Evidence map›Paper›PMID 28597183›Full record

SynthesisUpdates in surgery2017

Discrepancies between NCCN and ESMO guidelines in the management of anal cancer: a qualitative review.

Natalie Johnson, Gianluca Pellino, Constantinos Simillis, Shengyang Qiu, Stella Nikolaou, Daniel L Baird, Shahnawaz Rasheed, Paris P Tekkis, Christos Kontovounisios

Abstract readComparative StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis in Updates in surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Natalie JohnsonDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, 369 Fulham Rd, London, SW10 9NH, UK.
Gianluca PellinoDepartment of Colorectal Surgery, Royal Marsden Hospital, London, UK.ORCID http://orcid.org/0000-0002-8322-6421
Constantinos SimillisDepartment of Colorectal Surgery, Royal Marsden Hospital, London, UK.
Shengyang QiuDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, 369 Fulham Rd, London, SW10 9NH, UK.
Stella NikolaouDepartment of Colorectal Surgery, Royal Marsden Hospital, London, UK.
Daniel L BairdDepartment of Colorectal Surgery, Royal Marsden Hospital, London, UK.
Shahnawaz RasheedDepartment of Surgery and Cancer, Imperial College, London, UK.
Paris P TekkisDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, 369 Fulham Rd, London, SW10 9NH, UK.
Christos KontovounisiosDepartment of Colorectal Surgery, Chelsea and Westminster Hospital, 369 Fulham Rd, London, SW10 9NH, UK. c.kontovounisios@imperial.ac.uk.
Royal Marsden Hospital · GBChelsea and Westminster Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is an ever-growing need, with the ongoing developments in research and the progress towards patient centered care, to delineate standardized protocols of management of anal cancer. However, guidelines from different societies show some degree of disagreement. This is a systematic review of the literature to identify similarities and discrepancies between the guidelines for the management of anal cancer drafted by the European Society for Medical Oncology (ESMO) and by the National Comprehensive Cancer Network (NCCN). We found essentially similar management for investigation, diagnosis, chemotherapy regimens, and radiotherapy doses in both ESMO and NCCN recommendations in the management of anal cancer. There were few differences, which included the levels of evidence and grades of recommendations, the delineation of radiotherapy fields, and the treatment of the elderly and personalized medicine based on genetics. The follow-up regime is also marginally different in the first 2 years. Even if the observed differences may be justified by a different implementation of evidence-based medicine among different countries for particular management modalities of anal cancer, we identified the grey areas which need further study. In addition, these facets should be assessed more carefully when planning future guidelines.

Indexed as

Practice Guidelines as TopicAnus NeoplasmsEuropeHumansMedical OncologyNeoplasm StagingQualitative ResearchSocieties, MedicalAnal cancerDiscrepanciesEuropean Society of Medical Oncology (ESMO)National Comprehensive Cancer Network (NCCN)

Identifiers

PMID28597183
OpenAlexW2622321001

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.