Sarcoma Guidelines (Draft)

  1. Sarcoma Guidelines (Draft)
    1. Preamble
    2. Executive Summary
    3. Plain English Summary
    4. Clinical question 1. Does radiotherapy at a specialised sarcoma centre improve outcomes?
    5. Clinical question 2: Does surgery at a specialised sarcoma centre improve outcomes?
    6. Clinical Question 3: Does delayed surgical resection of the primary tumour impact on outcome for pelvic Ewing sarcoma?
    7. References
    8. Appendices
    9. Feedback
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Executive Summary

 

Evidence-based recommendations

Grade*

Patients with soft tissue sarcoma requiring radiotherapy to be managed through a specialised sarcoma centre to reduce local recurrence and rate of major wound complication. 

B

Patients with suspected sarcoma to be referred to a specialised sarcoma centre for surgical management to reduce the risk of local recurrence, surgical complication, and to improve limb salvage and survival.

B

Delays in surgery (alone or with postoperative radiation therapy) for localised pelvic Ewing sarcoma beyond the recommended timepoint by treatment protocol should be avoided.

C

*National Health and Medical Research Council. NHMRC levels of evidence and grades for recommendations for developers of guidelines. Canberra: NHMRC; 2009. (https://www.nhmrc.gov.au/_files_nhmrc/file/guidelines/developers/nhmrc_levels_grades_evidence_120423.pdf