Australian recommendations for the management of hepatocellular carcinoma: a consensus statement.


Journal

The Medical journal of Australia
ISSN: 1326-5377
Titre abrégé: Med J Aust
Pays: Australia
ID NLM: 0400714

Informations de publication

Date de publication:
06 2021
Historique:
revised: 28 09 2020
received: 18 05 2020
accepted: 02 10 2020
pubmed: 15 12 2020
medline: 17 6 2021
entrez: 14 12 2020
Statut: ppublish

Résumé

Hepatocellular carcinoma (HCC) is a leading cause of cancer deaths both globally and in Australia. Surveillance for HCC in at-risk populations allows diagnosis at an early stage, when potentially curable. However, most Australians diagnosed with HCC die of the cancer or of liver disease. In the changing landscape of HCC management, unique challenges may lead to clinical practice variation. As a result, there is a need to identify best practice management of HCC in an Australian context. This consensus statement has been developed for health professionals involved in the care of adult patients with HCC in Australia. It is applicable to specialists, general medical practitioners, nurses, health coordinators and hospital administrators. This statement has been developed by specialists in hepatology, radiology, surgery, oncology, palliative care, and primary care, including medical practitioners and nurses. The statement addresses four main areas relevant to HCC management: epidemiology and incidence, diagnosis, treatment, and patient management. A modified Delphi process was used to reach consensus on 31 recommendations. Principal recommendations include the adoption of surveillance strategies, use of multidisciplinary meetings, diagnosis, treatment options and patient management. This consensus statement will simplify HCC patient management and reduce clinical variation. Ultimately, this should result in better outcomes for patients with HCC.

Identifiants

pubmed: 33314233
doi: 10.5694/mja2.50885
doi:

Types de publication

Consensus Development Conference Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

475-483

Commentaires et corrections

Type : ErratumIn
Type : CommentIn
Type : CommentIn

Informations de copyright

© 2020 AMPCo Pty Ltd.

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Auteurs

John S Lubel (JS)

Alfred Health, Melbourne, VIC.
Monash University, Melbourne, VIC.

Simone I Strasser (SI)

AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Sydney, NSW.
University of Sydney, Sydney, NSW.

Alexander J Thompson (AJ)

St Vincent's Hospital, Melbourne, VIC.

Jennifer Philip (J)

University of Melbourne, Melbourne, VIC.
Royal Melbourne Hospital, Melbourne, VIC.

Mark Goodwin (M)

Austin Hospital, Melbourne, VIC.

Stephen Clarke (S)

Royal North Shore Hospital, Sydney, NSW.

Darrell Hg Crawford (DH)

Greenslopes Private Hospital, University of Queensland, Brisbane, QLD.

Miriam T Levy (MT)

Liverpool Hospital Sydney, Sydney, NSW.

Nick Shackel (N)

University of New South Wales, Sydney, NSW.

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