Evidence map›Paper›PMID 37430129›Full record

ArticleLangenbeck's archives of surgery2023

Ten recommendations for sarcoma surgery: consensus of the surgical societies based on the German S3 guideline "Adult Soft Tissue Sarcomas".

Jens Jakob, Dimosthenis Andreou, Jens Bedke, Dominik Denschlag, Hans Roland Dürr, Steffen Frese, Thomas Gösling, Thomas Graeter, Viktor Grünwald, Robert Grützmann and 12 more

Open access · hybridAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
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  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. [Localized soft tissue sarcomas].Chirurgie (Heidelberg, Germany) · 2025
    Review
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  11. 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

22 authors at 16 institutions in 2 countries.

Jens JakobSarcoma Unit, Department of Surgery and Mannheim Cancer Center, University Medical Center Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, D-68135, Mannheim, Germany. jens.jakob@umm.de.ORCID https://orcid.org/0000-0002-8499-7172
Dimosthenis AndreouDepartment of Orthopedics and Trauma, Medical University of Graz, Graz, Austria.
Jens BedkeDepartment of Urology, Klinikum Stuttgart, Stuttgart, Germany.
Dominik DenschlagDepartment of Gynecology, Hochtaunus-Kliniken gGmbH, Bad Homburg, Germany.
Hans Roland DürrOrthopaedic Oncology, Department of Orthopaedics and Trauma Surgery, LMU Klinikum, University Hospital, LMU Munich, Munich, Germany.
Steffen FreseAMEOS Klinikum Schönebeck, Schönebeck, Germany.
Thomas GöslingDepartment of Trauma and Orthopedic Surgery, Clinical Center Braunschweig, Braunschweig, Germany.
Thomas GraeterThoracic Surgery, SLK-Lungenklinik Lowenstein, Lowenstein, Germany.
Viktor GrünwaldClinic for Urology, Clinic for Medical Oncology, University Hospital Essen, Essen, Germany.
Robert GrützmannDepartment of Surgery, Comprehensive Cancer Center, University Hospital of Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Bavaria, Germany.
Jürgen HoffmannDepartment of Oral and Maxillofacial Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Ingolf Juhasz-BoessDepartment of Gynecology, Obstetrics and Reproductive Medicine, University of Freiburg Faculty of Medicine, Freiburg im Breisgau, Germany.
Bernd KasperSarcoma Unit, Mannheim Cancer Center (MCC), Mannheim University Medical Center, University of Heidelberg, Mannheim, Germany.
Vlada KogosovComprehensive Cancer Center Göttingen G-CCC, University Medical Center Göttingen, Georg August University, Göttingen, Germany.
Wolfram Trudo KnoefelDepartment of Surgery, Heinrich-Heine-University and University Hospital Duesseldorf, Duesseldorf, Germany.
Burkhard LehnerDepartment of Orthopaedics, Section Orthopedic Oncology and Septic Orthopedic Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Marcus LehnhardtDepartment of Plastic Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bochum, Germany.
Lars H LindnerDepartment of Medicine III, University Hospital, Ludwig Maximilian University Munich, Munich, Germany.
Cordula MatthiesDepartment of Neurosurgery, University Hospital and Julius-Maximilians-University, Wuerzburg, Germany.
Jalid SehouliDepartment of Gynecology with Center for Oncological Surgery, Charité Comprehensive Cancer Center, University Medicine Berlin, Berlin, Germany.
Selma UgurelDepartment of Dermatology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Peter HohenbergerDivision of Surgical Oncology and Thoracic Surgery, Department of Surgery, University Hospital Mannheim, University of Heidelberg, Mannheim, Germany.
Heidelberg University · DEAccadis Hochschule Bad Homburg · DEBG University Hospital Bergmannsheil Bochum · DECharité - Universitätsmedizin Berlin · DEDüsseldorf University Hospital · DEEssen University Hospital · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKlinikum Braunschweig · DEKlinikum Stuttgart · DELMU Klinikum · DELöwenstein Medical (Germany) · DELudwig-Maximilians-Universität München · DEMedical University of Graz · ATUniversitätsmedizin Göttingen · DEUniversity of Duisburg-Essen · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe evidence-based (S3) guideline "Adult Soft Tissue Sarcomas" (AWMF Registry No. 032/044OL) published by the German Guideline Program in Oncology (GGPO) covers all aspects of sarcoma treatment with 229 recommendations. Representatives of all medical specialties involved in sarcoma treatment contributed to the guideline. This paper compiles the most important recommendations for surgeons selected by delegates from the surgical societies.

methodsA Delphi process was used. Delegates from the surgical societies involved in guideline process selected the 15 recommendations that were most important to them. Votes for similar recommendations were tallied. From the resulting ranked list, the 10 most frequently voted recommendations were selected and confirmed by consensus in the next step.

resultsThe statement "Resection of primary soft tissue sarcomas of the extremities should be performed as a wide resection. The goal is an R0 resection" was selected as the most important term. The next highest ranked recommendations were the need for a preoperative biopsy, performing preoperative MRI imaging with contrast, and discussing all cases before surgery in a multidisciplinary sarcoma committee.

conclusionThe evidence-based guideline "Adult Soft Tissue Sarcomas" is a milestone to improve the care of sarcoma patients in Germany. The selection of the top ten recommendations by surgeons for surgeons has the potential to improve the dissemination and acceptance of the guideline and thus improve the overall outcome of sarcoma patients.

Indexed as

SarcomaSurgeonsAdultConsensusGermanyHumansPractice Guidelines as TopicRegistriesDelphi processEvidenceSarcoma guidelineSurgical recommendation

Identifiers

PMID37430129
PMCPMC10333354
OpenAlexW4383872998

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.