Manejo Multidisciplinario del Adenocarcinoma de Páncreas: Guía de Práctica Clínica AUNA
DOI:
https://doi.org/10.35434/rcmhnaaa.2022.15Supl.%201.1518Palabras clave:
Cáncer de páncreas, Guía de práctica clínica, Diagnóstico, Obstrucción del conducto biliar, QuimioterapiaResumen
Introducción: Este artículo brinda recomendaciones para el Manejo Multidisciplinario del Adenocarcinoma de Páncreas en la RED AUNA. Métodos: Se desarrolló una búsqueda sistemática de guías de práctica clínica (GPC) similares al tópico de interés, se valoró con el instrumento AGREE II, se elaboró un listado de preguntas bajo la estructura PICO, se realizó una búsqueda de novo priorizando revisiones sistemáticas con o sin meta-análisis, seguida de estudios primarios, la elaboración de las tablas de evidencia y la evaluación de la calidad global para los desenlaces de las preguntas clínicas se realizó siguiendo la metodología GRADE. Resultados: Se formularon 5 preguntas PICO correspondientes al manejo inicial y manejo sistémico con 18 recomendaciones respecto al método más efectivo para el diagnóstico patológico, el drenaje biliar y el tratamiento sistémico más efectivo y seguro en el escenario neoadyuvante, adyuvante y metastásico. Conclusiones: El presente artículo resume la metodología y las recomendaciones basadas en evidencia de la GPC para el manejo multidisciplinario del Adenocarcinoma de páncreas de la Red de Clínicas AUNA.
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Derechos de autor 2022 Paola Montenegro Beltrán, Fernando Hurtado de Mendoza, Fernando Suazo Casanova, Víctor Castro Oliden, Cristian Pacheco Román, Connie Rabanal Carretero, Frank Young Tabusso, Carlos Luque Vásquez, Javier Targarona Módena, Gustavo Sarria Bardales, Bernardo Jesús Vizcarra Ladrón de Guevara, Alberto Lachos Dávila, David Martínez Pérez, Christian Rau Vargas, Richard Dyer Velarde-Alvarez, Pamela Mora Alferez, Diana Lau Manrique, Carlos Ramos Morante, Fernando Palacios Salas, Bruno Li Salvatierra, Jorge Guerrero Gil, Edgar Yana Pari, Juan Carlos Arapa García, Álvaro Carrillo Díaz, Ana María Posada Arango, Deysi Tarazona López, Mariana Serrano Cardoso, Virgilio Efraín Failoc Rojas, Karina Aliaga Llerena, Leydi Laura Pérez Tazzo, Fradis Gil-Olivares, Johanny Fidela de Fátima Muro Cieza, Germán Calderillo Ruiz, Jorge León Chong
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.