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

Front. Oncol. | doi: 10.3389/fonc.2019.01126

A Review of Controversial Issues in the Management of Head and Neck Cancer: A Swiss Multidisciplinary and Multi-Institutional Patterns of Care Study – Part 2 (Radiation Oncology)

 Olgun Elicin1*, Paul-Martin Putora1, 2,  Marco Siano3, 4,  Martina A. Broglie5, 6,  Christian Simon7,  Daniel Zwahlen8, 9, Gerhard F. Huber5, 6, Giorgio Ballerini10, Lorenza Beffa11,  Roland Giger12, Sacha Rothschild13,  Sandro Negri14,  Pavel Dulguerov15 and  Guido Henke2
  • 1Department of Radiation Oncology, Bern University Hospital, Switzerland
  • 2Department of Radiation Oncology, Kantonsspital St. Gallen, Switzerland
  • 3Department of Medical Oncology, University of St. Gallen, Switzerland
  • 4Department of Medical Oncology, Hôpital Riviera-Chablais (HRC), Switzerland
  • 5Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital St. Gallen, Switzerland
  • 6Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zürich, Switzerland
  • 7Department of Otorhinolaryngology, Head and Neck Surgery, Lausanne University Hospital (CHUV), Switzerland
  • 8Department of Radiation Oncology, Cantonal Hospital of Graubünden, Switzerland
  • 9Department of Radiation Oncology, Kantonsspital Winterthur, Switzerland
  • 10Department of Radiation Oncology, Clinica Luganese Moncucco, Switzerland
  • 11Department of Radiation Oncology, Luzerner Kantonsspital, Switzerland
  • 12Department of Otorhinolaryngology, Head and Neck Surgery, Bern University Hospital, Switzerland
  • 13Department of Medical Oncology, University Hospital of Basel, Switzerland
  • 14Department of Otorhinolaryngology, Lindenhofspital, Switzerland
  • 15Department of Otorhinolaryngology, Head and Neck Surgery, Geneva University Hospitals (HUG), 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 Elicin, Putora, Siano, Broglie, Simon, Zwahlen, Huber, Ballerini, Beffa, Giger, Rothschild, Negri, Dulguerov and Henke. 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: Mx. Olgun Elicin, Bern University Hospital, Department of Radiation Oncology, Bern, Switzerland, olgun.elicin@insel.ch