Brazilian Journal of Oncology (Apr 2023)

Key issues in the management of cervical cancer: consensus recommendations by a Brazilian expert panel

  • Eduardo Paulino,
  • Glauco Baiocchi,
  • Agnaldo Lopes Silva,
  • Aknar Calabrich,
  • Andre Lopes,
  • Andrea Paiva Gadelha Guimarães,
  • Andreia Cristina Melo,
  • Angelica Nogueira-Rodrigues,
  • Carla Rameri Azevedo,
  • Carlos Eduardo da Cunha Mattos Andrade,
  • Daniele Xavier Assad,
  • Denise Ferreira Silva Alves,
  • Diocesio Alves Pinto Andrade,
  • Éder Babygton Alves,
  • Georgia Fontes Cintra,
  • Gustavo Guitmann,
  • Flavia Carolina Grosso Gabrielli,
  • Marcelo Andrade Vieira,
  • Mariana Scaranti,
  • Michael Jenwei Chen,
  • Paulo Henrique Zanvettor,
  • Rachele Grazziotin Reisner,
  • Renato Jose Affonso,
  • Renato Moretti-Marques,
  • Ronaldo Pereira Souza,
  • Samantha Cabral Severino Costa,
  • Thales Paulo Batista,
  • Fernando Cotait Maluf

DOI
https://doi.org/10.5935/2526-8732.20230394
Journal volume & issue
Vol. 19

Abstract

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Objective: We report the results of a panel of Brazilian experts and provide recommendations for the management of these patients. Material and Methods: The panel convened composed by 28 local opinion leaders, addressed 59 multiple-choice questions taking into account the published scientific literature and their own clinical experience. The level of agreement among panel members was qualified as (1) consensus, when at least 75% of the voting panel members; (2) majority vote (50%-74.9%); or (3) less than majority vote. Results: There was at least majority vote for eight of 10 questions on staging and follow-up; for 14 of 23 questions on the treatment of early-stage disease; for 12 of 14 questions related to the treatment of locally-advanced disease; and for seven of the 12 questions related to the treatment of recurrent/metastatic disease. Conclusion: The current recommendations may help practitioners from Brazil and other countries to improve the care they provide to patients.

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