Practice patterns for complex situations in the management of rectal cancer: A multidisciplinary inter-group national survey.

摘要: Summary Goal To report the current clinical practice of French physicians for rectal cancer in various complex settings. Methods Nineteen situations and four surveillance modalities were proposed to a panel experts via 11 learned societies. The answers 48 impact colorectal specialists on therapeutic options compared those other participants. Results A total 722 [surgeons = 319 (44%), gastro-intestinal oncologists = 305 (42%), radiotherapists = 98 (14%)] participated this study. mean number per question was 500. consensus reached 19 situations. Approaches according specialty similar most In seven settings, strategy differed significantly (interval between end chemo-radiation surgery, attitude based response neo-adjuvant therapy, treatment usT1N0 or pT1sm2 tumors after endoscopic resection, adjuvant therapy pT3N1 tumors, interval protective stoma closure, schedule follow-up surveillance). There disagreement non-experts with regard three management plans (contra-indications date closure). Conclusion This survey provides an overview selected group physicians. Sound knowledge literature case-by-case discussion from each involved during multidisciplinary conference are essential. Certain cases should be presented expert centers validate approach.