Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines.
Identifieur interne : 002016 ( PubMed/Corpus ); précédent : 002015; suivant : 002017Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines.
Auteurs : Sumit Gupta ; Joanne F. Aitken ; Ute Bartels ; James Brierley ; Mae Dolendo ; Paola Friedrich ; Soad Fuentes-Alabi ; Claudia P. Garrido ; Gemma Gatta ; Mary Gospodarowicz ; Thomas Gross ; Scott C. Howard ; Elizabeth Molyneux ; Florencia Moreno ; Jason D. Pole ; Kathy Pritchard-Jones ; Oscar Ramirez ; Lynn A G. Ries ; Carlos Rodriguez-Galindo ; Hee Young Shin ; Eva Steliarova-Foucher ; Lillian Sung ; Eddy Supriyadi ; Rajaraman Swaminathan ; Julie Torode ; Tushar Vora ; Tezer Kutluk ; A Lindsay FrazierSource :
- The Lancet. Oncology [ 1474-5488 ] ; 2016.
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
Links to Exploration step
pubmed:27300676Le document en format XML
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<author><name sortKey="Gupta, Sumit" sort="Gupta, Sumit" uniqKey="Gupta S" first="Sumit" last="Gupta">Sumit Gupta</name>
<affiliation><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. Electronic address: sumit.gupta@sickkids.ca.</nlm:affiliation>
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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>
<affiliation><nlm:affiliation>Cancer Council Queensland, Fortitude Valley, Brisbane, QLD, Australia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bartels, Ute" sort="Bartels, Ute" uniqKey="Bartels U" first="Ute" last="Bartels">Ute Bartels</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Brierley, James" sort="Brierley, James" uniqKey="Brierley J" first="James" last="Brierley">James Brierley</name>
<affiliation><nlm:affiliation>Department of Radiation Oncology, Princess Margaret Hospital, Toronto, ON, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dolendo, Mae" sort="Dolendo, Mae" uniqKey="Dolendo M" first="Mae" last="Dolendo">Mae Dolendo</name>
<affiliation><nlm:affiliation>Southern Philippines Medical Center, Bajada, Davao City, Philippines.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Friedrich, Paola" sort="Friedrich, Paola" uniqKey="Friedrich P" first="Paola" last="Friedrich">Paola Friedrich</name>
<affiliation><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
</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><nlm:affiliation>Hospital Nacional de Ninos Benjamin Bloom, San Salvador, El Salvador.</nlm:affiliation>
</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><nlm:affiliation>Unidad Nacional de Oncologia Pediatrica, Guatemala City, Guatemala.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gatta, Gemma" sort="Gatta, Gemma" uniqKey="Gatta G" first="Gemma" last="Gatta">Gemma Gatta</name>
<affiliation><nlm:affiliation>Evaluative Epidemiology Unit, Fondazione IRCSS Instituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gospodarowicz, Mary" sort="Gospodarowicz, Mary" uniqKey="Gospodarowicz M" first="Mary" last="Gospodarowicz">Mary Gospodarowicz</name>
<affiliation><nlm:affiliation>Department of Radiation Oncology, Princess Margaret Hospital, Toronto, ON, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gross, Thomas" sort="Gross, Thomas" uniqKey="Gross T" first="Thomas" last="Gross">Thomas Gross</name>
<affiliation><nlm:affiliation>Center for Global Health, National Cancer Institute, Bethesda, MD, USA.</nlm:affiliation>
</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><nlm:affiliation>University of Memphis, Memphis, TN, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Molyneux, Elizabeth" sort="Molyneux, Elizabeth" uniqKey="Molyneux E" first="Elizabeth" last="Molyneux">Elizabeth Molyneux</name>
<affiliation><nlm:affiliation>College of Medicine, Blantyre, Malawi.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Moreno, Florencia" sort="Moreno, Florencia" uniqKey="Moreno F" first="Florencia" last="Moreno">Florencia Moreno</name>
<affiliation><nlm:affiliation>Argentinian Oncopediatric Registry (ROHA), National Cancer Institute, Buenos Aires, Argentina.</nlm:affiliation>
</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><nlm:affiliation>Pediatric Oncology Group of Ontario, Toronto, ON, Canada.</nlm:affiliation>
</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><nlm:affiliation>Institute of Child Health, University College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ramirez, Oscar" sort="Ramirez, Oscar" uniqKey="Ramirez O" first="Oscar" last="Ramirez">Oscar Ramirez</name>
<affiliation><nlm:affiliation>Registro Poblacional de Cancer de Cali, Universidad del Valle, Oficina, Cali, Valle, Colombia.</nlm:affiliation>
</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><nlm:affiliation>SEER Program, National Cancer Institute, Bethesda, MD, USA.</nlm:affiliation>
</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><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
</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><nlm:affiliation>Department of Pediatrics, Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.</nlm:affiliation>
</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><nlm:affiliation>Section of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sung, Lillian" sort="Sung, Lillian" uniqKey="Sung L" first="Lillian" last="Sung">Lillian Sung</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Supriyadi, Eddy" sort="Supriyadi, Eddy" uniqKey="Supriyadi E" first="Eddy" last="Supriyadi">Eddy Supriyadi</name>
<affiliation><nlm:affiliation>Pediatric Hematology Oncology Division, Department of Pediatrics, Dr Sardjito Hospital, Gadjah Mada University, Yogyakarta, Indonesia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Swaminathan, Rajaraman" sort="Swaminathan, Rajaraman" uniqKey="Swaminathan R" first="Rajaraman" last="Swaminathan">Rajaraman Swaminathan</name>
<affiliation><nlm:affiliation>Epidemiology, Biostatistics and Cancer Registry, Cancer Institute, Chennai, India.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Torode, Julie" sort="Torode, Julie" uniqKey="Torode J" first="Julie" last="Torode">Julie Torode</name>
<affiliation><nlm:affiliation>Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vora, Tushar" sort="Vora, Tushar" uniqKey="Vora T" first="Tushar" last="Vora">Tushar Vora</name>
<affiliation><nlm:affiliation>Tata Memorial Hospital, Parel, Mumbai, India.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kutluk, Tezer" sort="Kutluk, Tezer" uniqKey="Kutluk T" first="Tezer" last="Kutluk">Tezer Kutluk</name>
<affiliation><nlm:affiliation>Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation>
</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><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
</affiliation>
</author>
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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>
<affiliation><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. Electronic address: sumit.gupta@sickkids.ca.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Aitken, Joanne F" sort="Aitken, Joanne F" uniqKey="Aitken J" first="Joanne F" last="Aitken">Joanne F. Aitken</name>
<affiliation><nlm:affiliation>Cancer Council Queensland, Fortitude Valley, Brisbane, QLD, Australia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bartels, Ute" sort="Bartels, Ute" uniqKey="Bartels U" first="Ute" last="Bartels">Ute Bartels</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Brierley, James" sort="Brierley, James" uniqKey="Brierley J" first="James" last="Brierley">James Brierley</name>
<affiliation><nlm:affiliation>Department of Radiation Oncology, Princess Margaret Hospital, Toronto, ON, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dolendo, Mae" sort="Dolendo, Mae" uniqKey="Dolendo M" first="Mae" last="Dolendo">Mae Dolendo</name>
<affiliation><nlm:affiliation>Southern Philippines Medical Center, Bajada, Davao City, Philippines.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Friedrich, Paola" sort="Friedrich, Paola" uniqKey="Friedrich P" first="Paola" last="Friedrich">Paola Friedrich</name>
<affiliation><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
</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><nlm:affiliation>Hospital Nacional de Ninos Benjamin Bloom, San Salvador, El Salvador.</nlm:affiliation>
</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><nlm:affiliation>Unidad Nacional de Oncologia Pediatrica, Guatemala City, Guatemala.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gatta, Gemma" sort="Gatta, Gemma" uniqKey="Gatta G" first="Gemma" last="Gatta">Gemma Gatta</name>
<affiliation><nlm:affiliation>Evaluative Epidemiology Unit, Fondazione IRCSS Instituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gospodarowicz, Mary" sort="Gospodarowicz, Mary" uniqKey="Gospodarowicz M" first="Mary" last="Gospodarowicz">Mary Gospodarowicz</name>
<affiliation><nlm:affiliation>Department of Radiation Oncology, Princess Margaret Hospital, Toronto, ON, Canada.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gross, Thomas" sort="Gross, Thomas" uniqKey="Gross T" first="Thomas" last="Gross">Thomas Gross</name>
<affiliation><nlm:affiliation>Center for Global Health, National Cancer Institute, Bethesda, MD, USA.</nlm:affiliation>
</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><nlm:affiliation>University of Memphis, Memphis, TN, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Molyneux, Elizabeth" sort="Molyneux, Elizabeth" uniqKey="Molyneux E" first="Elizabeth" last="Molyneux">Elizabeth Molyneux</name>
<affiliation><nlm:affiliation>College of Medicine, Blantyre, Malawi.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Moreno, Florencia" sort="Moreno, Florencia" uniqKey="Moreno F" first="Florencia" last="Moreno">Florencia Moreno</name>
<affiliation><nlm:affiliation>Argentinian Oncopediatric Registry (ROHA), National Cancer Institute, Buenos Aires, Argentina.</nlm:affiliation>
</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><nlm:affiliation>Pediatric Oncology Group of Ontario, Toronto, ON, Canada.</nlm:affiliation>
</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><nlm:affiliation>Institute of Child Health, University College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ramirez, Oscar" sort="Ramirez, Oscar" uniqKey="Ramirez O" first="Oscar" last="Ramirez">Oscar Ramirez</name>
<affiliation><nlm:affiliation>Registro Poblacional de Cancer de Cali, Universidad del Valle, Oficina, Cali, Valle, Colombia.</nlm:affiliation>
</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><nlm:affiliation>SEER Program, National Cancer Institute, Bethesda, MD, USA.</nlm:affiliation>
</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><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
</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><nlm:affiliation>Department of Pediatrics, Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.</nlm:affiliation>
</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><nlm:affiliation>Section of Cancer Surveillance, International Agency for Research on Cancer, Lyon, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sung, Lillian" sort="Sung, Lillian" uniqKey="Sung L" first="Lillian" last="Sung">Lillian Sung</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Supriyadi, Eddy" sort="Supriyadi, Eddy" uniqKey="Supriyadi E" first="Eddy" last="Supriyadi">Eddy Supriyadi</name>
<affiliation><nlm:affiliation>Pediatric Hematology Oncology Division, Department of Pediatrics, Dr Sardjito Hospital, Gadjah Mada University, Yogyakarta, Indonesia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Swaminathan, Rajaraman" sort="Swaminathan, Rajaraman" uniqKey="Swaminathan R" first="Rajaraman" last="Swaminathan">Rajaraman Swaminathan</name>
<affiliation><nlm:affiliation>Epidemiology, Biostatistics and Cancer Registry, Cancer Institute, Chennai, India.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Torode, Julie" sort="Torode, Julie" uniqKey="Torode J" first="Julie" last="Torode">Julie Torode</name>
<affiliation><nlm:affiliation>Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vora, Tushar" sort="Vora, Tushar" uniqKey="Vora T" first="Tushar" last="Vora">Tushar Vora</name>
<affiliation><nlm:affiliation>Tata Memorial Hospital, Parel, Mumbai, India.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kutluk, Tezer" sort="Kutluk, Tezer" uniqKey="Kutluk T" first="Tezer" last="Kutluk">Tezer Kutluk</name>
<affiliation><nlm:affiliation>Union for International Cancer Control, Geneva, Switzerland.</nlm:affiliation>
</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><nlm:affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</nlm:affiliation>
</affiliation>
</author>
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<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>Canada</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>
</TEI>
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<DateCreated><Year>2016</Year>
<Month>06</Month>
<Day>15</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>06</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1474-5488</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>17</Volume>
<Issue>4</Issue>
<PubDate><Year>2016</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>The Lancet. Oncology</Title>
<ISOAbbreviation>Lancet Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines.</ArticleTitle>
<Pagination><MedlinePgn>e163-72</MedlinePgn>
</Pagination>
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<Abstract><AbstractText>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.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gupta</LastName>
<ForeName>Sumit</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Division of Haematology/Oncology, Hospital for Sick Children, Toronto, ON, Canada; Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada. Electronic address: sumit.gupta@sickkids.ca.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Aitken</LastName>
<ForeName>Joanne F</ForeName>
<Initials>JF</Initials>
<AffiliationInfo><Affiliation>Cancer Council Queensland, Fortitude Valley, Brisbane, QLD, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bartels</LastName>
<ForeName>Ute</ForeName>
<Initials>U</Initials>
<AffiliationInfo><Affiliation>Division of Haematology/Oncology, Hospital for Sick Children, Toronto, ON, Canada; Department of Paediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.</Affiliation>
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<Author ValidYN="Y"><LastName>Garrido</LastName>
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<Initials>T</Initials>
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<AffiliationInfo><Affiliation>Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Shin</LastName>
<ForeName>Hee Young</ForeName>
<Initials>HY</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Cancer Research Institute, Seoul National University College of Medicine, Seoul, South Korea.</Affiliation>
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<Author ValidYN="Y"><LastName>Steliarova-Foucher</LastName>
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<Initials>E</Initials>
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<AffiliationInfo><Affiliation>Union for International Cancer Control, Geneva, Switzerland.</Affiliation>
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<MedlineTA>Lancet Oncol</MedlineTA>
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<Month>05</Month>
<Day>26</Day>
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<PubMedPubDate PubStatus="revised"><Year>2015</Year>
<Month>11</Month>
<Day>03</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2015</Year>
<Month>11</Month>
<Day>16</Day>
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