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Brazilian Society of Surgical Oncology guidelines for surgical treatment of endometrial cancer in regions with limited resources

2019; Wiley; Volume: 121; Issue: 5 Linguagem: Inglês

10.1002/jso.25797

1096-9098

Reitan Ribeiro, Georgia Cintra, Abner J. J. Barrozo, Audrey Tieko Tsunoda, Alexandre Pupo Nogueira, Gustavo Andreazza Laporte, Raphael L. C. Araújo, Rosilene Jara Reis, Patrícia Patury, Ricardo dos Reis, Renato José Affonso, Renato Moretti‐Marques, Renato Mazon Lima Verde Leal, Alexandre Ferreira Oliveira, Paulo Henrique Zanvettor, Francisco Carlos de Oliveira Lopes, Suzana Arenhart Pessini, André Lopes, Rafael Neiva de Azevedo, Gustavo de Assis Gobetti, Kelly Fernanda Pereira e Silva, Carlos Eduardo Mattos da Cunha Andrade, Vandré Cabral Gomes Carneiro, Fábio Roberto Fin, Tiago Jacometo Coelho de Castilho, Filipe Vieira Kwiatkowski, João Simões, Tariane Friedrich Foiato, Viviane Rezende de Oliveira, William Augusto Casteleins, Lucas Torelly Filippi, Lucas Adalberto Geraldi Zanini, Raquel de Maria Maués Sacramento, Rafael Santos de Souza, Gustavo Castro Lanaze, Élio José Silveira da Silva Barreto, Guilherme Fonteles Ritt, G Guth, Tiago Almeida de Sousa, Ricardo Pedrini Cruz, Alex Schwengber, Ronald Enrique Delgado Bocanegra, Jerônimo Paulo Assis da Silva, Muhamed Read Ali Tayeh, Joaquim Delfino Neto Filho, Charles Nilton Gatelli, Marcos Gonçalves Adriano, Fernando Toniazzi Lissa, Guilherme de Oliveira Cucolicchio, Carlos Loureiro, Juliano Rodrigues da Cunha, Daniel Lourenço Lira, Eliel Oliveira de Araújo, Frederico Augustus Martins de Resende, Cláudio Venâncio Pinto, Gustavo Mendes Medeiros, Glauco Baiocchi,

Global Cancer Incidence and Screening

Abstract Background Approximately 70% of cancer‐related deaths occur in low‐ and middle‐income countries. In addition to social and racial inequalities, treatment options in these countries are usually limited because of the lack of trained staff and equipment, limited patient access to health services, and a small number of clinical guidelines. Objectives The Brazilian Society of Surgical Oncology developed this guideline to address these barriers and guide physicians treating patients with endometrial cancer (EC) in regions with limited resources and few specialized centers. Methods The guideline was prepared from 10 January to 25 October 20192019 by a multidisciplinary team of 56 experts to discuss the main obstacles faced by EC patients in Brazil. Thirteen questions considered critical to the surgical treatment of these patients were defined. The questions were assigned to groups that reviewed the literature and drafted preliminary recommendations. Following a review by the coordinators and a second review by all participants, the groups made final adjustments for presentations in meetings, classified the level of evidence, and voted on the recommendations. Results For all questions including staging, fertility spearing treatment, genetic testing, sentinel lymph node use, surgical treatment, and other clinical relevant questions, major agreement was achieved by the participants, always using accessible alternatives. Conclusions It is possible to provide adequate treatment for most EC patients in resource‐limited areas, but the first option should be referral to specialized centers with more resources.