Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines.
Identifieur interne : 001978 ( Main/Merge ); précédent : 001977; suivant : 001979Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines.
Auteurs : Sumit Gupta [Canada] ; Joanne F. Aitken [Australie] ; Ute Bartels [Canada] ; James Brierley [Canada] ; Mae Dolendo [Philippines] ; Paola Friedrich [États-Unis] ; Soad Fuentes-Alabi [Salvador] ; Claudia P. Garrido [Guatemala] ; Gemma Gatta [Italie] ; Mary Gospodarowicz [Canada] ; Thomas Gross [États-Unis] ; Scott C. Howard [États-Unis] ; Elizabeth Molyneux [Malawi] ; Florencia Moreno [Argentine] ; Jason D. Pole [Canada] ; Kathy Pritchard-Jones [Royaume-Uni] ; Oscar Ramirez [Colombie] ; Lynn A G. Ries [États-Unis] ; Carlos Rodriguez-Galindo [États-Unis] ; Hee Young Shin [Corée du Sud] ; Eva Steliarova-Foucher [France] ; Lillian Sung [Canada] ; Eddy Supriyadi [Indonésie] ; Rajaraman Swaminathan [Inde] ; Julie Torode [Suisse] ; Tushar Vora [Inde] ; Tezer Kutluk [Suisse] ; A Lindsay Frazier [États-Unis]Source :
- The Lancet. Oncology [ 1474-5488 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Tumeurs.
- épidémiologie : Tumeurs.
- Adulte, Canada, Enfant, Enregistrements, Humains, Pédiatrie, Recommandations comme sujet, Stade de la tumeur.
English descriptors
- KwdEn :
- MESH :
- classification : Pediatrics.
- epidemiology : Neoplasms.
- pathology : Neoplasms.
- Adult, Canada, Child, Guidelines as Topic, Humans, Neoplasm Staging, Registries.
Abstract
Population-based cancer registries generate estimates of incidence and survival that are essential for cancer surveillance, research, and control strategies. Although data on cancer stage allow meaningful assessments of changes in cancer incidence and outcomes, stage is not recorded by most population-based cancer registries. The main method of staging adult cancers is the TNM classification. The criteria for staging paediatric cancers, however, vary by diagnosis, have evolved over time, and sometimes vary by cooperative trial group. Consistency in the collection of staging data has therefore been challenging for population-based cancer registries. We assembled key experts and stakeholders (oncologists, cancer registrars, epidemiologists) and used a modified Delphi approach to establish principles for paediatric cancer stage collection. In this Review, we make recommendations on which staging systems should be adopted by population-based cancer registries for the major childhood cancers, including adaptations for low-income countries. Wide adoption of these guidelines in registries will ease international comparative incidence and outcome studies.
DOI: 10.1016/S1470-2045(15)00539-2
PubMed: 27300676
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pubmed:27300676Le document en format XML
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<author><name sortKey="Garrido, Claudia P" sort="Garrido, Claudia P" uniqKey="Garrido C" first="Claudia P" last="Garrido">Claudia P. Garrido</name>
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<author><name sortKey="Gatta, Gemma" sort="Gatta, Gemma" uniqKey="Gatta G" first="Gemma" last="Gatta">Gemma Gatta</name>
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<author><name sortKey="Gospodarowicz, Mary" sort="Gospodarowicz, Mary" uniqKey="Gospodarowicz M" first="Mary" last="Gospodarowicz">Mary Gospodarowicz</name>
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<author><name sortKey="Gross, Thomas" sort="Gross, Thomas" uniqKey="Gross T" first="Thomas" last="Gross">Thomas Gross</name>
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<author><name sortKey="Howard, Scott C" sort="Howard, Scott C" uniqKey="Howard S" first="Scott C" last="Howard">Scott C. Howard</name>
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<wicri:regionArea>University of Memphis, Memphis, TN</wicri:regionArea>
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<author><name sortKey="Pole, Jason D" sort="Pole, Jason D" uniqKey="Pole J" first="Jason D" last="Pole">Jason D. Pole</name>
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<author><name sortKey="Pritchard Jones, Kathy" sort="Pritchard Jones, Kathy" uniqKey="Pritchard Jones K" first="Kathy" last="Pritchard-Jones">Kathy Pritchard-Jones</name>
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<author><name sortKey="Ramirez, Oscar" sort="Ramirez, Oscar" uniqKey="Ramirez O" first="Oscar" last="Ramirez">Oscar Ramirez</name>
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<author><name sortKey="Ries, Lynn A G" sort="Ries, Lynn A G" uniqKey="Ries L" first="Lynn A G" last="Ries">Lynn A G. Ries</name>
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<wicri:regionArea>SEER Program, National Cancer Institute, Bethesda, MD</wicri:regionArea>
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</placeName>
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<author><name sortKey="Rodriguez Galindo, Carlos" sort="Rodriguez Galindo, Carlos" uniqKey="Rodriguez Galindo C" first="Carlos" last="Rodriguez-Galindo">Carlos Rodriguez-Galindo</name>
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<country xml:lang="fr">Corée du Sud</country>
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</placeName>
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<author><name sortKey="Steliarova Foucher, Eva" sort="Steliarova Foucher, Eva" uniqKey="Steliarova Foucher E" first="Eva" last="Steliarova-Foucher">Eva Steliarova-Foucher</name>
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<author><name sortKey="Sung, Lillian" sort="Sung, Lillian" uniqKey="Sung L" first="Lillian" last="Sung">Lillian Sung</name>
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<country xml:lang="fr">Canada</country>
<wicri:regionArea>Division of Haematology/Oncology, Hospital for Sick Children, Toronto, ON, Canada; Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
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</placeName>
</affiliation>
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<author><name sortKey="Supriyadi, Eddy" sort="Supriyadi, Eddy" uniqKey="Supriyadi E" first="Eddy" last="Supriyadi">Eddy Supriyadi</name>
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<country xml:lang="fr">Indonésie</country>
<wicri:regionArea>Pediatric Hematology Oncology Division, Department of Pediatrics, Dr Sardjito Hospital, Gadjah Mada University, Yogyakarta</wicri:regionArea>
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</affiliation>
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<author><name sortKey="Swaminathan, Rajaraman" sort="Swaminathan, Rajaraman" uniqKey="Swaminathan R" first="Rajaraman" last="Swaminathan">Rajaraman Swaminathan</name>
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<country xml:lang="fr">Inde</country>
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<author><name sortKey="Torode, Julie" sort="Torode, Julie" uniqKey="Torode J" first="Julie" last="Torode">Julie Torode</name>
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<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Union for International Cancer Control, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
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<author><name sortKey="Vora, Tushar" sort="Vora, Tushar" uniqKey="Vora T" first="Tushar" last="Vora">Tushar Vora</name>
<affiliation wicri:level="1"><nlm:affiliation>Tata Memorial Hospital, Parel, Mumbai, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Tata Memorial Hospital, Parel, Mumbai</wicri:regionArea>
<wicri:noRegion>Mumbai</wicri:noRegion>
</affiliation>
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<author><name sortKey="Kutluk, Tezer" sort="Kutluk, Tezer" uniqKey="Kutluk T" first="Tezer" last="Kutluk">Tezer Kutluk</name>
<affiliation wicri:level="1"><nlm:affiliation>Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Union for International Cancer Control, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Frazier, A Lindsay" sort="Frazier, A Lindsay" uniqKey="Frazier A" first="A Lindsay" last="Frazier">A Lindsay Frazier</name>
<affiliation wicri:level="2"><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines.</title>
<author><name sortKey="Gupta, Sumit" sort="Gupta, Sumit" uniqKey="Gupta S" first="Sumit" last="Gupta">Sumit Gupta</name>
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<author><name sortKey="Aitken, Joanne F" sort="Aitken, Joanne F" uniqKey="Aitken J" first="Joanne F" last="Aitken">Joanne F. Aitken</name>
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<country xml:lang="fr">Australie</country>
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<author><name sortKey="Bartels, Ute" sort="Bartels, Ute" uniqKey="Bartels U" first="Ute" last="Bartels">Ute Bartels</name>
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<country xml:lang="fr">Canada</country>
<wicri:regionArea>Division of Haematology/Oncology, Hospital for Sick Children, Toronto, ON, Canada; Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON</wicri:regionArea>
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</placeName>
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<author><name sortKey="Brierley, James" sort="Brierley, James" uniqKey="Brierley J" first="James" last="Brierley">James Brierley</name>
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<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Radiation Oncology, Princess Margaret Hospital, Toronto, ON</wicri:regionArea>
<wicri:noRegion>ON</wicri:noRegion>
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<author><name sortKey="Dolendo, Mae" sort="Dolendo, Mae" uniqKey="Dolendo M" first="Mae" last="Dolendo">Mae Dolendo</name>
<affiliation wicri:level="1"><nlm:affiliation>Southern Philippines Medical Center, Bajada, Davao City, Philippines.</nlm:affiliation>
<country xml:lang="fr">Philippines</country>
<wicri:regionArea>Southern Philippines Medical Center, Bajada, Davao City</wicri:regionArea>
<wicri:noRegion>Davao City</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Friedrich, Paola" sort="Friedrich, Paola" uniqKey="Friedrich P" first="Paola" last="Friedrich">Paola Friedrich</name>
<affiliation wicri:level="2"><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fuentes Alabi, Soad" sort="Fuentes Alabi, Soad" uniqKey="Fuentes Alabi S" first="Soad" last="Fuentes-Alabi">Soad Fuentes-Alabi</name>
<affiliation wicri:level="1"><nlm:affiliation>Hospital Nacional de Ninos Benjamin Bloom, San Salvador, El Salvador.</nlm:affiliation>
<country xml:lang="fr">Salvador</country>
<wicri:regionArea>Hospital Nacional de Ninos Benjamin Bloom, San Salvador</wicri:regionArea>
<wicri:noRegion>San Salvador</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Garrido, Claudia P" sort="Garrido, Claudia P" uniqKey="Garrido C" first="Claudia P" last="Garrido">Claudia P. Garrido</name>
<affiliation wicri:level="1"><nlm:affiliation>Unidad Nacional de Oncologia Pediatrica, Guatemala City, Guatemala.</nlm:affiliation>
<country xml:lang="fr">Guatemala</country>
<wicri:regionArea>Unidad Nacional de Oncologia Pediatrica, Guatemala City</wicri:regionArea>
<wicri:noRegion>Guatemala City</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gatta, Gemma" sort="Gatta, Gemma" uniqKey="Gatta G" first="Gemma" last="Gatta">Gemma Gatta</name>
<affiliation wicri:level="3"><nlm:affiliation>Evaluative Epidemiology Unit, Fondazione IRCSS Instituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Evaluative Epidemiology Unit, Fondazione IRCSS Instituto Nazionale dei Tumori, Milan</wicri:regionArea>
<placeName><settlement type="city">Milan</settlement>
<region nuts="2">Lombardie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gospodarowicz, Mary" sort="Gospodarowicz, Mary" uniqKey="Gospodarowicz M" first="Mary" last="Gospodarowicz">Mary Gospodarowicz</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Princess Margaret Hospital, Toronto, ON, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Radiation Oncology, Princess Margaret Hospital, Toronto, ON</wicri:regionArea>
<wicri:noRegion>ON</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gross, Thomas" sort="Gross, Thomas" uniqKey="Gross T" first="Thomas" last="Gross">Thomas Gross</name>
<affiliation wicri:level="2"><nlm:affiliation>Center for Global Health, National Cancer Institute, Bethesda, MD, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Global Health, National Cancer Institute, Bethesda, MD</wicri:regionArea>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Howard, Scott C" sort="Howard, Scott C" uniqKey="Howard S" first="Scott C" last="Howard">Scott C. Howard</name>
<affiliation wicri:level="2"><nlm:affiliation>University of Memphis, Memphis, TN, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Memphis, Memphis, TN</wicri:regionArea>
<placeName><region type="state">Tennessee</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Molyneux, Elizabeth" sort="Molyneux, Elizabeth" uniqKey="Molyneux E" first="Elizabeth" last="Molyneux">Elizabeth Molyneux</name>
<affiliation wicri:level="1"><nlm:affiliation>College of Medicine, Blantyre, Malawi.</nlm:affiliation>
<country xml:lang="fr">Malawi</country>
<wicri:regionArea>College of Medicine, Blantyre</wicri:regionArea>
<wicri:noRegion>Blantyre</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Moreno, Florencia" sort="Moreno, Florencia" uniqKey="Moreno F" first="Florencia" last="Moreno">Florencia Moreno</name>
<affiliation wicri:level="1"><nlm:affiliation>Argentinian Oncopediatric Registry (ROHA), National Cancer Institute, Buenos Aires, Argentina.</nlm:affiliation>
<country xml:lang="fr">Argentine</country>
<wicri:regionArea>Argentinian Oncopediatric Registry (ROHA), National Cancer Institute, Buenos Aires</wicri:regionArea>
<wicri:noRegion>Buenos Aires</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pole, Jason D" sort="Pole, Jason D" uniqKey="Pole J" first="Jason D" last="Pole">Jason D. Pole</name>
<affiliation wicri:level="1"><nlm:affiliation>Pediatric Oncology Group of Ontario, Toronto, ON, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Pediatric Oncology Group of Ontario, Toronto, ON</wicri:regionArea>
<wicri:noRegion>ON</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pritchard Jones, Kathy" sort="Pritchard Jones, Kathy" uniqKey="Pritchard Jones K" first="Kathy" last="Pritchard-Jones">Kathy Pritchard-Jones</name>
<affiliation wicri:level="4"><nlm:affiliation>Institute of Child Health, University College London, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Institute of Child Health, University College London, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
<settlement type="city">Londres</settlement>
</placeName>
<orgName type="university">University College de Londres</orgName>
</affiliation>
</author>
<author><name sortKey="Ramirez, Oscar" sort="Ramirez, Oscar" uniqKey="Ramirez O" first="Oscar" last="Ramirez">Oscar Ramirez</name>
<affiliation wicri:level="1"><nlm:affiliation>Registro Poblacional de Cancer de Cali, Universidad del Valle, Oficina, Cali, Valle, Colombia.</nlm:affiliation>
<country xml:lang="fr">Colombie</country>
<wicri:regionArea>Registro Poblacional de Cancer de Cali, Universidad del Valle, Oficina, Cali, Valle</wicri:regionArea>
<wicri:noRegion>Valle</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ries, Lynn A G" sort="Ries, Lynn A G" uniqKey="Ries L" first="Lynn A G" last="Ries">Lynn A G. Ries</name>
<affiliation wicri:level="2"><nlm:affiliation>SEER Program, National Cancer Institute, Bethesda, MD, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>SEER Program, National Cancer Institute, Bethesda, MD</wicri:regionArea>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rodriguez Galindo, Carlos" sort="Rodriguez Galindo, Carlos" uniqKey="Rodriguez Galindo C" first="Carlos" last="Rodriguez-Galindo">Carlos Rodriguez-Galindo</name>
<affiliation wicri:level="2"><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Shin, Hee Young" sort="Shin, Hee Young" uniqKey="Shin H" first="Hee Young" last="Shin">Hee Young Shin</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Pediatrics, Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Pediatrics, Cancer Research Institute, Seoul National University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Steliarova Foucher, Eva" sort="Steliarova Foucher, Eva" uniqKey="Steliarova Foucher E" first="Eva" last="Steliarova-Foucher">Eva Steliarova-Foucher</name>
<affiliation wicri:level="3"><nlm:affiliation>Section of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Section of Cancer Surveillance, International Agency for Research on Cancer, Lyon</wicri:regionArea>
<placeName><region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sung, Lillian" sort="Sung, Lillian" uniqKey="Sung L" first="Lillian" last="Sung">Lillian Sung</name>
<affiliation wicri:level="4"><nlm:affiliation>Division of Haematology/Oncology, Hospital for Sick Children, Toronto, ON, Canada; Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Division of Haematology/Oncology, Hospital for Sick Children, Toronto, ON, Canada; Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Supriyadi, Eddy" sort="Supriyadi, Eddy" uniqKey="Supriyadi E" first="Eddy" last="Supriyadi">Eddy Supriyadi</name>
<affiliation wicri:level="1"><nlm:affiliation>Pediatric Hematology Oncology Division, Department of Pediatrics, Dr Sardjito Hospital, Gadjah Mada University, Yogyakarta, Indonesia.</nlm:affiliation>
<country xml:lang="fr">Indonésie</country>
<wicri:regionArea>Pediatric Hematology Oncology Division, Department of Pediatrics, Dr Sardjito Hospital, Gadjah Mada University, Yogyakarta</wicri:regionArea>
<wicri:noRegion>Yogyakarta</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Swaminathan, Rajaraman" sort="Swaminathan, Rajaraman" uniqKey="Swaminathan R" first="Rajaraman" last="Swaminathan">Rajaraman Swaminathan</name>
<affiliation wicri:level="1"><nlm:affiliation>Epidemiology, Biostatistics and Cancer Registry, Cancer Institute, Chennai, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Epidemiology, Biostatistics and Cancer Registry, Cancer Institute, Chennai</wicri:regionArea>
<wicri:noRegion>Chennai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Torode, Julie" sort="Torode, Julie" uniqKey="Torode J" first="Julie" last="Torode">Julie Torode</name>
<affiliation wicri:level="1"><nlm:affiliation>Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Union for International Cancer Control, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Vora, Tushar" sort="Vora, Tushar" uniqKey="Vora T" first="Tushar" last="Vora">Tushar Vora</name>
<affiliation wicri:level="1"><nlm:affiliation>Tata Memorial Hospital, Parel, Mumbai, India.</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Tata Memorial Hospital, Parel, Mumbai</wicri:regionArea>
<wicri:noRegion>Mumbai</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kutluk, Tezer" sort="Kutluk, Tezer" uniqKey="Kutluk T" first="Tezer" last="Kutluk">Tezer Kutluk</name>
<affiliation wicri:level="1"><nlm:affiliation>Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Union for International Cancer Control, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Frazier, A Lindsay" sort="Frazier, A Lindsay" uniqKey="Frazier A" first="A Lindsay" last="Frazier">A Lindsay Frazier</name>
<affiliation wicri:level="2"><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">The Lancet. Oncology</title>
<idno type="eISSN">1474-5488</idno>
<imprint><date when="2016" type="published">2016</date>
</imprint>
</series>
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<term>Child</term>
<term>Guidelines as Topic</term>
<term>Humans</term>
<term>Neoplasm Staging</term>
<term>Neoplasms (epidemiology)</term>
<term>Neoplasms (pathology)</term>
<term>Pediatrics (classification)</term>
<term>Registries</term>
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<term>Enfant</term>
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<term>Humains</term>
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<term>Recommandations comme sujet</term>
<term>Stade de la tumeur</term>
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<term>Tumeurs (épidémiologie)</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs</term>
</keywords>
<keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Pediatrics</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Tumeurs</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Canada</term>
<term>Child</term>
<term>Guidelines as Topic</term>
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<term>Enfant</term>
<term>Enregistrements</term>
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<front><div type="abstract" xml:lang="en">Population-based cancer registries generate estimates of incidence and survival that are essential for cancer surveillance, research, and control strategies. Although data on cancer stage allow meaningful assessments of changes in cancer incidence and outcomes, stage is not recorded by most population-based cancer registries. The main method of staging adult cancers is the TNM classification. The criteria for staging paediatric cancers, however, vary by diagnosis, have evolved over time, and sometimes vary by cooperative trial group. Consistency in the collection of staging data has therefore been challenging for population-based cancer registries. We assembled key experts and stakeholders (oncologists, cancer registrars, epidemiologists) and used a modified Delphi approach to establish principles for paediatric cancer stage collection. In this Review, we make recommendations on which staging systems should be adopted by population-based cancer registries for the major childhood cancers, including adaptations for low-income countries. Wide adoption of these guidelines in registries will ease international comparative incidence and outcome studies.</div>
</front>
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