Publications

European clinical practice guidelines for the definition, diagnosis, and treatment of oligometastatic esophagogastric cancer (OMEC-4)  (2024)

Authors:
Kroese, Tiuri E.; Bronzwaer, Sebastiaan; van Rossum, Peter S. N.; Schoppman, Sebastian F.; Deseyne, Pieter R. A. J.; van Cutsem, Eric; Haustermans, Karin; Nafteux, Philippe; Thomas, Melissa; Obermannova, Radka; Mortensen, Hanna R.; Nordsmark, Marianne; Pfeiffer, Per; Elme, Anneli; Adenis, Antoine; Piessen, Guillaume; Bruns, Christiane J.; Lordick, Florian; Gockel, Ines; Moehler, Markus; Gani, Cihan; Liakakos, Theodore; Reynolds, John V.; Morganti, Alessio G.; Rosati, Riccardo; Castoro, Carlo; Cellini, Francesco; D'Ugo, Domenico; Roviello, Franco; Bencivenga, Maria; de Manzoni, Giovanni; van Berge Henegouwen, Mark I.; Hulshoff, Maarten C. C. M; van Dieren, Jolanda; Vollebergh, Marieke; van Sandick, Johanna W.; Jeene, Paul; Muijs, Christel; Slingerland, Marije; Voncken, Francine E. M.; Hartgrink, Henk; Creemers, Geert-Jan; van der Sangen, Maurice J. C.; Nieuwenhuijzen, Grard A. P.; Berbee, Maaike; Verheij, Marcel; Wijnhoven, Bas; Beerepoot, Laurens V.; Mohammad, Nadia Haj; Mook, Stella; Ruurda, Jelle P.; Kolodziejczyk, Piotr; Polkowski, Wojciech P.; Wyrwicz, Lucjan; Alsina, Maria; Tabernero, Josep; Pera, Manuel; Kanonnikoff, Tania F.; Cervantes, Andrés; Nilsson, Magnus; Monig, Stefan; Wagner, Anna D.; Guckenberger, Matthias; Griffiths, Ewen A.; Smyth, Elizabeth; Hanna, George B.; Markar, Sheraz; Chaudry, M. Asif; Hawkins, Maria A.; Cheong, Edward; van Laarhoven, Hanneke W. M.; van Hillegersberg, Richard
Title:
European clinical practice guidelines for the definition, diagnosis, and treatment of oligometastatic esophagogastric cancer (OMEC-4)
Year:
2024
Type of item:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Language:
Inglese
Referee:
No
Name of journal:
European Journal of Cancer
ISSN of journal:
0959-8049
N° Volume:
204
Page numbers:
1-9
Keyword:
Esophageal cancer; Gastric cancer; Metastasectomy; Metastasis; Oligometastasis; Stereotactic body radiotherapy
Short description of contents:
Introduction: The OligoMetastatic Esophagogastric Cancer (OMEC) project aims to provide clinical practice guidelines for the definition, diagnosis, and treatment of esophagogastric oligometastatic disease (OMD). Methods: Guidelines were developed according to AGREE II and GRADE principles. Guidelines were based on a systematic review (OMEC-1), clinical case discussions (OMEC-2), and a Delphi consensus study (OMEC-3) by 49 European expert centers for esophagogastric cancer. OMEC identified patients for whom the term OMD is considered or could be considered. Disease-free interval (DFI) was defined as the time between primary tumor treatment and detection of OMD. Results: Moderate to high quality of evidence was found (i.e. 1 randomized and 4 non-randomized phase II trials) resulting in moderate recommendations. OMD is considered in esophagogastric cancer patients with 1 organ with ≤ 3 metastases or 1 involved extra-regional lymph node station. In addition, OMD continues to be considered in patients with OMD without progression in number of metastases after systemic therapy. 18F-FDG PET/CT imaging is recommended for baseline staging and for restaging after systemic therapy when local treatment is considered. For patients with synchronous OMD or metachronous OMD and a DFI ≤ 2 years, recommended treatment consists of systemic therapy followed by restaging to assess suitability for local treatment. For patients with metachronous OMD and DFI > 2 years, upfront local treatment is additionally recommended. Discussion: These multidisciplinary European clinical practice guidelines for the uniform definition, diagnosis and treatment of esophagogastric OMD can be used to standardize inclusion criteria in future clinical trials and to reduce variation in treatment.
Note:
The page range is based on the pdf file available in the journal web site
Product ID:
139504
Handle IRIS:
11562/1126101
Last Modified:
November 9, 2024
Bibliographic citation:
Kroese, Tiuri E.; Bronzwaer, Sebastiaan; van Rossum, Peter S. N.; Schoppman, Sebastian F.; Deseyne, Pieter R. A. J.; van Cutsem, Eric; Haustermans, Karin; Nafteux, Philippe; Thomas, Melissa; Obermannova, Radka; Mortensen, Hanna R.; Nordsmark, Marianne; Pfeiffer, Per; Elme, Anneli; Adenis, Antoine; Piessen, Guillaume; Bruns, Christiane J.; Lordick, Florian; Gockel, Ines; Moehler, Markus; Gani, Cihan; Liakakos, Theodore; Reynolds, John V.; Morganti, Alessio G.; Rosati, Riccardo; Castoro, Carlo; Cellini, Francesco; D'Ugo, Domenico; Roviello, Franco; Bencivenga, Maria; de Manzoni, Giovanni; van Berge Henegouwen, Mark I.; Hulshoff, Maarten C. C. M; van Dieren, Jolanda; Vollebergh, Marieke; van Sandick, Johanna W.; Jeene, Paul; Muijs, Christel; Slingerland, Marije; Voncken, Francine E. M.; Hartgrink, Henk; Creemers, Geert-Jan; van der Sangen, Maurice J. C.; Nieuwenhuijzen, Grard A. P.; Berbee, Maaike; Verheij, Marcel; Wijnhoven, Bas; Beerepoot, Laurens V.; Mohammad, Nadia Haj; Mook, Stella; Ruurda, Jelle P.; Kolodziejczyk, Piotr; Polkowski, Wojciech P.; Wyrwicz, Lucjan; Alsina, Maria; Tabernero, Josep; Pera, Manuel; Kanonnikoff, Tania F.; Cervantes, Andrés; Nilsson, Magnus; Monig, Stefan; Wagner, Anna D.; Guckenberger, Matthias; Griffiths, Ewen A.; Smyth, Elizabeth; Hanna, George B.; Markar, Sheraz; Chaudry, M. Asif; Hawkins, Maria A.; Cheong, Edward; van Laarhoven, Hanneke W. M.; van Hillegersberg, Richard, European clinical practice guidelines for the definition, diagnosis, and treatment of oligometastatic esophagogastric cancer (OMEC-4) «European Journal of Cancer» , vol. 2042024pp. 1-9

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