Identifying consensus and areas for future research in chondrosarcoma : a report from the Birmingham Orthopaedic Oncology Meeting.

Journal: The Bone & Joint Journal
Published:
Abstract

The Birmingham Orthopaedic Oncology Meeting (BOOM), held in January 2024, convened 309 delegates from 53 countries to discuss and refine 21 consensus statements on the optimal management of chondrosarcoma. With representation from Europe (43%; n = 133), North America (17%; n = 53), South America (16%; n = 49), Asia (13%; n = 40), Australasia (5%; n = 16), the Middle East (4%; n = 12), and Africa (2%; n = 6), the combined experience of treating bone sarcomas among attendees totalled approximately 30,000 cases annually, equivalent to 66 years of experience in the UK alone. The meeting's process began with the formation of a local organizing committee, regional leads, and a scientific committee comprising representatives from 150 specialist units across 47 countries. Supported by major orthopaedic oncology organizations, the meeting used a modified Delphi process to develop consensus statements through online questionnaires, thematic groupings, narrative reviews, and anonymous pre-meeting polling. Strong (> 80%) consensus was achieved on 19 out of 21 statements, reflecting agreement among delegates. Key areas of consensus included the role of radiology in diagnosis and surveillance, the management of locally recurrent disease, and the treatment of dedifferentiated chondrosarcoma. Notably, there was agreement that routine chemotherapy has no role in chondrosarcoma treatment, and radiological surveillance is safe for intraosseous chondrosarcomas. Despite the overall consensus, areas of controversy remain, particularly regarding the treatment of atypical cartilage tumours and surgical margins. These unresolved issues underscore the need for further research and collaboration within the orthopaedic oncology community. BOOM represents the largest global consensus meeting in orthopaedic oncology, providing valuable guidance for clinicians managing chondrosarcoma worldwide. The consensus statements offer a reference for clinical practice, highlight key research priorities, and aim to improve patient outcomes on a global scale.

Authors
Lee Jeys, Guy Morris, Vineet Kurisunkal, Eduardo Botello, Richard Boyle, Walid Ebeid, Matthew Houdek, Ajay Puri, Pietro Ruggieri, Bernadette Brennan, Santiago Abad Repiso, Hesham Abdelbary, Alejandro Abiad Mejia, Ahmed Abood, Juan Abril Martin, Adesegun Abudu, Ayman Abu Elhamd, Marthelena Acosta, Keisuke Ae, Manish Agarwal, Vivek Ajit Singh, Toru Akiyama, Ibrahim Alshaygy, Jose Albergo, John Alexander, Patricio Alfaro, Bugra Alpan, Jose Amaya Valero, Megan Anderson, Dimosthenis Andreou, Lucas Annabell, Christopher Anthony, Ahmed Aoude, Iraia Arteagoitia Colino, Apichat Asavamongkolkul, William Aston, Libe Asua Mentxaka, Christine Azzopardi, Thomas Baad Hansen, Ismail Badr, Francisco Baixauli Garcia, Gavin Baker, Tessa Balach, Giacomo Baldi, Janie Barry, Georges Basile, Stefano Bastoni, Mohammad Basuki, Henrik Bauer, Lee Bayliss, Ricardo Becker, Angad Bedi, Joseph Benevenia, Francisco Bengoa, Peter Bergh, Marko Bergovec, Nicholas Bernthal, Odion Binitie, David Boddie, Michele Boffano, Patricia Bonilla Huertas, Anna Borgognoni, Rajesh Botchu, Jos Bramer, Rahat Brar, Harriet Branford White, Demien Broekhuis, Samuel Broida, Tymoteusz Budny, Zachary Burke, Jorge Cabrolier, Jose Calvo Haro, Jorge Calvo Tapies, Rodrigo Cardoso, Richard Carey Smith, Pedro Carvallo, Nicolas Casales Fresenga, Jose Casanova, Oscar Ceballos, Juan Cebrian Parra, Sara Chacon Cartaya, Chung Chan, Yoon Cho, Peter Choong, Yang-guk Chung, Dawid Ciechanowicz, Miguel Clara Altamirano, David Clever, Sebastian Colina, Luis Consuegra, Cory Couch, Gillian Cribb, Carlos Cuervo, Laurence Cusick, Solomon Dadia, Tanios Dagher, Dietmar Dammerer, Mark Davies, Nerys Davies, Luis De La Rosa Martino, Francisco De Santos De La Fuente, Marieke Fuente De Vaal, Claudia Deckers, Javier Delgado Obando, Shaneel Deo, Niklas Deventer, Claudia Di Bella, Gregory Domson, Davide Donati, Desiree Dorleijn, Jacques Du Toit, Debra Dunne, Rodolfo Duran Ciarrochi, Elina Ekman, Ahmed El Ghoneimy, Makoto Endo, Levent Eralp, Mahmoud Etaiwi, Scott Evans, Robin Evrard, Will Eward, Alberto Farese, Peter Ferguson, Pedro Ferreira Cardoso, Fabrice Fiorenza, Michael Flint, Hector Flores, Joao Freitas, Bruno Fuchs, Tomohiro Fujiwara, Philipp Funovics, Marcos Galli Serra, Zakareya Gamie, Carlos Garces Zarzalejo, Aaron Gazendam, Carsten Gebert, Jasper Gerbers, Craig Gerrand, Ghaith Abou Nouar, Michelle Ghert, Kanishka Ghosh, Max Gibbons, Luis Gomez Mier, Jesus Gomez Vallejo, Anne Gomez Mascard, Marcos Gonzalez, Fausto Gonzalez Lizan, Georg Gosheger, Stuart Goudie, Krista Goulding, Stavros Goumenos, Anthony Griffin, Ashish Gulia, Sanjay Gupta, Amit Gupta, Maurice Guzman, Mohammed Haitham, Jendrik Hardes, Francisco Hardoy, Yusuf Hasan, Georg Hauer, Helard Havard, Rex Haydon, John Healey, Nerea Hernandez Gonzalez, Adriana Hernandez Lopez, Asle Hesla, Matthew Hess, Thomas Hilton, Chindanai Hongsaprabhas, Francis Hornicek, Keith Hosking, Eleanor Houghton, Oluwaseyi Idowu, Joseph Ippolito, Marc Isler, Shintaro Iwata, Jake Jagiello, Neil Jenkins, Thomas Jenkins, Charlotte Jeys, Tom Jeys, Luke Johnson, Andy Johnston, Min Joo, Paul Jutte, Kadri Kaldas, Amar Kamat, Sudhir Kannan, Bilal Kapanci, Zeeshan Khan, Hiroshi Kobayashi, Yehuda Kollender, Sebastian Koob, Daniel Kotrych, Richard Kyte, Jose Lamo De Espinosa, Alexander Lazarides, Louis-romee Le Nail, Pawel Legosz, Burkhard Lehner, Andreas Leithner, Maryse Lejoly, Valerae Lewis, Peng Lin, Francisco Linares, Santiago Lozano Calderon, Ashish Mahendra, Ferdiansyah Mahyudin, Fermin Mandia Mancebo, Sara Torrejon, Christian Marx, Eric Mascard, Jean-camille Mattei, Louise Mccullough, Sam Mcmahon, Manuel Medellin Rincon, Benjamin Miller, Shinji Miwa, Gustavo Molina Uribe, Bryan Moon, Rhidian Morgan Jones, Diego Moriel Garcesco, Carol Morris, Steward Morrison, Sophie Mottard, Marcio Moura, Linde Muster, Robert Nakayama, Prashant Narhari, Ana Navas, Prakash Nayak, Johannes Neugebauer, Erik Newman, Jyrki Nieminen, Emmy Nyqvist, Lukas Nystrom, Sarah O'reilly Harbidge, Gary O'toole, Vania Oliveira, André Olivier, Mohamed Omar, Eduardo Ortiz Cruz, Harzem Ozger, Korhan Ozkan, Elisa Pala, Emanuela Palmerini, Grant Pang, Panayiotis Papagelopoulos, Giovanni Paraliticci, Michael Parry, Sam Patton, David Peake, Ana Peiro Ibanez, Israel Perez Munoz, Ganapathy Perianayagam, Michael Petersen, Joris Ploegmakers, Robin Pollock, Gerard Powell, Juan Pretell, Jan Puetzler, Faisal Qamar, Anand Raja, Raja Rajasekaran, Dipak Ramkumar, R Randall, Kenneth Rankin, Kevin Raskin, Kumaran Rassppan, Lauris Repsa, Mickael Ropars, Peter Rose, Wael Sadek, German Salcedo, Aasim Saleemi, Andrea Sambri, Hartej Sar, Roberto Scanferla, Thomas Schubert, Jan Schwarze, Guido Scoccianti, Ashley Scrimshire, Tetsuya Sekita, Ahmad Shehadeh, Ahmed Shoaib, Bhim Shreemal, Felix Shumelinsky, Geoffrey Siegel, Claudio Silveri, Robert Silverwood, Friedl Sinnaeve, Jerome Sison, Andrea Slade, Maria Smolle, Franz Snyman, Scott Sommerville, Sahil Sood, Andre Spiguel, Hugo St Yves, Eric Staals, Silvia Stacchiotti, Nikolas Stavropoulos, Peter Steadman, Jonathan Stevenson, Mikaela Sullivan, Gwen Sys, Bartlomiej Szostakowski, Angela Tamburini, Yuta Taniguchi, Thomas Temple, Christoph Theil, Joachim Thorkildsen, Meagan Tibbo, Roger Tillman, Yu Toda, Kaspar Tootsi, Ferran Torner Rubies, Frank Traub, Ioannis Trikoupis, Panagiotis Tsagkozis, Kim Tsoi, Hiroyuki Tsuchiya, Veli-matti Vainio, Antonio Valcarcel, Juan Valencia, Annelies Van Beeck, Michel Van De Sande, Thomas Van Den Berghe, Ingrid Van De Geest, Lizz Van Der Heijden, Robert Van Der Wal, Kirsten Van Langevelde, Gualter Vaz, Roberto Velez Villa, Floortje Verspoor, Koenraad Verstraete, Julia Visgauss, Oleg Vyrva, Hazem Wafa, Sebastian Walter, Wan Wan Ismail, Edward Wang, Patrick Wang, David Warnock, Joel Werier, Wolfram Weschenfelder, Kwok-chuen Wong, Marjan Woulthuyzen Bakker, Jay Wunder, Indica Wysinghe, Norio Yamamoto, Zhaoming Ye, Seung-jae Yoon, Suraya Zainul Abidin, Tomas Zamora, Pierluca Zecchetto, Liuzhe Zhang, Juan Zumarraga, Domenico Campanacci