Comparison of different guidelines for oral cancer
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HEAD AND NECK
Comparison of different guidelines for oral cancer Hugo Fontan Köhler1 · Hisham Mehanna2 · Jatin P. Shah3 · Alvaro Sanabria4 · Johannes Fagan5 · Moni A. Kuriakose6 · C. Rene Leemans7 · Brian O’Sullivan8 · Suren Krishnan9 · Luiz P. Kowalski1,10 Received: 8 June 2020 / Accepted: 5 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Background Guidelines should provide accessible and reliable information for decision-making. Also, they should be translatable to multiple settings, allowing their use in diverse situations. Methods We searched in GOOGLE, PUBMED, SCIELO, and SCOPUS for guidelines on oral squamous cell carcinoma. They were evaluated using the AGREE II protocol. Results We identified 16 guidelines that fulfilled inclusion criteria. The mean score and range for each AGREE II domain were: “scope and purpose” 74.1% (6–100.0%); “stakeholder” 78.6% (0–100.0%); “rigor of development” 71.4% (0–100.0%); “clarity of presentation” 71.4% (6–100.0%); “applicability” 50.0% (0–85.7%); “editorial independence” 57.1% (14.3–85.7%) and “overall assessment” 57.1% (14.3–100.0%). Conclusion Guidelines for oral cancer present variable quality. Among those available, only four surpassed the 70% AGREE II score threshold. Keywords Guideline · Mouth neoplasms · Oral cancer · Therapeutics · Surgery · Chemotherapy · Radiotherapy · Neoplasm staging
* Hugo Fontan Köhler [email protected] 1
Department of Head and Neck Surgery and Otorhinolaryngology, A C Camargo Cancer Center, Rua Professor Antônio Prudente, 211, São Paulo, SP CEP 01509‑010, Brazil
2
The Institute of Global Innovation, University of Birmingham, Birmingham, UK
3
Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, USA
4
Department of Surgery, Universidad de Antioquia, Medellin, Colombia
5
Division of Otolaryngology, University of Cape Town, Cape Town, South Africa
6
Cochin Cancer Research Center, Cochin, India
7
Department of Otolaryngology‑Head and Neck Surgery, VU University Medical Center, Amsterdam, Netherlands
8
Cancer Clinical Research Unit, Princess Margaret Cancer Center, University of Toronto, Toronto, Canada
9
Department of Otolaryngology, Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia
10
Head and Neck Surgery Department, University of Sao Paulo Medical School, São Paulo, Brazil
Introduction Clinical guidelines have been designed to assist physicians in decision-making to standardize clinical conducts and to improve resource use in the health system. They should provide direction and recommendations allowing optimization of the therapeutic approach after consideration of all possible alternatives in a given clinical setting. The clinical guidelines also must be resource sensitive; as the purpose of a guideline is to aid in clinical treatment decision for a specific patient based on the scientific evidence as well as the practicality of applying a particular guideline based on the available resources. Therefore, clinical guidelines must
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