Actualización de las indicaciones del uso de la radioterapia de intensidad modulada en el Instituto Nacional de Cancerología. Protocolo clínico informado en la evidencia
DOI:
https://doi.org/10.35509/01239015.59Palabras clave:
Protocolos clínicos, Neoplasias, Radioterapia de intensidad moduladaResumen
Antecedentes: La radioterapia de intensidad modulada (IMRT) es una técnica avanzada que se usa ampliamente a nivel mundial; sin embargo, su uso adecuado en nuestro país requiere ser revisado.
Objetivo: Actualizar un protocolo clínico (PC) basado en evidencia que contiene las indicaciones clínicas para la utilización de la técnica IMRT en el tratamiento de las patologías oncológicas tratadas más frecuentemente en el servicio de oncología radioterápica del Instituto Nacional de Cancerología (INC) – Colombia.
Métodos: La elaboración de este documento fue realizada por un equipo multidisciplinario empleando un manual nacional para el desarrollo de PC. Se realizó una búsqueda sistemática de la literatura, seguido por la selección de los artículos relevantes y su evaluación utilizando las herramientas apropiadas. La evidencia fue resumida, contextualizada y empleada para generar las recomendaciones mediante un consenso formal tipo RAND/UCLA.
Resultados: Se generaron indicaciones para el uso de la IMRT en pacientes con alguno de los siguientes tipos de cáncer: próstata y pene, cabeza y cuello, piel, sistema nervioso central, mama, sarcomas de tejidos blandos, pulmón, gastrointestinal, ginecológico y urgencias oncológicas.
Conclusiones: En el periodo 2014 a 2017 ha surgido escasa evidencia sobre el impacto de la IMRT en desenlaces relacionados con la supervivencia y la calidad de vida y por tanto el uso de la IMRT sigue siendo en pacientes seleccionados.
Biografía del autor/a
Rosalba Ospino, Instituto Nacional de Cancerología - ESE
Grupo Área Oncología Radioterápica, Instituto Nacional de Cancerología - ESE, Bogotá, D. C., Colombia
María Teresa Vallejo, Instituto Nacional de Cancerología - ESE
Grupo de Investigación Clínica, Instituto Nacional de Cancerología - ESE, Bogotá, D. C., Colombia
John Edwin Feliciano-Alfonso, Instituto Nacional de Cancerología - ESE
Grupo de Investigación Clínica, Instituto Nacional de Cancerología - ESE, Bogotá, D. C., Colombia
Giovanna Andrea Gómez, Instituto Nacional de Cancerología - ESE
Grupo de Investigación Clínica, Instituto Nacional de Cancerología - ESE, Bogotá, D. C., Colombia
Garvin González, Instituto Nacional de Cancerología - ESE
Grupo Área Oncología Radioterápica, Instituto Nacional de Cancerología - ESE, Bogotá, D. C., Colombia
Holman Duvan Ballesteros, Instituto Nacional de Cancerología - ESE
Grupo Área Oncología Radioterápica, Instituto Nacional de Cancerología - ESE, Bogotá, D. C., Colombia
Paola Andrea Triviño, Instituto Nacional de Cancerología - ESE
Grupo de Investigación Clínica, Instituto Nacional de Cancerología - ESE, Bogotá, D. C., Colombia
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