TY - JOUR
T1 - European Society of Endocrine Surgeons (ESES) and European Network for the Study of Adrenal Tumours (ENSAT) recommendations for the surgical management of adrenocortical carcinoma
AU - the joint working group of ESES and ENSAT
AU - Gaujoux, S.
AU - Mihai, R.
AU - Carnaille, B.
AU - Dousset, B.
AU - Fiori, C.
AU - Porpiglia, F.
AU - Hellman, P.
AU - Iacobone, M.
AU - Kraimps, J. L.
AU - Donatini, G.
AU - Langenhuijsen, J.
AU - Lorenz, K.
AU - Mathonnet, M.
AU - Mirallié, E.
AU - Blanchard, C.
AU - van Dijkum, E. Nieveen
AU - Raffaelli, M.
AU - Rayes, N.
AU - Sébag, F.
AU - Triponez, F.
AU - Valeri, A.
AU - Waldmann, J.
AU - Zinzindohoue, F.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Background: Radical surgery provides the best chance of cure for adrenocortical carcinoma (ACC), but perioperative surgical care for these patients is yet to be standardized. Methods: A working group appointed jointly by ENSAT and ESES used Delphi methodology to produce evidence-based recommendations for the perioperative surgical care of patients with ACC. Papers were retrieved from electronic databases. Evidence and recommendations were classified according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system, and were discussed until consensus was reached within the group. Results: Twenty-five recommendations for the perioperative surgical care of patients with ACC were formulated. The quality of evidence is low owing to the rarity of the disease and the lack of prospective surgical trials. Multi-institutional prospective cohort studies and prospective RCTs are urgently needed and should be strongly encouraged. Conclusion: The present evidence-based recommendations provide comprehensive advice on the optimal perioperative care for patients undergoing surgery for ACC.
AB - Background: Radical surgery provides the best chance of cure for adrenocortical carcinoma (ACC), but perioperative surgical care for these patients is yet to be standardized. Methods: A working group appointed jointly by ENSAT and ESES used Delphi methodology to produce evidence-based recommendations for the perioperative surgical care of patients with ACC. Papers were retrieved from electronic databases. Evidence and recommendations were classified according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system, and were discussed until consensus was reached within the group. Results: Twenty-five recommendations for the perioperative surgical care of patients with ACC were formulated. The quality of evidence is low owing to the rarity of the disease and the lack of prospective surgical trials. Multi-institutional prospective cohort studies and prospective RCTs are urgently needed and should be strongly encouraged. Conclusion: The present evidence-based recommendations provide comprehensive advice on the optimal perioperative care for patients undergoing surgery for ACC.
UR - http://www.scopus.com/inward/record.url?scp=85013057109&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/bjs.10414
DO - https://doi.org/10.1002/bjs.10414
M3 - Article
C2 - 28199015
SN - 0007-1323
VL - 104
SP - 358
EP - 376
JO - British Journal of Surgery
JF - British Journal of Surgery
IS - 4
ER -