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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Oncol. | doi: 10.3389/fonc.2019.01125

A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study – Part 1 (Head and Neck Surgery)

 Pavel Dulguerov1,  Martina A. Broglie2, 3,  Guido Henke4,  Marco Siano5, 6,  Paul Martin Putora4, 7,  Christian Simon8,  Daniel Zwahlen9, 10, Gerhard F. Huber2, 3, Giorgio Ballerini11, Lorenza Beffa12,  Roland Giger13, Sacha Rothschild14,  Sandro Negri15 and  Olgun Elicin7*
  • 1Department of Otorhinolaryngology, Head and Neck Surgery, Geneva University Hospitals (HUG), Switzerland
  • 2Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zürich, Switzerland
  • 3Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital St. Gallen, Switzerland
  • 4Department of Radiation Oncology, Kantonsspital St. Gallen, Switzerland
  • 5Department of Medical Oncology, Kantonsspital St. Gallen, Switzerland
  • 6Department of Medical Oncology, Hôpital Riviera-Chablais (HRC), Switzerland
  • 7Department of Radiation Oncology, Bern University Hospital, Switzerland
  • 8Department of Otorhinolaryngology, Head and Neck Surgery, Lausanne University Hospital (CHUV), Switzerland
  • 9Department of Radiation Oncology, Cantonal Hospital of Graubünden, Switzerland
  • 10Department of Radiation Oncology, Kantonsspital Winterthur, Switzerland
  • 11Department of Radiation Oncology, Clinica Luganese Moncucco, Switzerland
  • 12Department of Radiation Oncology, Luzerner Kantonsspital, Switzerland
  • 13Department of Otorhinolaryngology, Head and Neck Surgery, Bern University Hospital, Switzerland
  • 14Department of Medical Oncology, University Hospital of Basel, Switzerland
  • 15Department of Otorhinolaryngology, Lindenhofspital, Switzerland

Background: The Head and Neck Cancer Working Group of Swiss Group for Clinical Cancer Research (SAKK) has investigated the level of consensus (LOC) and discrepancy in everyday practice of diagnosis and treatment in head and neck cancer.

Materials and Methods: An online survey was iteratively generated with 10 Swiss university and teaching hospitals. LOC below 50% was defined as no agreement, while higher LOC were arbitrarily categorized as low (51-74), moderate (75-84%), and high (≥85%).

Results: Any LOC was achieved in 62% of topics (n=60). High, moderate and low LOC were found in 18%, 20%, and 23%, respectively. Regarding Head and Neck Surgery, Radiation Oncology, Medical Oncology, and biomarkers, LOC was achieved in 50%, 57%, 83%, and 43%, respectively.

Conclusions: Consensus on clinical topics is rather low for surgeons and radiation oncologists. The questions discussed might highlight discrepancies, stimulate standardization of practice, and prioritize topics for future clinical research.

Keywords: consensus, head and neck cancer, Patterns of care, Practice patterns, Survey

Received: 26 Apr 2019; Accepted: 09 Oct 2019.

Copyright: © 2019 Dulguerov, Broglie, Henke, Siano, Putora, Simon, Zwahlen, Huber, Ballerini, Beffa, Giger, Rothschild, Negri and Elicin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Olgun Elicin, Bern University Hospital, Department of Radiation Oncology, Bern, 3010, Bern, Switzerland, olgun.elicin@insel.ch