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ACR Appropriateness criteria® for nasopharyngeal carcinoma
Author(s) -
Saba Nabil F.,
Salama Joseph K.,
Beitler Jonathan J.,
Busse Paul M.,
Cooper Jay S.,
Jones Christopher U.,
Koyfman Shlomo,
Quon Harry,
Ridge John A.,
Siddiqui Farzan,
Worden Francis,
Yao Min,
Yom Sue S.
Publication year - 2016
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24423
Subject(s) - nasopharyngeal carcinoma , medicine , appropriate use criteria , guideline , appropriateness criteria , delphi method , expert opinion , multidisciplinary approach , medical physics , radiation therapy , head and neck , head and neck cancer , intensive care medicine , disease , delphi , medical literature , radiology , surgery , pathology , social science , statistics , mathematics , sociology , computer science , operating system
Background Nasopharyngeal carcinoma (NPC) presents mostly with locally advanced disease and is treated with multimodal therapy; however, consensus is lacking for different clinical scenarios. Methods The American College of Radiology (ACR) Appropriateness Criteria® are evidence‐based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer‐reviewed journals and the application of a well‐established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. Results The ACR Expert Panel on Radiation Oncology – Head and Neck Cancer developed consensus recommendations for guiding management of nasopharyngeal carcinoma. Conclusion Multidisciplinary evaluation is essential to guiding the optimal use of surgery, radiation, and systemic therapy in this disease. © 2015 Wiley Periodicals, Inc. Head Neck 38: 979–986, 2016