European Association of Urology Guidelines on Renal Cell Carcinoma: The 2022 Update

The 2022 guideline provides the current best evidence base for renal cell carcinoma management. Changes in medical management in recent years include the use of immune checkpoint inhibitors (ICIs), ICI–ICI combinations, and ICI-targeted therapy combinations. Surgery remains the mainstay for lower-gr...

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Vydáno v:European urology Ročník 82; číslo 4; s. 399 - 410
Hlavní autoři: Ljungberg, Börje, Albiges, Laurence, Abu-Ghanem, Yasmin, Bedke, Jens, Capitanio, Umberto, Dabestani, Saeed, Fernández-Pello, Sergio, Giles, Rachel H., Hofmann, Fabian, Hora, Milan, Klatte, Tobias, Kuusk, Teele, Lam, Thomas B., Marconi, Lorenzo, Powles, Thomas, Tahbaz, Rana, Volpe, Alessandro, Bex, Axel
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland Elsevier B.V 01.10.2022
Témata:
Cancer and Oncology
Cancer och onkologi
Clinical Medicine
Diagnosis
European Association of Urology
Guidelines
Klinisk medicin
Management
Medical and Health Sciences
Medicin och hälsovetenskap
Prognosis
Renal cell carcinoma
Staging
Surgery
Systemic therapy
Systemic therapy
Prognosis
Renal cell carcinoma
Staging
Surgery
Diagnosis
Management
European Association of Urology
Guidelines
ISSN:0302-2838, 1873-7560, 1421-993X, 1873-7560
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Shrnutí:The 2022 guideline provides the current best evidence base for renal cell carcinoma management. Changes in medical management in recent years include the use of immune checkpoint inhibitors (ICIs), ICI–ICI combinations, and ICI-targeted therapy combinations. Surgery remains the mainstay for lower-grade tumours, with increasing use of minimally invasive approaches. More robust data are needed to identify optimal follow-up schedules. The European Association of Urology (EAU) Renal Cell Carcinoma (RCC) Guideline Panel has prepared evidence-based guidelines and recommendations for the management of RCC. To present a summary of the 2022 RCC guideline, which is based on a standardised methodology including systematic reviews (SRs) and provides transparent and reliable evidence for the management of RCC. For the 2022 update, a new literature search was carried out with a cutoff date of May 28, 2021, covering the Medline, EMBASE, and Cochrane databases. The data search focused on randomised controlled trials (RCTs) and retrospective or controlled comparator-arm studies, SRs, and meta-analyses. Evidence synthesis was conducted using modified GRADE criteria as outlined for all the EAU guidelines. All chapters of the RCC guideline were updated on the basis of a structured literature assessment, and clinical practice recommendations were developed. The majority of the studies included were retrospective with matched or unmatched cohorts and were based on single- or multi-institution data or national registries. The exception was systemic treatment of metastatic RCC, for which there are several large RCTs, resulting in recommendations that are based on higher levels of evidence. The 2022 RCC guidelines have been updated by a multidisciplinary panel of experts using the highest methodological standards. These guidelines provide the most reliable contemporary evidence base for the management of RCC in 2022. The European Association of Urology panel for guidelines on kidney cancer has thoroughly evaluated the research data available to establish up-to-date international standards for the care of patients with kidney cancer.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
ObjectType-Instructional Material/Guideline-3
content type line 23
ISSN:0302-2838
1873-7560
1421-993X
1873-7560
DOI:10.1016/j.eururo.2022.03.006