Evidence map›Paper›PMID 34043773›Full record

GuidelineThe British journal of surgery2021

European guidelines from the EHTG and ESCP for Lynch syndrome: an updated third edition of the Mallorca guidelines based on gene and gender.

T T Seppälä, A Latchford, I Negoi, A Sampaio Soares, R Jimenez-Rodriguez, L Sánchez-Guillén, D G Evans, N Ryan, E J Crosbie, M Dominguez-Valentin and 9 more

Open access · hybridAbstract readPractice GuidelineSystematic Review
In one paragraph

Guideline in The British journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 164 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed, 10 pooled it
18.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

164 citing papers in PubMed, 10 syntheses or guidelines pooled it, 258 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Delphi Initiative for Early-Onset Colorectal Cancer (DIRECt) International Management Guidelines.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Guideline
  7. Validity of a two-antibody testing algorithm for mismatch repair deficiency testing in cancer; a systematic literature review and meta-analysis.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Screening and risk reducing surgery for endometrial or ovarian cancers in Lynch syndrome: a systematic review.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2022
    Pooled it
  11. Article
  12. [Prevention and early detection of colorectal cancer].Innere Medizin (Heidelberg, Germany) · 2026
    Article
  13. Article
  14. Review
  15. The Tyrolean FounderBiomolecules · 2026
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article

104 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 15 institutions in 9 countries.

T T SeppäläDepartment of Surgery, Helsinki University Hospital, and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-4940-3498
A LatchfordDepartment of Cancer and Surgery, Imperial College London, UK.
I NegoiDepartment of Surgery, Emergency Hospital of Bucharest, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
A Sampaio SoaresHospital Prof. Dr Fernando Fonseca, EPE, Lisbon, Portugal.
R Jimenez-RodriguezDepartment of Surgery, Hospital Universitario Virgen del Rocío, Seville, Spain.ORCID 0000-0001-8587-8768
L Sánchez-GuillénColorectal Unit, Department of General Surgery, Elche University General Hospital Elche, Alicante, Spain.ORCID 0000-0003-0623-9074
D G EvansManchester Centre for Genomic Medicine, Division of Evolution and Genomic Sciences, University of Manchester, Manchester University Hospitals NHS Foundation Trust, UK.
N RyanDivision of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, St Mary's Hospital, Manchester, UK.
E J CrosbieDivision of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, St Mary's Hospital, Manchester, UK.
M Dominguez-ValentinDepartment of Tumour Biology, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
J BurnFaculty of Medical Sciences, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
M KloorDepartment of Applied Tumour Biology, Institute of Pathology, University Hospital Heidelberg, Germany.
M von Knebel DoeberitzDepartment of Applied Tumour Biology, Institute of Pathology, University Hospital Heidelberg, Germany.
F J B van DuijnhovenDivision of Human Nutrition and Health, Wageningen University and Research, Wageningen, the Netherlands.
P QuirkePathology and Data Analytics, School of Medicine, University of Leeds, Leeds, UK.
J R SampsonInstitute of Medical Genetics, Division of Cancer and Genetics, Cardiff University School of Medicine, Heath Park, Cardiff, UK.
P MøllerDepartment of Tumour Biology, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway.
G MösleinCentre for Hereditary Tumours, Bethesda Hospital, Duisburg, Germany.
European Hereditary Tumour Group (EHTG) and European Society of Coloproctology (ESCP)
German Cancer Research Center · DEOslo University Hospital · NOUniversity of Manchester · GBCardiff University · GBCarol Davila University of Medicine and Pharmacy · ROHospital General Universitario de Elche · ESHospital Prof. Dr. Fernando Fonseca · PTHospital Universitario Virgen del Rocío · ESLondon North West Healthcare NHS Trust · GBManchester University NHS Foundation Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Helsinki · FIUniversity of Leeds · GBWageningen University & Research · NLWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLynch syndrome is the most common genetic predisposition for hereditary cancer but remains underdiagnosed. Large prospective observational studies have recently increased understanding of the effectiveness of colonoscopic surveillance and the heterogeneity of cancer risk between genotypes. The need for gene- and gender-specific guidelines has been acknowledged.

methodsThe European Hereditary Tumour Group (EHTG) and European Society of Coloproctology (ESCP) developed a multidisciplinary working group consisting of surgeons, clinical and molecular geneticists, pathologists, epidemiologists, gastroenterologists, and patient representation to conduct a graded evidence review. The previous Mallorca guideline format was used to revise the clinical guidance. Consensus for the guidance statements was acquired by three Delphi voting rounds.

resultsRecommendations for clinical and molecular identification of Lynch syndrome, surgical and endoscopic management of Lynch syndrome-associated colorectal cancer, and preventive measures for cancer were produced. The emphasis was on surgical and gastroenterological aspects of the cancer spectrum. Manchester consensus guidelines for gynaecological management were endorsed. Executive and layperson summaries were provided.

conclusionThe recommendations from the EHTG and ESCP for identification of patients with Lynch syndrome, colorectal surveillance, surgical management of colorectal cancer, lifestyle and chemoprevention in Lynch syndrome that reached a consensus (at least 80 per cent) are presented.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalAspirinChemopreventionColonoscopyColorectal Neoplasms, Hereditary NonpolyposisDelphi TechniqueDigestive System Surgical ProceduresEarly Detection of CancerFemaleGenetic Carrier ScreeningGenetic TestingGenital Neoplasms, FemaleHumansLife StyleProphylactic Surgical ProceduresAnti-Inflammatory Agents, Non-SteroidalAspirin

Identifiers

PMID34043773
PMCPMC10364896
OpenAlexW3087504364

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.