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Article: Consensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planes

TitleConsensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planes
Authors
Issue Date2013
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uk
Citation
British Journal of Surgery, 2013, v. 100 n. 8, p. E1-E33 How to Cite?
AbstractBACKGROUND: The management of primary rectal cancer beyond total mesorectal excision planes (PRC-bTME) and recurrent rectal cancer (RRC) is challenging. There is global variation in standards and no guidelines exist. To achieve cure most patients require extended, multivisceral, exenterative surgery, beyond conventional total mesorectal excision planes. The aim of the Beyond TME Group was to achieve consensus on the definitions and principles of management, and to identify areas of research priority. METHODS: Delphi methodology was used to achieve consensus. The Group consisted of invited experts from surgery, radiology, oncology and pathology. The process included two international dedicated discussion conferences, formal feedback, three rounds of editing and two rounds of anonymized web-based voting. Consensus was achieved with more than 80 per cent agreement; less than 80 per cent agreement indicated low consensus. During conferences held in September 2011 and March 2012, open discussion took place on areas in which there is a low level of consensus. RESULTS: The final consensus document included 51 voted statements, making recommendations on ten key areas of PRC-bTME and RRC. Consensus agreement was achieved on the recommendations of 49 statements, with 34 achieving consensus in over 95 per cent. The lowest level of consensus obtained was 76 per cent. There was clear identification of the need for referral to a specialist multidisciplinary team for diagnosis, assessment and further management. CONCLUSION: The consensus process has provided guidance for the management of patients with PRC-bTME or RRC, taking into account global variations in surgical techniques and technology. It has further identified areas of research priority.
Persistent Identifierhttp://hdl.handle.net/10722/198580
ISSN
2015 Impact Factor: 5.596
2015 SCImago Journal Rankings: 2.966

 

DC FieldValueLanguage
dc.contributor.authorLaw, WLen_US
dc.contributor.authorBeyond TME Collaborative,en_US
dc.date.accessioned2014-07-07T07:57:43Z-
dc.date.available2014-07-07T07:57:43Z-
dc.date.issued2013en_US
dc.identifier.citationBritish Journal of Surgery, 2013, v. 100 n. 8, p. E1-E33en_US
dc.identifier.issn0007-1323-
dc.identifier.urihttp://hdl.handle.net/10722/198580-
dc.description.abstractBACKGROUND: The management of primary rectal cancer beyond total mesorectal excision planes (PRC-bTME) and recurrent rectal cancer (RRC) is challenging. There is global variation in standards and no guidelines exist. To achieve cure most patients require extended, multivisceral, exenterative surgery, beyond conventional total mesorectal excision planes. The aim of the Beyond TME Group was to achieve consensus on the definitions and principles of management, and to identify areas of research priority. METHODS: Delphi methodology was used to achieve consensus. The Group consisted of invited experts from surgery, radiology, oncology and pathology. The process included two international dedicated discussion conferences, formal feedback, three rounds of editing and two rounds of anonymized web-based voting. Consensus was achieved with more than 80 per cent agreement; less than 80 per cent agreement indicated low consensus. During conferences held in September 2011 and March 2012, open discussion took place on areas in which there is a low level of consensus. RESULTS: The final consensus document included 51 voted statements, making recommendations on ten key areas of PRC-bTME and RRC. Consensus agreement was achieved on the recommendations of 49 statements, with 34 achieving consensus in over 95 per cent. The lowest level of consensus obtained was 76 per cent. There was clear identification of the need for referral to a specialist multidisciplinary team for diagnosis, assessment and further management. CONCLUSION: The consensus process has provided guidance for the management of patients with PRC-bTME or RRC, taking into account global variations in surgical techniques and technology. It has further identified areas of research priority.-
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uk-
dc.relation.ispartofBritish Journal of Surgeryen_US
dc.rightsBritish Journal of Surgery. Copyright © John Wiley & Sons Ltd.-
dc.subject.meshNeoadjuvant Therapy-
dc.subject.meshNeoplasm Metastasis-
dc.subject.meshNeoplasm Recurrence, Local - drug therapy - radiotherapy - surgery-
dc.subject.meshPatient Care Team - organization and administration-
dc.subject.meshRectal Neoplasms - drug therapy - radiotherapy - surgery-
dc.titleConsensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planesen_US
dc.typeArticleen_US
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_US
dc.identifier.authorityLaw, WL=rp00436en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1002/bjs.9192_1-
dc.identifier.pmid23901427-
dc.identifier.scopuseid_2-s2.0-84896058553-
dc.identifier.hkuros229977en_US
dc.identifier.volume100en_US
dc.identifier.issue8en_US
dc.identifier.spageE1en_US
dc.identifier.epageE33en_US
dc.publisher.placeUnited Kingdom-

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