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Treatment challenges in and outside a network setting: Head and neck cancers

Florence Molinie Simona Bara Claire Schvartz Bénédicte Lapôtre-Ledoux 1 Pascale Grosclaude Roland Stabenow Sabine Luttmann Alice Nennecke Jutta Engel Gabriele Schubert-Fritschle Jan Heidrich Bernd Holleczek Jon Gunnlaugur Jonasson Kerri Clough-Gorr Harry Comber Guido Mazzoleni Adriano Giacomin Antonella Sutera Sardo Alessandro Barchielli Diego Serraino Roberta de Angelis Sandra Mallone Andrea Tavilla Daniela Pierannunzio Silvia Rossi Mariano Santaquilani Arnold Knijn Fabio Pannozzo Valerio Gennaro Lucia Benfatto Paolo Ricci Mariangela Autelitano Gianbattista Spagnoli Mario Fusco Mario Usala Francesco Vitale Maria Michiara Rosario Tumino Lucia Mangone Fabio Falcini Stefano Ferretti Rosa Angela Filiberti Enza Marani Arturo Iannelli Flavio Sensi Silvano Piffer Maria Gentilini Anselmo Madeddu Antonio Ziino Sergio Maspero Pina Candela Fabrizio Stracci Giovanna Tagliabue Massimo Rugge Gemma Gatta Laura Botta Riccardo Capocaccia Santa Pildava Giedre Smailyte Neville Calleja Tom Marge Johannesen Jadwiga Rachtan Stanislaw Gozdz Jerzy Blaszczyk Kamila Kepska Goncalo Forjaz De Lacerda Maria Jose Bento Ana Miranda Chakameh Safaei Diba Enrique Almar Nerea Larranaga Lopez De Munain Ana Torrella-Ramos Jose Maria Diaz Garcia Rafael Marcos-Gragera Maria Jose Sanchez Carmen Navarro Diego Salmeron Conchi Moreno-Iribas Jaume Galceran Maria Carulla Mohsen Mousavi Christine Bouchardy Silvia M. Ess Andrea Bordoni Isabelle Konzelmann Jem Rashbass Anna Gavin David H. Brewster Dyfed Wyn Huws Otto Visser Magdalena Bielska-Lasota Maja Primic-Zakelj Ian Kunkler Ellen Benhamou Ester Orlandi Salvatore Alfieri Christian Simon Annalisa Trama Lisa Licitra Monika Hackl Elizabeth van Eycken Kris Henau Nadya Dimitrova Mario Sekerija Ladislav Dusek Margit Magi Nea Malila Maarit Leinonen Michel Velten Xavier Troussard Veronique Bouvier Anne-Valerie Guizard Anne-Marie Bouvier Patrick Arveux Marc Maynadie Anne-Sophie Woronoff Michel Robaszkiewicz Isabelle Baldi Alain Monnereau Brigitte Tretarre Marc Colonna 
Abstract : Head and neck cancer (HNC) is a rare disease that can affect different sites and is characterized by variable incidence and 5-year survival rates across Europe. Multiple factors need to be considered when choosing the most appropriate treatment for HNC patients, such as age, comorbidities, social issues, and especially whether to prefer surgery or radiation-based protocols. Given the complexity of this scenario, the creation of a highly specialized multidisciplinary team is recommended to guarantee the best oncological outcome and prevent or adequately treat any adverse effect. Data from literature suggest that the multidisciplinary team-based approach is beneficial for HNC patients and lead to improved survival rates. This result is likely due to improved diagnostic and staging accuracy, a more efficacious therapeutic approach and enhanced communication across disciplines. Despite the benefit of MTh, it must be noted that this approach requires considerable time, effort and financial resources and is usually more frequent in highly organized and high-volume centers. Literature data on clinical research suggest that patients treated in high-accrual centers report better treatment outcomes compared to patients treated in low-volume centers, where a lower radiotherapy-compliance and worst overall survival have been reported. There is general agreement that treatment of rare cancers such as HNC should be concentrated in high volume, specialized and multidisciplinary centers. In order to achieve this goal, the creation of international collaboration network is fundamental. The European Reference Networks for example aim to create an international virtual advisory board, whose objectives are the exchange of expertise, training, clinical collaboration and the reduction of disparities and enhancement of rationalize migration across Europe. The purpose of our work is to review all aspects and challenges in and outside this network setting planned for the management of HNC patients. (C) 2018 Elsevier Ltd, BASO similar to The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
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Soumis le : lundi 7 mars 2022 - 16:42:59
Dernière modification le : jeudi 1 septembre 2022 - 17:40:24

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Florence Molinie, Simona Bara, Claire Schvartz, Bénédicte Lapôtre-Ledoux, Pascale Grosclaude, et al.. Treatment challenges in and outside a network setting: Head and neck cancers. EJSO - European Journal of Surgical Oncology, WB Saunders, 2019, 45 (1, SI), pp.40-45. ⟨10.1016/j.ejso.2018.02.007⟩. ⟨hal-03600616⟩



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