IMPACT organizational survey highlighting provision of services for patients with locally advanced and recurrent colorectal cancer across Great Britain and Ireland.
advanced rectal cancer
pelvic exenteration
rectal cancer
recurrent rectal cancer
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
22 Oct 2024
22 Oct 2024
Historique:
revised:
21
09
2023
received:
25
04
2023
accepted:
22
09
2023
medline:
22
10
2024
pubmed:
22
10
2024
entrez:
22
10
2024
Statut:
aheadofprint
Résumé
Locally advanced and recurrent colorectal cancer represents a complex clinical entity, which requires multidisciplinary decision-making and management. The aim of this work is to understand the provision of clinical services in this cohort of patients across Great Britain and Ireland (GB&I) as a key essential step to help facilitate future service development and improvement. A cross-sectional, organizational survey was sent to all colorectal cancer multidisciplinary teams (MDTs) across GB&I. It consisted of 12 key questions addressing the provision of specialist services and advanced surgical techniques. Results are reported in line with the CHERRIES guideline. One hundred and seventy-five MDTs across GB&I participated, with 142 English, 13 Welsh, 14 Scottish, 3 Northern Irish and 3 Irish MDTs. The overall response rate was 93.5% (175/187). Ninety (51.4%) hospital sites reported having a specialist dedicated or subsection MDT. Specialist advanced nursing support was available in 46 (26.2%) hospitals, with a dedicated advanced colorectal cancer outpatient clinic available in 31 (17.7%) hospitals. One hundred and thirteen MDTs (64.5%) offered surgery for advanced colonic cancer, 82 (46.8%) for recurrent colonic cancer, 58 (33.1%) for advanced rectal cancer and 39 (22.2%) for recurrent rectal cancer. A variable number of MDTs offered specialist surgical techniques, including distal sacrectomy [33 (18.9%)], high sacrectomy [16 (9.1%)], complex vascular resection ± reconstruction [33 (18.9%)] and extended lymphadenectomy (pelvic sidewall or para-aortic) [44 (25.1%)]. The IMPACT organizational survey highlights the current variation in the delivery and provision of clinical services for patients with advanced and recurrent colorectal cancer across Great Britain and Ireland.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Bowel Research UK
Investigateurs
Tushar Agarwal
(T)
Kamal Aryal
(K)
Ceri Beaton
(C)
Ashish Bhalla
(A)
Graham Branagan
(G)
Keith Chapple
(K)
Hamish Clouston
(H)
Peter Coyne
(P)
Andrew Day
(A)
James Eccersley
(J)
Henry Ferguson
(H)
Mark L George
(ML)
Rina George
(R)
Emma Hamilton
(E)
Ben Hornung
(B)
R B N Khan
(RBN)
Barrie Keeler
(B)
Thu Linn
(T)
David McArthur
(D)
Frank McDermott
(F)
Malcolm McFall
(M)
Sarah J Mills
(SJ)
Daniel O'Leary
(D)
Marius T Paraoan
(MT)
Syed Fida Rahman-Casans
(SF)
Nirooshun Rajendran
(N)
Andrew Ramwell
(A)
Shantanu Rout
(S)
Matthew D Rutter
(MD)
Mohammed M Sadat
(MM)
David Sallomi
(D)
Ajai Samad
(A)
Paul Skaife
(P)
Richard Slater
(R)
Mamoon Solkar
(M)
William Speake
(W)
Nicholas Symons
(N)
Karen Telford
(K)
Nicholas Ward
(N)
David Westwood
(D)
Max Wilde
(M)
Jeremy Wilson
(J)
Firas Younis
(F)
Informations de copyright
© 2024 Association of Coloproctology of Great Britain and Ireland.
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