1. Interdisciplinary Diagnosis, Therapy and Follow-up of Patients with Endometrial Cancer. Guideline (S3-Level, AWMF Registry Nummer 032/034-OL, April 2018) - Part 1 with Recommendations on the Epidemiology, Screening, Diagnosis and Hereditary Factors of Endometrial Cancer
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Bernd Alt-Epping, Christian Kurzeder, Thomas Langer, Heinrich Prömpeler, Simone Wesselmann, Anne Letsch, Jan Langrehr, Ludwig Kiesel, Rita K. Schmutzler, Felix Hilpert, Günter Emons, M. Gebhardt, Ingo B. Runnebaum, Jan Menke, Michael Friedrich, Anne Derke Rose, Heike Raatz, Olaf Ortmann, Volker Hanf, Markus Follmann, Susanne Blödt, Dirk Vordermark, Reina Tholen, Annemarie Schorsch, Michael D. Mueller, Eric Steiner, Doris Mayr, Monika Nothacker, Stefan Aretz, Gerlinde Egerer, I Juhasz-Boess, Peter Mallmann, Steffen Leinung, Kerstin Paradies, Franz-Josef Prott, Wolfgang Cremer, Stefan Höcht, Dieter Grab, Christoph Uleer, Matthias W. Beckmann, Peter Niehoff, Michael Reinhardt, Saskia Erdogan, Werner Lichtenegger, Nils Rahner, Volker Hagen, Rainer Kimmig, Nina Bock, Edgar Petru, Gerd Bauerschmitz, Lars-Christian Horn, Clemens B. Tempfer, Lax Sigurd, Ulla Henscher, Vratislav Strnad, Jutta Hübner, Ralf Witteler, Michael Kreißl, Edward Wight, Alexander Mustea, M Fleisch, Joan Elisabeth Panke, Timm Dauelsberg, Christiane Niehues, Joachim Weis, Petra Feyer, Alfons Meindl, Birgitt van Oorschot, Alain G. Zeimet, and Verena Steinke-Lange
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medicine.medical_specialty ,Endometriumkarzinom ,MEDLINE ,Delphi method ,Medizin ,Guideline/Leitlinie ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Maternity and Midwifery ,Epidemiology ,medicine ,genetics ,GebFra Science ,Genetik ,Leitlinie ,Epidemiologie ,030219 obstetrics & reproductive medicine ,business.industry ,Endometrial cancer ,screening ,Obstetrics and Gynecology ,Cancer ,Guideline ,medicine.disease ,erbliche Faktoren ,3. Good health ,030220 oncology & carcinogenesis ,Family medicine ,endometrial cancer ,epidemiology ,Biostatistics ,hereditary factors ,business ,guideline - Abstract
Summary The first German interdisciplinary S3-guideline on the diagnosis, therapy and follow-up of patients with endometrial cancer was published in April 2018. Funded by German Cancer Aid as part of an Oncology Guidelines Program, the lead coordinators of the guideline were the German Society of Gynecology and Obstetrics (DGGG) and the Gynecological Oncology Working Group (AGO) of the German Cancer Society (DKG). Purpose The use of evidence-based, risk-adapted therapy to treat low-risk women with endometrial cancer avoids unnecessarily radical surgery and non-useful adjuvant radiotherapy and/or chemotherapy. This can significantly reduce therapy-induced morbidity and improve the patientʼs quality of life as well as avoiding unnecessary costs. For women with endometrial cancer and a high risk of recurrence, the guideline defines the optimal surgical radicality together with the appropriate chemotherapy and/or adjuvant radiotherapy where required. The evidence-based optimal use of different therapeutic modalities should improve survival rates and the quality of life of these patients. The S3-guideline on endometrial cancer is intended as a basis for certified gynecological cancer centers. The aim is that the quality indicators established in this guideline will be incorporated in the certification processes of these centers. Methods The guideline was compiled in accordance with the requirements for S3-level guidelines. This includes, in the first instance, the adaptation of source guidelines selected using the DELBI instrument for appraising guidelines. Other consulted sources include reviews of evidence which were compiled from literature selected during systematic searches of literature databases using the PICO scheme. In addition, an external biostatistics institute was commissioned to carry out a systematic search and assessment of the literature for one area of the guideline. The identified materials were used by the interdisciplinary working groups to develop suggestions for Recommendations and Statements, which were then modified during structured consensus conferences and/or additionally amended online using the DELPHI method with consent being reached online. The guideline report is freely available online. Recommendations Part 1 of this short version of the guideline presents recommendations on epidemiology, screening, diagnosis and hereditary factors, The epidemiology of endometrial cancer and the risk factors for developing endomentrial cancer are presented. The options for screening and the methods used to diagnose endometrial cancer including the pathology of the cancer are outlined. Recommendations are given for the prevention, diagnosis, and therapy of hereditary forms of endometrial cancer.
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- 2018