Tratamiento de cáncer de pulmón metastásico (estadio IV) de célula no pequeña : consenso de expertos, Asociación Colombiana de Hematología y Oncología (ACHO).

Treatment of non-small cell metastatic lung cancer (stage IV) : expert consensus, Colombian Association of Hematology and Oncology (ACHO).

Contenido principal del artículo

Aylen Vanessa Ospina
Ricardo Brugés
Mauricio Lema
Gilberto de Lima Lopes Jr.
Rodolfo Gómez
Milton Lombana
Carlos Vargas
Ricardo Duarte
José Lobatón
Andrés Yepes
Ray Manneh
Luis Pino
Jaime González
Diego Gómez
Jesús Insuasty
Pedro Ramos
Javier Godoy
Álvaro Gómez
Carlos Alberto Castro

Resumen

Introducción: el cáncer de pulmón (CP) es la causa más frecuente de muertes por patologías oncológicas en el mundo1, reportando tasas de incidencia para ambos sexos de 23,1 casos por cada 100 mil habitantes y una mortalidad del 19,4%, según Globocan 20122. Objetivo: consensuar por común acuerdo de expertos recomendaciones para el manejo del cáncer de pulmón metastásico (estadio IV) de célula no pequeña en el contexto colombiano. Métodos: se estructuró un consenso de expertos constituido por 17 oncólogos clínicos, miembros activos de la Asociación Colombiana de Hematología y Oncología (ACHO), que laboran en las principales instituciones del país. Se llevó a cabo en cuatro fases: en la primera fase, se definieron 22 preguntas, las cuales fueron calificadas de 1 a 9; en la segunda, se reenviaron de nuevo las preguntas no consensuadas; en la tercera, se analizaron y discutieron las respuestas; y las no consensuadas fueron a una cuarta fase, donde se hizo un consenso nominal. Resultados: se evaluaron y discutieron 25 preguntas relacionadas con el tratamiento de cáncer de pulmón metastásico (estadio IV) de célula no pequeña y se concluyeron recomendaciones basadas en la mejor evidencia científica y en guías de manejo de oncología reconocidas internacionalmente adaptadas al contexto y realidad colombiana. Conclusiones: se deben considerar los tratamientos para el cáncer de pulmón avanzado según la mejor evidencia científica y la disponibilidad en Colombia, con el fin de ofrecer el mejor tratamiento al paciente. Este consenso es una herramienta para orientar la toma de decisiones clínicas y es útil como documento soporte para consultas de entes públicos y privados. Es importante mencionar que este es un texto académico-científico y no regulatorio.

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Detalles del artículo

Biografía del autor/a (VER)

Aylen Vanessa Ospina, Fundación Santa Fe de Bogotá

Médica, oncóloga clínica. ICCAL Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá.

Ricardo Brugés, Hospital Universitario San Ignacio

Médico, oncólogo clínico. Instituto Nacional de Cancerología, Hospital Universitario San Ignacio, Bogotá

Mauricio Lema, Clínica de Oncología Astorga

Médico, hematooncólogo. Clínica de Oncología Astorga, Medellín.

Gilberto de Lima Lopes Jr., University of Miami

Médico, MBA, FAMS. Director médico de programas internacionales y director asociado oncología global, Sylvester Comprehensive Cancer Center, University of Miami.

Rodolfo Gómez, IDC Las Américas

Médico, oncólogo clínico. IDC Las Américas, Medellín.

Milton Lombana, Clínica de Occidente

Médico, hematooncólogo. Clínica de Occidente, Cali.

Carlos Vargas, Clínica El Country

Médico, oncólogo clínico. Clínica El Country, Bogotá.

Ricardo Duarte, Clínica Reina Sofía

Médico, oncólogo clínico. Clínica Reina Sofía - Colsanitas, Bogotá.

José Lobatón, IMAT Oncomédica

Médico, hematooncólogo. IMAT Oncomédica, Montería.

Andrés Yepes, Clínica Vida Fundación

Médico, oncólogo clínico. Clínica Vida Fundación, Medellín

Ray Manneh, Clínica Portoazul

Médico, oncólogo clínico. Sociedad de Hematología y Oncología del Cesar - Clínica Portoazul, Valledupar, Barranquilla.

Luis Pino, Hospital Militar Central ; Hospital Universitario Fundación Santa Fe de Bogotá

Médico, hematooncólogo. Hospital Militar Central, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá.

Jaime González, Oncólogos de Occidente

Médico, hematooncólogo. Oncólogos de Occidente, Manizales, Armenia, Pereira

Diego Gómez, CAL Oncólogos

Médico, oncólogo clínico. CAL Oncólogos, Bucaramanga.

Jesús Insuasty, Hospital Universitario de Santander

Médico, oncólogo clínico. Profesor del Departamento de Medicina Interna UIS, Hospital Universitario de Santander, Bucaramanga.

Pedro Ramos, Oncocare - Sanitas EPS

Médico, oncólogo clínico. Oncocare - Sanitas EPS, Bogotá.

Javier Godoy, Clínica de Marly

Médico, hematooncólogo. Clínica de Marly, Bogotá.

Álvaro Gómez, Instituto de Oncología

Médico, hematooncólogo. Hemato Oncólogos - Instituto de Oncología, Cali.

Carlos Alberto Castro, Fundación Universitaria de Ciencias de la Salud

Médico, epidemiólogo. SIIES Consultores, Investigación y Educación en Salud, Fundación Universitaria de Ciencias de la Salud, Bogotá.

Palabras clave:

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