is a public health problem in Latin America. Radiotherapy plays a fundamental role both as definitive or adjuvant treatment. There are important intra and inter-country differences regarding access and availability of radiotherapy facilities in this region. The aim of a study was to standardize the basic clinical and technical criteria for the radiation treatment of patients with CC in Chile and provide a guide for Latin American Radiation Oncologists. MATERIALS AND METHODS: Forty-one expert radiation oncologists from the Chilean Radiation Oncology Society made a consensus using the Delphi methodology. RESULTS: There was a high degree of agreement for each of the recommendations. Those with the lowest percentage were related to the definition of the conformal 3D technique as the standard for definitive external radiotherapy (81%) and the criteria for extended nodal irradiation (85%). CONCLUSIONS: These recommendations present an updated guide for radiotherapy treatment of patients with cervical cancer for Latin America. Those should be implemented according to local resources of each institution.
Authors: C W Whitney; W Sause; B N Bundy; J H Malfetano; E V Hannigan; W C Fowler; D L Clarke-Pearson; S Y Liao Journal: J Clin Oncol Date: 1999-05 Impact factor: 44.544
Authors: R Mazeron; C Petit; E Rivin; E Limkin; I Dumas; P Maroun; P Annede; F Martinetti; T Seisen; D Lefkopoulos; C Chargari; C Haie-Meder Journal: Clin Oncol (R Coll Radiol) Date: 2015-11-05 Impact factor: 4.126
Authors: Junzo Chino; Christina M Annunziata; Sushil Beriwal; Lisa Bradfield; Beth A Erickson; Emma C Fields; KathrynJane Fitch; Matthew M Harkenrider; Christine H Holschneider; Mitchell Kamrava; Eric Leung; Lilie L Lin; Jyoti S Mayadev; Marc Morcos; Chika Nwachukwu; Daniel Petereit; Akila N Viswanathan Journal: Pract Radiat Oncol Date: 2020-05-18