Improving the TNM classification: Findings from a 10-year continuous literature review
Improving the TNM classification: Findings from a 10-year continuous literature review
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DOI：
10.1002/ijc.28683
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发表时间：
2014-07-15
影响因子：
6.4
通讯作者：
Groome, Patti A.
中科院分区：
文献类型：
--
作者：
Webber, Colleen;Gospodarowicz, Mary;Groome, Patti A.
国际癌症控制联盟（UICC）TNM分类是全球公认的描述恶性肿瘤解剖范围的系统。自七十年前发展以来，TNM分类经历了重大修订，以反映当前对疾病程度及其在预后中的作用的理解。为了确保修订以证据为基础，UICC实施了一个持续改进TNM分类的流程，其中包括直接向UICC提交修订建议的正式系统，以及对评估，批评或提出修改建议的分期科学文献进行年度审查。这一过程包括由一组国际多学科专家小组审查提案和文献。该过程已经实施了10年，并为2009年出版的第7版TNM分类的发展提供了信息。本文旨在描述年度文献综述过程，包括检索策略、文献选择过程以及专家组在文献综述中的作用和要求。自2002年以来，11个癌症研究中心的147名专家小组成员审查了770多篇文章。介绍了年度文献综述的结果、专家小组的反馈以及结果的记录和传播。国际癌症控制联盟的TNM分类经历定期修订，以纳入疾病的解剖程度及其与患者管理和预后的关系的当前知识。本文描述了2002年实施的年度文献综述过程的结果，以告知分类的修订。从那时起，已经审查了770多篇文章，随着时间的推移，审查的文章数量不断增加，反映了对癌症分期和癌症诊断新发展的研究兴趣日益增长。该报告表明，文献综述过程增强了TNM分类的最新变化。
The Union for International Cancer Control's (UICC) TNM classification is a globally accepted system to describe the anatomic extent of malignant tumors. Since its development seventy years ago, the TNM classification has undergone significant revisions to reflect the current understanding of extent of disease and its role in prognosis. To ensure that revisions are evidence-based, the UICC implemented a process for continuous improvement of the TNM classification that included a formalized system for submitting proposals for revisions directly to the UICC and an annual review of the scientific literature on staging that assessed, criticized or made suggestions for changes. The process involves review of the proposals and literature by a group of international, multidisciplinary Expert Panels. The process has been in place for 10 years and informed the development of the 7th edition of the TNM classification published in 2009. The purpose of this article is to provide a description of the annual literature review process, including the search strategy, article selection process and the roles and requirements of the Expert Panels in the review of the literature. Since 2002, 147 Expert Panel members in 11 cancer sites have reviewed over 770 articles. The results of the annual literature reviews, Expert Panel feedback and documentation and dissemination of results are described.What's new? The Union for International Cancer Control's TNM classification undergoes periodic revisions to incorporate current knowledge of anatomic extent of disease and its relationship with patient management and prognosis. This article describes the results of an annual literature review process that was implemented in 2002 to inform revisions to the classification. Since that time, more than 770 articles have been reviewed, with the number of articles reviewed increasing over time, reflecting growing research interest in cancer staging and new developments in cancer diagnosis. The report suggests that the literature review process has enhanced recent changes to the TNM classification.