Decision-making in rectal cancer surgery : Survey of North American colorectal residency programs.
Meeting of the Ohio Valley Society of Colon and Rectal Surgeons. Columbus, OH, USA, 1997/06/07.
Although rectal cancer is common in the United States, there is significant variation in management and outcome of this disease.
The aim of this study is to measure the amount of variability that exists in the way colorectal surgeons investigate and manage patients with rectal cancer.
A detailed questionnaire covering preoperative assessment, operative technique, and follow-up of primary rectal cancer was sent to all colorectal surgeons associated with colorectal residency programs throughout North America.
One hundred ten responses were obtained (response rate, 71 percent).
Surgeons were in broad agreement (>75 percent agree) on the routine preoperative use of endorectal ultrasound and carcinoembryonic antigen and the postoperative use of endorectal ultrasound.
There was also broad agreement about the use of adjuvant therapy and radical resection for a poorly differentiated uT2, N0 cancer, the use of total mesorectal excision for a mid rectal cancer, and for the choice of loop ileostomy if diversion is necessary.
Two-thirds of the surgeons used adjuvant therapy and radical resection for a uT3, N0 cancer and preferred a follow-up schedule of three monthly visits for two years with six monthly visits for the next three years. (...)
Mots-clés Pascal : Carcinome, Rectum, Variation, Diagnostic, Exploration clinique, Traitement, Résection chirurgicale, Technique, Enquête sur terrain, Questionnaire, Chirurgien, Etude statistique, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Rectum pathologie, Chirurgie
Mots-clés Pascal anglais : Carcinoma, Rectum, Variations, Diagnosis, Clinical investigation, Treatment, Surgical resection, Technique, Field inquiry, Questionnaire, Surgeon, Statistical study, Human, Malignant tumor, Digestive diseases, Intestinal disease, Rectal disease, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0144677
Code Inist : 002B25G02. Création : 21/07/1998.