EAU-ESMO consensus statements on the management of advanced and variant bladder cancer-an international collaborative multi-stakeholder effort: under the auspices of the EAU and ESMO Guidelines Committees†
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EAU-ESMO consensus statements on the management of advanced and variant bladder cancer-an international collaborative multi-stakeholder effort : under the auspices of the EAU and ESMO Guidelines Committees†. / Horwich, A.; Babjuk, M.; Bellmunt, J.; Bruins, H. M.; Reijke, T. M.De; Santis, M. De; Gillessen, S.; James, N.; Maclennan, S.; Palou, J.; Powles, T.; Ribal, M. J.; Shariat, S. F.; Kwast, T. Van Der; Xylinas, E.; Agarwal, N.; Arends, T.; Bamias, A.; Birtle, A.; Black, P. C.; Bochner, B. H.; Bolla, M.; Boormans, J. L.; Bossi, A.; Briganti, A.; Brummelhuis, I.; Burger, M.; Castellano, D.; Cathomas, R.; Chiti, A.; Choudhury, A.; Compérat, E.; Crabb, S.; Culine, S.; Bari, B. De; Blok, W. De; De Visschere, P. J.L.; Decaestecker, K.; Dimitropoulos, K.; Dominguez-Escrig, J. L.; Fanti, S.; Fonteyne, V.; Frydenberg, M.; Futterer, J. J.; Gakis, G.; Geavlete, B.; Gontero, P.; Grubmüller, B.; Hafeez, S.; Hansel, D. E.; Hartmann, A.; Hayne, D.; Henry, A. M.; Hernandez, V.; Herr, H.; Herrmann, K.; Hoskin, P.; Huguet, J.; Jereczek-Fossa, B. A.; Jones, R.; Kamat, A. M.; Khoo, V.; Kiltie, A. E.; Krege, S.; Ladoire, S.; Lara, P. C.; Leliveld, A.; Linares-Espinós, E.; Løgager, V.; Lorch, A.; Loriot, Y.; Meijer, R.; Mir, M. Carmen; Moschini, M.; Mostafid, H.; Müller, A. C.; Müller, C. R.; N'Dow, J.; Necchi, A.; Neuzillet, Y.; Oddens, J. R.; Oldenburg, J.; Osanto, S.; Oyen, W. J.G.; Pacheco-Figueiredo, L.; Pappot, H.; Patel, M. I.; Pieters, B. R.; Plass, K.; Remzi, M.; Retz, M.; Richenberg, J.; Rink, M.; Roghmann, F.; Rosenberg, J. E.; Rouprêt, M.; Rouvière, O.; Salembier, C.; Salminen, A.; Sargos, P.; Sengupta, S.; Sherif, A.; Smeenk, R. J.; Smits, A.; Stenzl, A.; Thalmann, G. N.; Tombal, B.; Turkbey, B.; Lauridsen, S. Vahr; Valdagni, R.; Van Der Heijden, A. G.; Van Poppel, H.; Vartolomei, M. D.; Veskimäe, E.; Vilaseca, A.; Rivera, F. A.Vives; Wiegel, T.; Wiklund, P.; Williams, A.; Zigeuner, R.; Witjes, J. A.
I: Annals of oncology : official journal of the European Society for Medical Oncology, Bind 30, Nr. 11, 2019, s. 1697-1727.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - EAU-ESMO consensus statements on the management of advanced and variant bladder cancer-an international collaborative multi-stakeholder effort
T2 - under the auspices of the EAU and ESMO Guidelines Committees†
AU - Horwich, A.
AU - Babjuk, M.
AU - Bellmunt, J.
AU - Bruins, H. M.
AU - Reijke, T. M.De
AU - Santis, M. De
AU - Gillessen, S.
AU - James, N.
AU - Maclennan, S.
AU - Palou, J.
AU - Powles, T.
AU - Ribal, M. J.
AU - Shariat, S. F.
AU - Kwast, T. Van Der
AU - Xylinas, E.
AU - Agarwal, N.
AU - Arends, T.
AU - Bamias, A.
AU - Birtle, A.
AU - Black, P. C.
AU - Bochner, B. H.
AU - Bolla, M.
AU - Boormans, J. L.
AU - Bossi, A.
AU - Briganti, A.
AU - Brummelhuis, I.
AU - Burger, M.
AU - Castellano, D.
AU - Cathomas, R.
AU - Chiti, A.
AU - Choudhury, A.
AU - Compérat, E.
AU - Crabb, S.
AU - Culine, S.
AU - Bari, B. De
AU - Blok, W. De
AU - De Visschere, P. J.L.
AU - Decaestecker, K.
AU - Dimitropoulos, K.
AU - Dominguez-Escrig, J. L.
AU - Fanti, S.
AU - Fonteyne, V.
AU - Frydenberg, M.
AU - Futterer, J. J.
AU - Gakis, G.
AU - Geavlete, B.
AU - Gontero, P.
AU - Grubmüller, B.
AU - Hafeez, S.
AU - Hansel, D. E.
AU - Hartmann, A.
AU - Hayne, D.
AU - Henry, A. M.
AU - Hernandez, V.
AU - Herr, H.
AU - Herrmann, K.
AU - Hoskin, P.
AU - Huguet, J.
AU - Jereczek-Fossa, B. A.
AU - Jones, R.
AU - Kamat, A. M.
AU - Khoo, V.
AU - Kiltie, A. E.
AU - Krege, S.
AU - Ladoire, S.
AU - Lara, P. C.
AU - Leliveld, A.
AU - Linares-Espinós, E.
AU - Løgager, V.
AU - Lorch, A.
AU - Loriot, Y.
AU - Meijer, R.
AU - Mir, M. Carmen
AU - Moschini, M.
AU - Mostafid, H.
AU - Müller, A. C.
AU - Müller, C. R.
AU - N'Dow, J.
AU - Necchi, A.
AU - Neuzillet, Y.
AU - Oddens, J. R.
AU - Oldenburg, J.
AU - Osanto, S.
AU - Oyen, W. J.G.
AU - Pacheco-Figueiredo, L.
AU - Pappot, H.
AU - Patel, M. I.
AU - Pieters, B. R.
AU - Plass, K.
AU - Remzi, M.
AU - Retz, M.
AU - Richenberg, J.
AU - Rink, M.
AU - Roghmann, F.
AU - Rosenberg, J. E.
AU - Rouprêt, M.
AU - Rouvière, O.
AU - Salembier, C.
AU - Salminen, A.
AU - Sargos, P.
AU - Sengupta, S.
AU - Sherif, A.
AU - Smeenk, R. J.
AU - Smits, A.
AU - Stenzl, A.
AU - Thalmann, G. N.
AU - Tombal, B.
AU - Turkbey, B.
AU - Lauridsen, S. Vahr
AU - Valdagni, R.
AU - Van Der Heijden, A. G.
AU - Van Poppel, H.
AU - Vartolomei, M. D.
AU - Veskimäe, E.
AU - Vilaseca, A.
AU - Rivera, F. A.Vives
AU - Wiegel, T.
AU - Wiklund, P.
AU - Williams, A.
AU - Zigeuner, R.
AU - Witjes, J. A.
PY - 2019
Y1 - 2019
N2 - BACKGROUND: Although guidelines exist for advanced and variant bladder cancer management, evidence is limited/conflicting in some areas and the optimal approach remains controversial. OBJECTIVE: To bring together a large multidisciplinary group of experts to develop consensus statements on controversial topics in bladder cancer management. DESIGN: A steering committee compiled proposed statements regarding advanced and variant bladder cancer management which were assessed by 113 experts in a Delphi survey. Statements not reaching consensus were reviewed; those prioritised were revised by a panel of 45 experts before voting during a consensus conference. SETTING: Online Delphi survey and consensus conference. PARTICIPANTS: The European Association of Urology (EAU), the European Society for Medical Oncology (ESMO), experts in bladder cancer management. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Statements were ranked by experts according to their level of agreement: 1-3 (disagree), 4-6 (equivocal), 7-9 (agree). A priori (level 1) consensus was defined as ≥70% agreement and ≤15% disagreement, or vice versa. In the Delphi survey, a second analysis was restricted to stakeholder group(s) considered to have adequate expertise relating to each statement (to achieve level 2 consensus). RESULTS AND LIMITATIONS: Overall, 116 statements were included in the Delphi survey. Of these, 33 (28%) statements achieved level 1 consensus and 49 (42%) statements achieved level 1 or 2 consensus. At the consensus conference, 22 of 27 (81%) statements achieved consensus. These consensus statements provide further guidance across a broad range of topics, including the management of variant histologies, the role/limitations of prognostic biomarkers in clinical decision making, bladder preservation strategies, modern radiotherapy techniques, the management of oligometastatic disease and the evolving role of checkpoint inhibitor therapy in metastatic disease. CONCLUSIONS: These consensus statements provide further guidance on controversial topics in advanced and variant bladder cancer management until a time where further evidence is available to guide our approach.
AB - BACKGROUND: Although guidelines exist for advanced and variant bladder cancer management, evidence is limited/conflicting in some areas and the optimal approach remains controversial. OBJECTIVE: To bring together a large multidisciplinary group of experts to develop consensus statements on controversial topics in bladder cancer management. DESIGN: A steering committee compiled proposed statements regarding advanced and variant bladder cancer management which were assessed by 113 experts in a Delphi survey. Statements not reaching consensus were reviewed; those prioritised were revised by a panel of 45 experts before voting during a consensus conference. SETTING: Online Delphi survey and consensus conference. PARTICIPANTS: The European Association of Urology (EAU), the European Society for Medical Oncology (ESMO), experts in bladder cancer management. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Statements were ranked by experts according to their level of agreement: 1-3 (disagree), 4-6 (equivocal), 7-9 (agree). A priori (level 1) consensus was defined as ≥70% agreement and ≤15% disagreement, or vice versa. In the Delphi survey, a second analysis was restricted to stakeholder group(s) considered to have adequate expertise relating to each statement (to achieve level 2 consensus). RESULTS AND LIMITATIONS: Overall, 116 statements were included in the Delphi survey. Of these, 33 (28%) statements achieved level 1 consensus and 49 (42%) statements achieved level 1 or 2 consensus. At the consensus conference, 22 of 27 (81%) statements achieved consensus. These consensus statements provide further guidance across a broad range of topics, including the management of variant histologies, the role/limitations of prognostic biomarkers in clinical decision making, bladder preservation strategies, modern radiotherapy techniques, the management of oligometastatic disease and the evolving role of checkpoint inhibitor therapy in metastatic disease. CONCLUSIONS: These consensus statements provide further guidance on controversial topics in advanced and variant bladder cancer management until a time where further evidence is available to guide our approach.
KW - bladder cancer
KW - consensus
KW - Delphi
KW - diagnosis
KW - follow-up
KW - treatment
U2 - 10.1093/annonc/mdz296
DO - 10.1093/annonc/mdz296
M3 - Journal article
C2 - 31740927
AN - SCOPUS:85077175940
VL - 30
SP - 1697
EP - 1727
JO - Annals of Oncology
JF - Annals of Oncology
SN - 0923-7534
IS - 11
ER -
ID: 241211702