ECCO Essential Requirements for Quality Cancer Care: Soft Tissue Sarcoma in Adults and Bone Sarcoma. A critical review

Andritsch, Elisabeth; Beishon, Marc; Bielack, Stefan; Bonvalot, Sylvie; Casali, Paolo G.; Crul, Mirjam; Delgado-Bolton, Roberto; Donati, Davide María; Douis, Hassan; Haas, Rick L.; Hogendoorn, Pancras C.W.; Kozhaeva, Olga; Lavender, Verna; Lövey, József; Negrouk, Anastassia; Pereira, Philippe L.; Roca, Pierre; Lempdes, G. Rochette de; Saarto, Tiina; Berck, Bert van; Vassal, Gilles; Wartenberg, Markus; Yared, Wendy; Costa, Alberto; Naredi, Peter

doi:10.1016/j.critrevonc.2016.12.002

Cited by 108 publications

(79 citation statements)

References 47 publications

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“…With the changing environment of medical care, the Institute of Medicine has placed an emphasis on quality medical care in terms of the harm and benefit of surgery in the delivery of not only quality medical care but also high‐quality cancer care 17 . With the Institute of Medicine highlighting the “crisis in cancer care” delivery, there currently are few tools that can be used to improve the delivery of quality cancer care 17,18 . To preoperatively stratify the risk of surgery in patients undergoing surgical resection, the American College of Surgeons (ACS) developed the National Surgical Quality Improvement Program (NSQIP) which collects data from hundreds of hospitals about patient demographics, complications, and comorbities 19,20 .…”

Section: Introductionmentioning

confidence: 99%

“…17 With the Institute of Medicine highlighting the "crisis in cancer care" delivery, there currently are few tools that can be used to improve the delivery of quality cancer care. 17,18 To preoperatively stratify the risk of surgery in patients undergoing surgical resection, the American College of Surgeons (ACS) developed the National Surgical Quality Improvement Program (NSQIP) which collects data from hundreds of hospitals about patient demographics, complications, and comorbities. 19,20 The data collected from this was then used to create a calculator to generate a risk for a patient based on their medical comorbidities and the procedure they are having performed based on the Current Procedural Terminology (CPT) code.…”

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confidence: 99%

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Can the ACS‐NSQIP surgical risk calculator predict postoperative complications in patients undergoing sacral tumor resection for chordoma?

Houdek

Hevesi

Griffin

et al. 2020

Journal of Surgical Oncology

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Background and Objectives The ACS‐NSQIP surgical risk calculator is an online tool that estimates the risk of postoperative complications. Sacrectomies for chordoma are associated with a high rate of complications. This study was to determine if the ACS‐NSQIP calculator can predict postoperative complications following sacrectomy. Methods Sixty‐five (42 male, 23 female) patients who underwent sacrectomy were analyzed using the Current Procedural Terminology (CPT) codes: 49215 (excision of presacral/sacral tumor), 63001 (laminectomy of sacral vertebrae), 63728 (laminectomy for biopsy/excision of sacral neoplasm) and 63307 (sacral vertebral corpectomy for intraspinal lesion). The predicted rates of complications were compared to the observed rates. Results Complications were noted in 44 (68%) patients. Of the risk factors available to input to the ACS‐NSQIP calculator, tobacco use (OR, 20.4; P < .001) was predictive of complications. The predicted risk of complications based off the CPT codes were: 49215 (16%); 63011 (6%); 63278 (11%) and 63307 (15%). Based on ROC curves, the use of the ACS‐NSQIP score were poor predictors of complications (49215, AUC 0.65); (63011, AUC 0.66); (63307, AUC 0.67); (63278, AUC 0.64). Conclusion The ACS‐NSQIP calculator was a poor predictor of complications and was marginally better than a coin flip in its ability to predict complications following sacrectomy for chordoma.

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Can the ACS‐NSQIP surgical risk calculator predict postoperative complications in patients undergoing sacral tumor resection for chordoma?

Houdek

Hevesi

Griffin

et al. 2020

Journal of Surgical Oncology

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“…Additionally, the overall survival of patients with RPS with secondary vascular involvement is not affected by the need for vascular resection or by the surgical morbidity. This type of surgery should be conducted in a sarcoma center and discussed by the multidisciplinary tumor board …”

Section: Resultsmentioning

confidence: 99%

Major vascular resections in retroperitoneal sarcoma

Tzanis

Bouhadiba

Gaignard

et al. 2017

Journal of Surgical Oncology

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Retroperitoneal sarcomas (RPS) frequently involve major vessels, which either originate from them or secondarily encase or invade them. In this field, major vascular resections result in increased morbidity. However, survival does not seem to be affected by the need for vascular resection or by this higher morbidity. This paper aims to provide descriptions of the surgical strategy and outcomes for retroperitoneal sarcomas involving major vessels.

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“…Compared with other common cancer types in gastrointestinal tract, GIST starts in different types of cells and needs different types of treatment. Therefore, GIST was either treated as an entity equal to STSs and bone sarcomas 6,17 , or reported separately from other STS subtypes 18-20 in some researches. The crude incidence rate of GIST was 1.1–1.4 per 100,000 according to French and Spanish researches 20,21 .…”

Section: Introductionmentioning

confidence: 99%

Incidence, distribution of histological subtypes and primary sites of soft tissue sarcoma in China

et al. 2019

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Objective: Soft tissue sarcomas (STSs) are rare malignancies deriving from mesenchyme. In this study, we reported the epidemiology of STS in China using population-based cancer registry data. Methods: In 2017, qualified data from 339 cancer registries were included in the national database. All STS cases were retrieved based on the morphological and topographical codes of International Classification of Diseases for Oncology, and were categorized into different histological subtypes and primary sites accordingly. Nationwide new STS cases were estimated using incidence rate of STS and the national population, and were reported for gastrointestinal stromal tumor (GIST) and STSs other than GIST separately by sex and region. Distribution of histological subtypes and primary sites of STS were calculated, as well as primary sites of GIST. Results: Approximately 39,900 new STS cases occurred nationwide in China in 2014, accounting for 1.05% of overall cancer incidence. The crude incidence rate was 2.91/100,000 and generally increased with age. An overall female predilection was found. GIST was the most common histological subtype, followed by nerve sheath tumor and malignant peripheral nerve sheath tumor, leiomyosarcoma, liposarcoma, and fibrosarcoma. About 67.5% of GIST occurred in stomach while 1.4% were recorded outside the gastrointestinal tract. Connective, subcutaneous and other soft tissues were the most common primary site, of which extremities were the major subsite. Conclusions: The burden of STS is not serious in China relatively. However, due to their histological and topographical complexity, STSs should not be unnoticed, and more basic and clinical studies should focus on STSs.

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ECCO Essential Requirements for Quality Cancer Care: Soft Tissue Sarcoma in Adults and Bone Sarcoma. A critical review

Cited by 108 publications

References 47 publications

Can the ACS‐NSQIP surgical risk calculator predict postoperative complications in patients undergoing sacral tumor resection for chordoma?

Can the ACS‐NSQIP surgical risk calculator predict postoperative complications in patients undergoing sacral tumor resection for chordoma?

Major vascular resections in retroperitoneal sarcoma

Incidence, distribution of histological subtypes and primary sites of soft tissue sarcoma in China

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