Gender oncology: recommendations and consensus of the Italian Association of Medical Oncology (AIOM). in ESMO open / ESMO Open. 2024 Feb;9(2):102243. doi: 10.1016/j.esmoop.2024.102243. Epub 2024 Feb 23.
2024
AOU Città della Salute di Torino
Tipo pubblicazione
Journal Article
Autori/Collaboratori (13)Vedi tutti...
Papa R
Quality, Risk Management and Health Technology Innovation Unit, Department of Staff, AOU Marche, Ancona.
Appetecchia M
Oncological Endocrinology Unit, IRCCS Regina Elena National Cancer Institute, Rome.
Baggio G
President of the Italian Research Center for Gender Health and Medicine, Chair of Gender Medicine 2012-2017, University of Padua, Padua.
et alii...
Abstract
BACKGROUND: Following the development of gender medicine in the past 20 years, more recently in the field of oncology an increasing amount of evidence suggests gender differences in the epidemiology of cancers, as well as in the response and toxicity associated with therapies. In a gender approach, critical issues related to sexual and gender minority (SGM) populations must also be considered. MATERIALS AND METHODS: A working group of opinion leaders approved by the Italian Association of Medical Oncology (AIOM) has been set up with the aim of drafting a shared document on gender oncology. Through the 'consensus conference' method of the RAND/University of California Los Angeles (UCLA) variant, the members of the group evaluated statements partly from the scientific literature and partly produced by the experts themselves [good practice points (GPPs)], on the following topics: (i) Healthcare organisation, (ii) Therapy, (iii) Host factors, (iv) Cancer biology, and (v) Communication and social interventions. Finally, in support of each specific topic, they considered it appropriate to present some successful case studies. RESULTS: A total of 42 articles met the inclusion criteria, from which 50 recommendations were extracted. Panel participants were given the opportunity to propose additional evidence from studies not included in the research results, from which 32 statements were extracted, and to make recommendations not derived from literature such as GPPs, four of which have been developed. After an evaluation of relevance by the panel, it was found that 81 recommendations scored >7, while 3 scored between 4 and 6.9, and 2 scored below 4. CONCLUSIONS: This consensus and the document compiled thereafter represent an attempt to evaluate the available scientific evidence on the theme of gender oncology and to suggest standard criteria both for scientific research and for the care of patients in clinical practice that should take gender into account.
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PMID : 38394984
DOI : 10.1016/j.esmoop.2024.102243
Keywords
Italy/epidemiology; anticancer therapies; cancer; epidemiology; gender oncology; Medical Oncology; outcome and toxicity; Neoplasms/epidemiology/therapy; Humans;