Brazilian network for gestational trophoblastic disease study group consensus on management of gestational trophoblastic disease

• Autor(a) principal: Braga, Antonio [UNESP]
• Data de Publicação: 2018
• Outros Autores: de Souza, Priscila Oliveira [UNESP], dos Santos Esteves, Ana Paula Vieira [UNESP], Padrón, Lilian [UNESP], Uberti, Elza [UNESP], Viggiano, Maurícío [UNESP], Sun, Sue Yazaki [UNESP], Maestá, Izildinha [UNESP], Elias, Kevin M. [UNESP], Horowitz, Neil [UNESP], Berkowitz, Ross [UNESP], Grillo, Bruno, Botogoski, Sheldon Rodrigo, Madi, José Mauro, Cardoso, Rodrigo Bernardes, Costa, Fabiana Rebelo Pereira, Filho, Antonio Chambo, Filho, Henrique Zacharias Borges, Osanan, Gabriel Costa, Gomes, Daniela Angerame Yela, Lin, Lawrence Hsu, Pitorri, Alexandre, Silveira, Eduardo, de Andrade, Jurandyr Moreira, de Sousa, Christiani Bisinoto, Fernandes, Karayna Gil, Rezende-Filho, Jorge, Junior, Joffre Amim, Cardoso, Fernanda Freitas Oliveira, Asmar, Flávia Tarabini Castellani, Pesce, Rodrigo Rocco Pires, Moraes, Valéria, Obeica, Bruna, Mora, Paulo, Gonçalves, Valéria Cristina, Itaborahy, Rejane Martins Ribeiro, Resende, Suely de Souza, dos Santos Júnior, José Arimatéa, Costa, Aurélio, Melo, Elias, Paiva, Cláudio Sérgio Medeiros, Silva, Manoel Calheiros, de Melo, Maria do Carmo Lopes, Martins, Marília da Glória, Menezes, Marina de Pádua Nogueira, Costa, Olívia Lúcia Nunes, de Amorim, Melania Maria Ramos, e Silva, João Marcos de Meneses, de Moraes, Fabio Roberto Ruiz, Brum, Ione Rodrigues, de Macedo Lins, Cynthia Dantas, da Luz, Maríla Gabriela Queiroz, da Silva, Nirce Carvalho, Silva, Rita de Cássia Alves Ferreira, Leal, Elaine Azevedo Soares
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/232748
• topic: Brazil; Gestational trophoblastic disease; Hydatidiform mole; Rare cancers

OBJECTIVE: To present the Brazilian Network for Gestational Trophoblastic Disease Study Group consensus on management of gestational trophoblastic disease (GTD). STUDY DESIGN: The modified Delphi technique was used in this study to obtain a consensus among Brazilian specialists on the treatment of GTD. For the 64 statements listed, each participant was asked to assign a Likert scale value according to their agreement. The RAND/UCLA method was used to define the level of consensus among the specialists. RESULTS: The response rate of the potential study participants after the 2 rounds was 40/47 (85%). Of the 64 statements presented, there was an agreement on 54/64 (84%). The situations of disagreement were as follows: 1/12 (8%) statements in the section on diagnosis of GTD, 5/10 (50%) statements in the section on treatment of hydatidiform mole (HM), 2/16 (12.5%) statements in the section on diagnosis of gestational trophoblastic neoplasia (GTN), 1/14 (7%) statements in the section on treatment and followup of GTN, and 1/5 (20%) statements in the section on appropriate time to allow pregnancy after HM and GTN. CONCLUSION: This guideline will serve to standardize the conduct among the Brazilian GTD reference centers as well as to guide the new specialized services that may arise and eventually to physicians who may need to treat cases of GTD.