Long-term management of patients after potentially curative treatment of extremity soft tissue sarcoma: practice patterns of members of the Society of Surgical Oncology

Johnson, Frank E.; Sakata, Kazuki; Kraybill, William G.; Gibbs, John F.; Beitler, Alan L.; Sarkar, S.; Audisio, Riccardo A.; Virgo, Katherine S.

doi:10.1016/j.suronc.2004.12.001

Cited by 11 publications

(7 citation statements)

References 29 publications

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“…The results of this survey demonstrate that current surveillance strategies utilized by members of the MSTS are not guided by high-quality evidence and demonstrate wide variation, with most continuing the protocol taught during fellowship training. The findings lend credence to prior articles that express concerns regarding the quality of evidence underlying surveillance rationale [ 1 , 3 , 6 , 7 ].…”

Section: Discussionsupporting

confidence: 78%

“…In the UK survey, >85% of those surveyed used chest X-rays as primary imaging for low and high risk trunk or extremity tumors, whereas only 16% used chest CT scans for low grade tumors and 29% used them for high grade tumors [ 7 ]. In an SSO survey, Johnson et al showed that chest X-ray was used more than chest CT across metropolitan areas, in managed care organizations, and by US Census Regions [ 3 ]. Neither of these surveys identified differences in practices between specialties treating sarcomas.…”

Section: Discussionmentioning

confidence: 99%

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Surveillance Strategies for Sarcoma: Results of a Survey of Members of the Musculoskeletal Tumor Society

Greenberg

Crawford

2016

Sarcoma

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Background. Surveillance is crucial to oncology, yet there is scant evidence to guide strategies. Purpose. This survey identified sarcoma surveillance strategies for Musculoskeletal Tumor Society (MSTS) members and rationales behind them. Understanding current practice should facilitate studies to generate evidence-based surveillance protocols. Methods. Permission was granted by the Research and Executive Committee of the MSTS to survey members on surveillance strategies. First, the questionnaire requested demographic and clinical practice information. Second, the survey focused on clinicians' specific surveillance soft tissue and bone sarcoma protocols. Results. 20 percent of MSTS members completed the survey. The primary rationale for protocols was training continuation, followed by published guidelines, and finally personal interpretation of the literature. 95% of the respondents believe that additional studies regarding appropriate surveillance protocols are needed. 87% reported patient concerns regarding radiation exposure from surveillance imaging. For soft tissue and bone sarcoma local recurrence, responders identified surgical margin, histologic grade, and tumor size as the most important factors. For metastases, important risk factors identified included histologic grade, tumor size, and histologic type. Protocols demonstrated wide variation. Conclusion. This survey demonstrates that surveillance strategies utilized by MSTS members are not evidence-based, providing rationale for multi-institutional studies. It also confirms the public health issue of excessive radiation exposure.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Surveillance Strategies for Sarcoma: Results of a Survey of Members of the Musculoskeletal Tumor Society

Greenberg

Crawford

2016

Sarcoma

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“…The variability of follow-up strategies found in this study and other studies demonstrates the urgent need for well-designed prospective studies on follow-up evaluation. [27][28][29][30] This study had some limitations. Only closed-ended questions were used to minimize the completion time and to maximize the completion rate.…”

Section: Discussionmentioning

confidence: 96%

Management of Soft Tissue Sarcomas in Extremities: Variation in Treatment Recommendations and Surveillance According to Specialty and Continent

et al. 2021

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Background This study aimed to provide an insight into clinical decision-making and surveillance strategy of sarcoma specialists for patients with primary soft tissue sarcoma of the extremities (eSTS). The secondary aim was to quantify the role of patient- and tumor-specific factors in the perioperative management. Methods Members of sarcoma societies were sent a Web-based 21-item survey about eSTS management. The survey concerned only primary resectable high-grade eSTS in adults. Results The study enrolled 396 respondents. The majority of the surgical specialists thought the evidence for perioperative chemotherapy (CTX) for high-grade eSTS was insufficient. Radiotherapy (RTX) was less frequently offered in Asia than in North America and Europe. The specialties and continents also differed regarding the importance of patient and tumor characteristics influencing RTX and CTX recommendation. For surveillance after initial treatment outpatient visits, chest computed tomography (CT) scans, and magnetic resonance images of the extremity were the methods primarily used. The specialists in North America preferred chest CT scan over chest x-ray, whereas those in Asia and Europe had no clear preference. Discussion Specialty and continent are important factors contributing to the variation in clinical practice, treatment recommendations, and surveillance of patients with primary resectable high-grade eSTS.

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“…The survey instrument was a self-completed questionnaire administered by post. It was based on, but not identical to the survey performed by Johnson et al, (Beitier et al [ 7 ]; Johnson et al [ 9 ]; Sakata et al [ 10 , 11 ]). The questionnaire comprised 31 items in three sections.…”

Section: Methodsmentioning

confidence: 99%

Follow up after Primary Treatment of Soft Tissue Sarcoma: A Survey of Current Practice in the United Kingdom

Gerrand

Billingham

Woll

et al. 2007

Sarcoma

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Despite the clinical and financial implications, there is little evidence about how patients who have been treated for soft tissue sarcoma should be followed up. The purpose of this study was to determine current practice in the United Kingdom. 192 clinicians treating patients with soft tissue sarcoma were surveyed with a postal questionnaire enquiring about frequency and method of follow up and how patients would be followed up in each of 3 clinical scenarios: a patient with a trunk or extremity tumour at low risk of relapse; a patient with a trunk or extremity tumour at high risk of relapse; and a patient with a retroperitoneal or abdominal tumour. 155 (81%) clinicians responded. Clinic visits and X-rays were the most frequently used methods of follow up. Chest CT scans, local site imaging, and blood tests were used infrequently. The intensity and methods of follow up varied with each of the clinical scenarios. There was a seven-to-twenty fold variation in cost between the least and the most expensive regimes. Respondents were generally supportive of the development of the clinical trial in this area.

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Long-term management of patients after potentially curative treatment of extremity soft tissue sarcoma: practice patterns of members of the Society of Surgical Oncology

Cited by 11 publications

References 29 publications

Surveillance Strategies for Sarcoma: Results of a Survey of Members of the Musculoskeletal Tumor Society

Surveillance Strategies for Sarcoma: Results of a Survey of Members of the Musculoskeletal Tumor Society

Management of Soft Tissue Sarcomas in Extremities: Variation in Treatment Recommendations and Surveillance According to Specialty and Continent

Follow up after Primary Treatment of Soft Tissue Sarcoma: A Survey of Current Practice in the United Kingdom

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