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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Gastroenterol
2016 ; 29
(2
): 103-26
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Clinical practice guidelines for the surgical treatment of rectal cancer: a
consensus statement of the Hellenic Society of Medical Oncologists (HeSMO)
#MMPMID27064746
Xynos E
; Tekkis P
; Gouvas N
; Vini L
; Chrysou E
; Tzardi M
; Vassiliou V
; Boukovinas I
; Agalianos C
; Androulakis N
; Athanasiadis A
; Christodoulou C
; Dervenis C
; Emmanouilidis C
; Georgiou P
; Katopodi O
; Kountourakis P
; Makatsoris T
; Papakostas P
; Papamichael D
; Pechlivanides G
; Pentheroudakis G
; Pilpilidis I
; Sgouros J
; Triantopoulou C
; Xynogalos S
; Karachaliou N
; Ziras N
; Zoras O
; Souglakos J
Ann Gastroenterol
2016[Apr]; 29
(2
): 103-26
PMID27064746
show ga
In rectal cancer management, accurate staging by magnetic resonance imaging,
neo-adjuvant treatment with the use of radiotherapy, and total mesorectal
excision have resulted in remarkable improvement in the oncological outcomes.
However, there is substantial discrepancy in the therapeutic approach and failure
to adhere to international guidelines among different Greek-Cypriot hospitals.
The present guidelines aim to aid the multidisciplinary management of rectal
cancer, considering both the local special characteristics of our healthcare
system and the international relevant agreements (ESMO, EURECCA). Following
background discussion and online communication sessions for feedback among the
members of an executive team, a consensus rectal cancer management was obtained.
Statements were subjected to the Delphi methodology voting system on two rounds
to achieve further consensus by invited multidisciplinary international experts
on colorectal cancer. Statements were considered of high, moderate or low
consensus if they were voted by ?80%, 60-80%, or <60%, respectively; those
obtaining a low consensus level after both voting rounds were rejected. One
hundred and two statements were developed and voted by 100 experts. The mean rate
of abstention per statement was 12.5% (range: 2-45%). In the end of the process,
all statements achieved a high consensus. Guidelines and algorithms of diagnosis
and treatment were proposed. The importance of centralization, care by a
multidisciplinary team, adherence to guidelines, and personalization is
emphasized.