Guidelines for the Treatment of Laryngeal Cancer from the Korean Society of Head and Neck Surgery.

IF 2.9 3区医学 Q1 OTORHINOLARYNGOLOGY

Clinical and Experimental Otorhinolaryngology Pub Date : 2025-05-01 Epub Date: 2025-04-08 DOI:10.21053/ceo.2025.00009

Jeon Yeob Jang, Geun-Jeon Kim, Sang-Yeon Kim, Min-Su Kim, Dong Kun Lee, Minsu Kwon, Dongbin Ahn, Myung Jin Ban, Young Kang, Ho-Ryun Won, Jae Won Chang, Dong Won Lee, Ki Nam Park, Yeon Soo Kim, Ah Ra Jung, Jungirl Seok, Hye Ran Lee, Sung-Chan Shin, Chang Myeon Song, Gil Joon Lee, Jihye Kwak, Soo Yeon Jung, Bo Hae Kim, Dong-Hyun Lee, Nayeon Choi, Eun Kyung Jung, Yong Tae Hong, Hyun-Bum Kim, Seung Hoon Han, Su Il Kim, Ji Won Kim, Yoon-Jong Ryu, Heejin Kim, Sung Joon Park, Hanaro Park, Eun-Jae Chung, Seung-Kuk Baek, Jun-Ook Park, Kwang-Jae Cho

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引用次数: 0

Abstract

Objectives: Effective treatment of laryngeal cancer requires clinical decision-making that balances survival outcomes with the preservation of essential functions, such as voice and swallowing. This study, led by the Clinical Practice Guideline Committee of the Korean Society of Head and Neck Surgery, aims to establish evidence-based recommendations to guide surgeons in optimizing treatment decisions for patients with laryngeal cancer.

Methods: A literature search was performed in the PubMed, Embase, Cochrane Library, and KoreaMed databases by a literature search expert and subsequently reviewed by a panel of 39 committee experts. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) method was employed to assess the quality of evidence and develop and report the recommendations. The strength of each recommendation reflects the guideline panel's confidence that the benefits of an intervention outweigh its risks for the target population. After drafting the guidelines, Delphi questionnaires were distributed to members of the Korean Society of Head and Neck Surgery and an external reviewer panel.

Results: In total, 15 evidence-based recommendations are provided, addressing six critical aspects of laryngeal cancer treatment: early-stage treatment, treatment of locally advanced cancer, neck management, adjuvant therapy, swallowing rehabilitation, and salvage treatment for recurrent tumors.

Conclusion: The guidelines provide evidence-based, validated recommendations to support clinicians in making optimal treatment decisions for laryngeal cancer.

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韩国头颈外科学会喉癌治疗指南。

目的：喉癌的治疗需要临床决策，以平衡生存结果与保留基本功能，如声音和吞咽。该研究由韩国头颈外科学会临床实践指南委员会领导，旨在建立循证建议，从外科医生的角度指导喉癌患者的最佳治疗决策。方法：由文献检索专家在PubMed、Embase、Cochrane Library和KoreaMed数据库中进行文献检索，并由委员会39名专家组成的小组进行评审。建议、评估、发展和评价分级（GRADE）方法用于评估证据的质量，并制定和报告建议。建议的强度表明指南小组相信干预措施对目标人群的益处大于其风险。在起草指南后，德尔福问卷被分发给韩国头颈外科学会的成员和外部评审小组。结果：针对喉癌早期治疗、局部晚期治疗、颈部管理、辅助治疗、吞咽康复、复发肿瘤抢救治疗等6个基本方面，提出了15条循证建议。结论：该指南提供了循证、有效的建议，以支持临床医生做出最佳的喉癌治疗决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Otorhinolaryngology 医学-耳鼻喉科学

CiteScore

4.90

自引率

6.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Clinical and Experimental Otorhinolaryngology (Clin Exp Otorhinolaryngol, CEO) is an international peer-reviewed journal on recent developments in diagnosis and treatment of otorhinolaryngology-head and neck surgery and dedicated to the advancement of patient care in ear, nose, throat, head, and neck disorders. This journal publishes original articles relating to both clinical and basic researches, reviews, and clinical trials, encompassing the whole topics of otorhinolaryngology-head and neck surgery. CEO was first issued in 2008 and this journal is published in English four times (the last day of February, May, August, and November) per year by the Korean Society of Otorhinolaryngology-Head and Neck Surgery. The Journal aims at publishing evidence-based, scientifically written articles from different disciplines of otorhinolaryngology field. The readership contains clinical/basic research into current practice in otorhinolaryngology, audiology, speech pathology, head and neck oncology, plastic and reconstructive surgery. The readers are otolaryngologists, head and neck surgeons and oncologists, audiologists, and speech pathologists.