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).
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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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