Research Article

Variations of Surveillance Practice for Patients with Bone Sarcoma: A Survey of Australian Sarcoma Clinicians

Table 1

Differences in RS protocols between COG, NCCN, and ESMO.

COG [8]NCCN [9]ESMO [10]
OSESOSESOS and ESFor ES only

Frequency(i) Primary site: every 3 months × 8 (yr 0–2) and then every 6 mo × 6 (yr 3–5) and then every 12 months × 5 (yr 6–10)
(ii) Chest: CT chest every 3 mo × 8 (yr 0–2) and then every 6 mo × 2 (yr 3) and then every 12 months × 2 (yr 4-5). CXR, every 12 months × 5 (starting after last scheduled CT, yr 6–10)
(i) Primary site: every 3 months × 8 (yr 0–2) and then every 6 mo × 6 (yr 3–5) and then every 12 months × 5 (yr 6–10)
(ii) Chest: CXR every 3 mo × 8 (yr 0–2) and then every 6 mo × 6 (yr 3–5) and then every 12 months × 5 (yr 6–10)
(i) Every 3 mo (yr 0–2)
(ii) Every 4 mo (yr 3)
(iii) Every 6 months (yr 4-5)
(iv) Every year (>yr 5)
Every 2-3 months for 2 years and then increasing intervals up to 5 years and then annually indefinitely(i) Every 2-3 mo (yr 0–2)
(ii) Every 2–4 mo (yr 3-4)
(iii) Every 6 mo (yr 5–10)
(iv) Every 6–12 mo (>yr 10)

Modality(i) Primary site: AP and lateral X-ray
(ii) Chest: CT chest and CXR
(iii) Bone scan if symptoms or abnormal imaging
(iv) FDG-PET if symptoms or abnormal imaging
(v) MRI or CT primary if symptoms or abnormal imaging
(i) Primary site: AP and lateral X-ray
(ii) Chest: AP and lateral
(iii) Bone scan if symptoms or abnormal imaging
(iv) FDG PET if symptoms or abnormal imaging
(v) Chest CT if abnormal CXR
(vi) MRI or CT primary if symptoms or abnormal imaging
(i) Physical exam
(ii) Laboratory studies
(iii) Chest imaging
(iv) Imaging of primary site
(v) Consider FDG/PET or bone scan
(vi) Functional assessment at every visit
(i) Physical exam
(ii) Laboratory studies
(iii) Cross-sectional imaging (MRI with or without CT) and X-ray of primary site
(iv) Chest CT
(v) Consider PET/CT or bone scan
(i) Physical exam
(ii) Laboratory studies
(iii) Functional assessment
(iv) Imaging of primary site
(v) CXR/CT chest
Bone scan can be added