Current UK management of locally recurrent rectal cancer

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
D P HarjiP M Sagar

Abstract

The study aimed to determine current UK practice in the management of locally recurrent rectal cancer (LRRC). An electronic based survey was sent to UK based Association of Coloproctology of Great Britain and Ireland members to establish current management in this patient group. A total of 188 questionnaires were sent out to consultant surgeons in a total of 105 colorectal units. Seventy-nine consultants from 69 units responded, giving an overall response rate from consultants of 42% and from colorectal units of 66%. In all, 688 patients were managed by multidisciplinary teams in the 12 months prior to the survey. Seventy-four (94% of responders) surgeons had experience of operating on patients with LRRC. Fifty-nine (74.6%) operated on one to three per year and four (5%) operated on more than 10 patients per year. Central and anterior recurrences were most commonly undertaken locally, with most complex recurrences being referred to a tertiary centre. Forty-seven (61%) surgeons worked to an algorithm. A small number of specialist units in the UK manage the full spectrum of LRRC but the majority of patients are managed in small volume centres. The survey provides a snapshot of current activity in the UK and may provide a stimulus...Continue Reading

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Citations

Oct 21, 2015·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Q DenostUNKNOWN Association Française de Chirurgie (AFC)
Nov 21, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Ian Lindsey
Jul 26, 2012·The British Journal of Surgery·D P Harji, P M Sagar
Mar 12, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·D P HarjiJ Brown
Nov 12, 2014·Techniques in Coloproctology·F SelvaggiS Pucciarelli
May 4, 2018·Diseases of the Colon and Rectum·Nitin Mishra
Apr 14, 2018·The British Journal of Surgery·K G M Brown, M J Solomon
Jan 22, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·O PeacockA G Heriot
Sep 15, 2019·Annals of Surgical Oncology·Michael J Solomon, Kilian G M Brown
Dec 24, 2019·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Quentin DenostFlorence Saillour-Glénisson

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