ACR appropriateness criteria® management of locoregionally advanced squamous cell carcinoma of the vulva

Elizabeth Kidd, David Moore, Mahesh A. Varia, David K. Gaffney, Mohamed A. Elshaikh, Beth Erickson, Anuja Jhingran, Larissa J. Lee, Nina A. Mayr, Ajmel A. Puthawala, Gautam G. Rao, William Small, Andrew O Wahl, Aaron H. Wolfson, Catheryn M. Yashar, William Yuh, Higinia Rosa Cardenes

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

OBJECTIVES: Locoregionally advanced vulvar cancer (LRAVC) is a rare disease that presents many challenging medical decisions. An expert panel was convened to reach consensus on the most appropriate pretreatment assessment and therapeutic interventions in LRAVC patients. METHODS: The American College of Radiology Appropriateness Criteria are evidenced-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journal and the application of a well-established consensus methodology (modified Delphi) to rate appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to formulate recommendations. RESULTS: Three clinical variants were developed to address common scenarios in the management of LRAVC. Group members reached consensus on the appropriateness of specific evaluation and treatment approaches, with numerical ratings and descriptive commentary. CONCLUSIONS: In combining available medical literature and expert opinion, this manuscript may serve as an aid for other practitioners in the appropriate management of patients with LRAVC.

Original languageEnglish (US)
Pages (from-to)415-422
Number of pages8
JournalAmerican Journal of Clinical Oncology: Cancer Clinical Trials
Volume36
Issue number4
DOIs
StatePublished - Aug 1 2013

Fingerprint

Vulvar Neoplasms
Vulva
Squamous Cell Carcinoma
Expert Testimony
Guidelines
Rare Diseases
Radiology
Therapeutics

Keywords

  • Appropriateness Criteria
  • neoadjuvant chemoradiotherapy
  • vulvar cancer

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

ACR appropriateness criteria® management of locoregionally advanced squamous cell carcinoma of the vulva. / Kidd, Elizabeth; Moore, David; Varia, Mahesh A.; Gaffney, David K.; Elshaikh, Mohamed A.; Erickson, Beth; Jhingran, Anuja; Lee, Larissa J.; Mayr, Nina A.; Puthawala, Ajmel A.; Rao, Gautam G.; Small, William; Wahl, Andrew O; Wolfson, Aaron H.; Yashar, Catheryn M.; Yuh, William; Cardenes, Higinia Rosa.

In: American Journal of Clinical Oncology: Cancer Clinical Trials, Vol. 36, No. 4, 01.08.2013, p. 415-422.

Research output: Contribution to journalReview article

Kidd, E, Moore, D, Varia, MA, Gaffney, DK, Elshaikh, MA, Erickson, B, Jhingran, A, Lee, LJ, Mayr, NA, Puthawala, AA, Rao, GG, Small, W, Wahl, AO, Wolfson, AH, Yashar, CM, Yuh, W & Cardenes, HR 2013, 'ACR appropriateness criteria® management of locoregionally advanced squamous cell carcinoma of the vulva', American Journal of Clinical Oncology: Cancer Clinical Trials, vol. 36, no. 4, pp. 415-422. https://doi.org/10.1097/COC.0b013e318295af1d
Kidd, Elizabeth ; Moore, David ; Varia, Mahesh A. ; Gaffney, David K. ; Elshaikh, Mohamed A. ; Erickson, Beth ; Jhingran, Anuja ; Lee, Larissa J. ; Mayr, Nina A. ; Puthawala, Ajmel A. ; Rao, Gautam G. ; Small, William ; Wahl, Andrew O ; Wolfson, Aaron H. ; Yashar, Catheryn M. ; Yuh, William ; Cardenes, Higinia Rosa. / ACR appropriateness criteria® management of locoregionally advanced squamous cell carcinoma of the vulva. In: American Journal of Clinical Oncology: Cancer Clinical Trials. 2013 ; Vol. 36, No. 4. pp. 415-422.
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AU - Kidd, Elizabeth

AU - Moore, David

AU - Varia, Mahesh A.

AU - Gaffney, David K.

AU - Elshaikh, Mohamed A.

AU - Erickson, Beth

AU - Jhingran, Anuja

AU - Lee, Larissa J.

AU - Mayr, Nina A.

AU - Puthawala, Ajmel A.

AU - Rao, Gautam G.

AU - Small, William

AU - Wahl, Andrew O

AU - Wolfson, Aaron H.

AU - Yashar, Catheryn M.

AU - Yuh, William

AU - Cardenes, Higinia Rosa

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N2 - OBJECTIVES: Locoregionally advanced vulvar cancer (LRAVC) is a rare disease that presents many challenging medical decisions. An expert panel was convened to reach consensus on the most appropriate pretreatment assessment and therapeutic interventions in LRAVC patients. METHODS: The American College of Radiology Appropriateness Criteria are evidenced-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journal and the application of a well-established consensus methodology (modified Delphi) to rate appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to formulate recommendations. RESULTS: Three clinical variants were developed to address common scenarios in the management of LRAVC. Group members reached consensus on the appropriateness of specific evaluation and treatment approaches, with numerical ratings and descriptive commentary. CONCLUSIONS: In combining available medical literature and expert opinion, this manuscript may serve as an aid for other practitioners in the appropriate management of patients with LRAVC.

AB - OBJECTIVES: Locoregionally advanced vulvar cancer (LRAVC) is a rare disease that presents many challenging medical decisions. An expert panel was convened to reach consensus on the most appropriate pretreatment assessment and therapeutic interventions in LRAVC patients. METHODS: The American College of Radiology Appropriateness Criteria are evidenced-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journal and the application of a well-established consensus methodology (modified Delphi) to rate appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to formulate recommendations. RESULTS: Three clinical variants were developed to address common scenarios in the management of LRAVC. Group members reached consensus on the appropriateness of specific evaluation and treatment approaches, with numerical ratings and descriptive commentary. CONCLUSIONS: In combining available medical literature and expert opinion, this manuscript may serve as an aid for other practitioners in the appropriate management of patients with LRAVC.

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