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dc.contributor.authorTakala, Sini
dc.contributor.authorLassen, Kristoffer
dc.contributor.authorSøreide, Kjetil
dc.contributor.authorSparrelid, Ernesto
dc.contributor.authorAngelsen, Jon-Helge
dc.contributor.authorBringeland, Erling Audun
dc.contributor.authorEilard, Malin S.
dc.contributor.authorHemmingsson, Oskar
dc.contributor.authorIsaksson, Bengt
dc.contributor.authorKarjula, Heikki
dc.contributor.authorLammi, Jukka-Pekka
dc.contributor.authorLarsen, Peter N.
dc.contributor.authorLavonius, Maija
dc.contributor.authorLindell, Gert
dc.contributor.authorMortensen, Frank V.
dc.contributor.authorMortensen, Kim Erlend
dc.contributor.authorNordin, Arno
dc.contributor.authorPless, Torsten
dc.contributor.authorSandström, Per
dc.contributor.authorSandvik, Oddvar Mathias
dc.contributor.authorVaalavuo, Yrjö
dc.contributor.authorVillard, Christina
dc.contributor.authorSallinen, Ville
dc.description.abstractBackground and objective: Gallbladder cancer (GBC) is a rare malignancy in the Nordic countries and no common Nordic treatment guidelines exist. This study aimed to characterize the current diagnostic and treatment strategies in the Nordic countries and disclose differences in these strategies. Methods: This was a survey study with a cross-sectional questionnaire of all 19 university hospitals providing curative-intent surgery for GBC in Sweden, Norway, Denmark, and Finland. Results: In all Nordic countries except Sweden, neoadjuvant/downstaging chemotherapy was used in GBC patients. In T1b and T2, majority of the centers (15–18/19) performed extended cholecystectomy. In T3, majority of the centers (13/19) performed cholecystectomy with resection of segments 4b and 5. In T4, majority of the centers (12–14/19) chose palliative/oncological care. The centers in Sweden extended lymphadenectomy beyond the hepatoduodenal ligament, whereas all other Nordic centers usually limited lymphadenectomy to the hepatoduodenal ligament. All Nordic centers except those in Norway used adjuvant chemotherapy routinely for GBC. There were no major differences between the Nordic centers in diagnostics and follow-up. Conclusions: The surgical and oncological treatment strategies of GBC vary considerably between the Nordic centers and countries.en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titlePractice patterns in diagnostics, staging, and management strategies of gallbladder cancer among Nordic tertiary centersen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.rights.holderCopyright 2023 The Finnish Surgical Societyen_US
dc.source.journalScandinavian Journal of Surgeryen_US
dc.identifier.citationScandinavian Journal of Surgery. 2023.en_US

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