268 extractive question-and-answer pairs built from For Management of, published by icmr.gov.in. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. 162 of the 268 pairs (60.4%) are explanatory questions and 106 restate a figure. 100.00% of rows pass the corpus quality gate.
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import desidata
df = desidata.load("consensus-document-on-management-of-pancreatic-cancer-question-and-answer")
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Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 268 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What is the purpose of Neutral oral contrast in a pancreatic protocol CT? | used to distend the bowel (31) | A pancreatic protocol CT acquires sub-millimeter axial sections with images obtained in the pancreatic phase (40-50 seconds) and portal venous phase (65-70 seconds) of contrast enhancement. Neutral oral contrast is used to distend the bowel (31). In majority of cases, there is maximal contrast between the hypo-enhancing pancreatic cancer and enhancing surrounding parenchyma in the pancreatic phase. | 215 | definition | 1.000 | Neutral oral contrast is used to distend the bowel (31). | 21 | page=21,block=0 | 0.850 | valid |
| What does the consensus document reflect about expert opinions? | the current thinking of experts on the topic based on available evidence. | ii Disclaimer This consensus document represents the current thinking of experts on the topic based on available evidence. This has been developed by national experts in the field and does not in any way bind a clinician to follow this guideline. One can use an alternate mode of therapy based on discussions with the patient and institution, national or international guidelines. The mention of pharmaceutical drugs for therapy does not constitute endorsement or recommendation for use but will act only as a guidance for clinicians in complex decision –making. | 49 | definition | 1.000 | ii Disclaimer This consensus document represents the current thinking of experts on the topic based on available evidence. This has been developed by national experts in the field and does not in any way bind a clinician to follow this guideline. | 3 | page=3,block=0 | 0.700 | valid |
| What is the goal of the consensus document for managing cancers? | to provide clear, consistent, succinct, evidence-based guidance for management of various cancers. | iii Foreword I am glad to write this foreword for Consensus Document for Management of Pancreatic Cancers. The ICMR had constituted sub-committees to prepare consensus document for management of various cancer sites. The various subcommittees constituted under Task Force project on Review of Cancer Management Guidelines which worked tirelessly in formulating site-specific guidelines. The purpose of consensus document is to provide clear, consistent, succinct, evidence-based guidance for management of various cancers. I appreciate and acknowledge support extended by each member of the subcommittees for their contribution towards drafting of the document. Pancreatic Cancers require specialized multi-disciplinary care and treatment for better outcome. This document consolidates the modalities of treatment including the diagnosis, risk stratification and treatment. | 424 | definition | 1.000 | The purpose of consensus document is to provide clear, consistent, succinct, evidence-based guidance for management of various cancers. I appreciate and acknowledge support extended by each member of the subcommittees for their contribution towards drafting of the document. | ||||
| What is the goal of creating the consensus document on cancer management and treatment? | to develop a nationwide consensus for clinical management and treatment for various cancers | the need to develop a nationwide consensus for clinical management and treatment for various cancers was felt. The consensus document is based on review of available evidence about effective management and treatment of cancers in Indian setting by an expert multidisciplinary team of oncologists whose endless efforts, comments, reviews and discussions helped in shaping this document to its current form. This document also represents as first leading step towards development of guidelines for various other cancer specific sites in future ahead. Development of these guidelines will ensure significant contribution in successful management and treatment of cancer and best care made available to patients. I hope this document would help practicing doctors, clinicians, researchers and patients in complex decision making process in management of the disease. | 9 | definition | 1.000 | the need to develop a nationwide consensus for clinical management and treatment for various cancers was felt. | 7 | page=7,block=0 | 0.700 | |
| What led to the creation of the Consensus Document on Management of Pancreatic Cancer? | a concerted outcome of effort made by experts of varied disciplines of oncology across the nation | The Consensus Document on Management of Pancreatic Cancer is a concerted outcome of effort made by experts of varied disciplines of oncology across the nation. The Indian Council of Medical Research has constituted various sub committees to formulate the document for management of different cancer sites. The Task Force on Management of Cancers has been constituted to formulate the guidelines for management of cancer sites. The sub-committees were constituted to review to review the literature related to management and treatment practices being adopted nationally and internationally of different cancer sites. The selected cancer sites are that of lung, breast, oesophagus, cervix, uterus, stomach, gallbladder, soft tissue sarcoma and osteo-sarcoma, tongue, acute myeloid leukaemia, ALL, CLL, NHL- high grade, NHL-low grade, HD, MM, MDS, and paediatric lymphoma. | 61 | definition | 1.000 | The Consensus Document on Management of Pancreatic Cancer is a concerted outcome of effort made by experts of varied disciplines of oncology across the nation. | 8 | page=8,block=2 | ||
| What is the role of the Task Force on Management of Cancers? | to formulate the guidelines for management of cancer sites | The Consensus Document on Management of Pancreatic Cancer is a concerted outcome of effort made by experts of varied disciplines of oncology across the nation. The Indian Council of Medical Research has constituted various sub committees to formulate the document for management of different cancer sites. The Task Force on Management of Cancers has been constituted to formulate the guidelines for management of cancer sites. The sub-committees were constituted to review to review the literature related to management and treatment practices being adopted nationally and internationally of different cancer sites. The selected cancer sites are that of lung, breast, oesophagus, cervix, uterus, stomach, gallbladder, soft tissue sarcoma and osteo-sarcoma, tongue, acute myeloid leukaemia, ALL, CLL, NHL- high grade, NHL-low grade, HD, MM, MDS, and paediatric lymphoma. | 367 | definition | 1.000 | The Task Force on Management of Cancers has been constituted to formulate the guidelines for management of cancer sites. | 8 | page=8,block=2 | 0.700 | valid |
| What is a notable feature of borderline resectable pancreatic carcinomas? | higher likelihood of incomplete resection and positive surgical margins | a more clinically relevant way to classify pancreatic cancer is into the following categories: •• Potentially curable Resectable. Borderline resectable. •• Unresectable, locally advanced. •• Metastatic. At the time of diagnosis, pancreatic ductal adenocarcinoma is resectable in only 15%-20% cases. These are the only potentially curable patients, but even in this category 5-year survival rates are around 20% after surgical resection. The subcategory of borderline resectable carcinomas include potentially curable patients in whom there is a higher likelihood of incomplete resection and positive surgical margins, when surgery is used as the initial treatment (23). Anatomic definitions of borderline resectable cancers are generally well accepted now (24). These patients may be considered for neoadjuvant treatment in preference to upfront surgical resection. | 553 | definition | 1.000 | The subcategory of borderline resectable carcinomas include potentially curable patients in whom there is a higher likelihood of incomplete resection and positive surgical margins, when surgery is used as the initial treatment (23). | 20 | |||
| What are venous resections and reconstructions considered part of? | the en bloc resection of borderline resectable tumours | The choice of management of these patients varies between neoadjuvant chemoradiotherapy (42) versus surgery at the first instance (40, 64). If a patient presents with features clearly indicative of BRT as per radiological features, then such patients must be considered for a staging laparoscopy followed by neoadjuvant chemotherapy (if non-metastatic) followed by a trial of resection (if the disease remains non progressive) with the need for synchronous venous resection and reconstruction. Vascular resections While venous resections and reconstructions have been promoted as part of the en bloc resection of borderline resectable tumours (65), the most updated meta-analysis (66) has shown an increased postoperative mortality, higher rates of non-radical surgery and worse survival after such resections. These findings are likely due to two pertinent factors, viz. | 588 | definition | 1.000 | Vascular resections While venous resections and reconstructions have been promoted as part of the en bloc resection of borderline resectable tumours (65), the most updated meta-analysis (66) has shown an increased postoperative mortality, higher rates of non-radical surgery and worse survival after such resections. | ||||
| What is the goal of SBRT in radiation therapy? | deliver high doses of radiation at bigger doses per fraction (hypofractionation) to a small target volume with tight margins and steep dose gradients | Technological advances include respiratory motion management, image-guidance, better treatment planning and delivery systems. Treatment of gross disease with margins, excluding elective nodal coverage has shown improved toxicity whilst maintaining local control rates (137-141). Stereotactic body radiation therapy (SBRT) is fast evolving as a very effective local treatment modality, as it is well-tolerated and can be given as a shortened course of radiotherapy, with minimal interruption in systemic therapy (111). SBRT aims to deliver high doses of radiation at bigger doses per fraction (hypofractionation) to a small target volume with tight margins and steep dose gradients. Respiratory | 531 | definition | 1.000 | SBRT aims to deliver high doses of radiation at bigger doses per fraction (hypofractionation) to a small target volume with tight margins and steep dose gradients. | 35 | page=35,block=11 | 0.700 | valid |
| What perspective does palliative care take on life and the process of dying? | Affirms life and regards dying as a normal process | Goals: •• Relief from suffering •• Treatment of pain and other distressing symptoms •• Psychological and spiritual care •• Support system to help the patient live as actively as possible •• Support system to sustain and rehabilitate the patients family Aims: •• Provides relief From pain, shortness of breath, nausea and other distressing symptoms •• Affirms life and regards dying as a normal process •• Intends neither to hasten nor to postpone death •• Integrates the psychological and spiritual aspects of patient care •• Offers a support system to help patients live as actively as possible •• Offers a support system to help the family cope •• Uses a team approach to address needs of patients and their families •• Will improve quality of life •• Is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy. | 351 | definition | 1.000 | Goals: •• Relief from suffering •• Treatment of pain and other distressing symptoms •• Psychological and spiritual care •• Support system to help the patient live as actively as possible •• Support system to sustain and rehabilitate the patients family Aims: •• Provides relief From pain, shortness of breath, nausea and other distressing symptoms •• Affirms life and regards dying as a normal process •• Intends neither to hasten nor to postpone death •• Integrates the psychological and spiritual aspects of patient care •• Offers a support system to help patients live as actively as possible •• |
Read straight from the file — download or use the API URL for the full dataset.
| 4 |
| page=4,block=0 |
| 0.700 |
| valid |
| valid |
| 0.700 |
| valid |
| page=20,block=0 |
| 0.700 |
| valid |
| 28 |
| page=28,block=0 |
| 0.700 |
| valid |
| 38 |
| page=38,block=0 |
| 0.700 |
| valid |