Bulletin de synthèse de veille 2006: Standards, options et recommandations. Prise en charge des patients atteints de carcinome de site primitif inconnu

Context: The validity of clinical practice guidelines is based on their regular update as well as the quality of the initial guideline development process. The Standards, options and recommendations (SOR) of the French National Federation of Comprehensive Cancer Centres (FNCLCC), therefore, has implemented a literature monitoring process. Objectives: To identify new data that will likely modify the recommendations set forth in Standards, Options and Recommendations in the Management of Patients with Carcinoma of Unknown Primary Site (2002), evaluate the data's impact and inform potential users of its validity. Methods: The monitoring process consists of 3 main steps taken in collaboration with experts: data collection; data selection and classification; and data analysis. Results. Using this monitoring process, we identified the need for an update of the recommendations for treating the cervical metastases of an epidermoid carcinoma. All other recommendations in the initial document remain valid (explicit and transparent expert determination).