(P 133) TEN RECOMMENDATIONTS FOR SARCOMA SURGERY: CONSENSUS OF THE SURGICAL SOCIETIES BASED ON THE GERMAN S3 GUIDELINE "ADULT SOFT TISSUE SARCOMA"

Location: The Liffey, Level 1

Author(s)

Jens Jakob, MD (he/him/his)

Prof.,
University Medical Center Mannheim, University of Heidelberg
Mannheim, Baden-Wurttemberg, Germany

Co-Author(s)

Dimosthenis Andreou, MD

Division Chair Orthopaedic Oncology
Medical University of Graz
Graz, Steiermark, Austria
Jens Bedke, MD

Senior Leading Physician
Klinikum Stuttgart
Stuttgart, Baden-Wurttemberg, Germany
DD

Dominik Denschlag, MD

Hochtaunus Klinik
Bad Homburg v.d.H, Hessen, Germany
HD

Hans Roland Dürr, MD

Orthopaedic Oncology, Department of Orthopaedics and Trauma Surgery, University Hospital, Ludwig-Maximilians-University (LMU) Munich, Germany
Munich, Bayern, Germany
TG

Thomas Gösling, MD

Klinikum Braunschweig
Braunschweig, Niedersachsen, Germany
TG

Thomas Graeter, MD

SLK-Lungenklinik Lowenstein
Loewenstein, Baden-Wurttemberg, Germany
VG

Viktor Grünwald, MD (he/him/his)

Endowed Professorship for GU Oncology
University Hospital Essen
Essen, Nordrhein-Westfalen, Germany
RG

Robert Grützmann, MD

Department of General and Visceral Surgery, University Hospital, Friedrich-Alexander- University Erlangen-Nuremberg, 91054 Erlangen, Germany
Erlangen, Bayern, Germany
jH

jürgen Hoffmann, MD

University Hospital Heidelberg
Heidelberg, Baden-Wurttemberg, Germany
IJ

Ingolf Juhazs-Boess, MD

University Hospital Freiburg
Freiburg, Baden-Wurttemberg, Germany
Bernd Kasper, MD, PhD (he/him/his)

Professor
University of Heidelberg, Mannheim University Medical Center
Mannheim, Baden-Wurttemberg, Germany
VK

Vlada Kogosov, PhD

Comprehensiv Cancer Center Lower Saxony
Göttingen, Niedersachsen, Germany
WK

Wolfram Trudo Knoefel, MD

University Hospital Duesseldorf
Düsseldorf, Nordrhein-Westfalen, Germany
BL

Burkhard Lehner, MD

University Hospital Heidelberg
Heidelberg, Baden-Wurttemberg, Germany
ML

Marcus Lehnhardt, MD

BG University Hospital Bergmannsheil
Bochum, Nordrhein-Westfalen, Germany
Lars H. Lindner, MD

Head Sarcoma Medical Oncology
Department of Medicine III, LMU University Hospital, LMU Munich
Munich, Bayern, Germany
CM

Cordula Matthies, MD

University Hospital Wuerzburg
Würzburg, Bayern, Germany
JS

Jalid Sehouli, MD

Charité
Berlin, Berlin, Germany
SU

Selma Ugurel, MD

University Hospital Essen
Essen, Nordrhein-Westfalen, Germany
PH

Peter Hohenberger, N/A, n/a

Sarcoma Unit, Department of Surgery and Mannheim Cancer Center, University Medical Center Mannheim, University of Heidelberg, Mannheim,Germany
Mannheim, Baden-Wurttemberg, Germany

Objective: Surgeons of any specialty are often the first point of contact for sarcoma patients. Due to limited experience and knowledge of the existing guidelines, the initial diagnosis and therapy are error-prone in many cases. We selected the TOP TEN recommendations of sarcoma surgery for surgeons by surgeons in a Delphi process to improve the distribution of the guideline "Adult Soft Tissue Sarcomas" (AWMF Registry No. 032/044OL).

Methods: A Delphi process was applied. The Delegates from the surgical societies that were involved in the guideline process selected the 15 recommendations that were most important to them. Votes for similar recommendations were added together. From the resulting ranking, the 10 recommendations with the most votes were selected and confirmed by consensus in the next step.

Results: The statement "Resection of primary soft tissue sarcomas of the extremities should be performed as a wide resection. The goal is an R0 resection" was selected as the most important term. The next highest ranked recommendations were the need for a preoperative biopsy, performing preoperative MRI imaging with contrast, and discussing all cases before surgery in a multidisciplinary sarcoma committee.

Conclusion: The development and adoption of the evidence-based guideline "adult soft tissue sarcomas" was a milestone in SArcoma therapy in Germany. The present project with a selection of a "TOP TEN" list of recommendations for primary care physicians by the delegates of their own societies serves the dissemination of the most important recommendations of the guideline.