BACKGROUND: The treatment of rectal cancer has greatly evolved because of numerous diagnostic and therapeutic advances. More accurate staging by MRI has allowed more appropriate use of neoadjuvant therapy as well as more standardized high-quality total mesorectal excision. Lower rates of perioperative morbidity, permanent colostomy creation, and improved rates of oncologically acceptable rectal excision have led to lower recurrence and greater disease-free survival rates. The recognition of the need for pathologic assessment of the quality of total mesorectal excision, the status of the circumferential resection margins, and the finding of a minimum of 12 lymph nodes as well as identification of extramural vascular invasion has improved staging. These evolutions in imaging, surgical management, and pathologic specimen assessment are interdependent and have been repeatedly shown on national levels to be best operationalized in a multidisciplinary team environment. OBJECTIVE: The aim of this article is to evaluate the evidence leading to these important changes, including the imminent launch of the National Accreditation Program for Rectal Cancer. DESIGN AND SETTING: Based on the myriad confirmatory experiences in Europe and in the United Kingdom, a multidisciplinary team rectal cancer program was designed by the Consortium for Optimizing Surgical Treatment of Rectal Cancer and subsequently endorsed and accepted by the American College of Surgeons Commission on Cancer. MAIN OUTCOME MEASURES: The primary outcome measured is the adherence to the new program standards. RESULTS: Surgical treatment of rectal cancer consortium membership rapidly increased from 14 centers in August 2011 to more than 350 centers in April 2017. LIMITATIONS: The multidisciplinary team rectal cancer program has not yet launched; thus, its impact cannot yet be assessed. CONCLUSIONS: It is our hope and expectation that the outstanding improvement in quality outcomes repeatedly demonstrated within Europe, and extensively shown as much needed in the United States, will be rapidly achieved.
http://ift.tt/2relsE7
Αρχειοθήκη ιστολογίου
-
►
2023
(138)
- ► Φεβρουαρίου (74)
- ► Ιανουαρίου (64)
-
►
2022
(849)
- ► Δεκεμβρίου (61)
- ► Σεπτεμβρίου (74)
- ► Φεβρουαρίου (65)
-
►
2021
(2936)
- ► Δεκεμβρίου (59)
- ► Σεπτεμβρίου (180)
- ► Φεβρουαρίου (325)
-
►
2020
(1624)
- ► Δεκεμβρίου (293)
- ► Σεπτεμβρίου (234)
- ► Φεβρουαρίου (28)
-
►
2019
(13362)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (5586)
- ► Ιανουαρίου (5696)
-
►
2018
(66471)
- ► Δεκεμβρίου (5242)
- ► Σεπτεμβρίου (5478)
- ► Φεβρουαρίου (4835)
- ► Ιανουαρίου (5592)
-
▼
2017
(44259)
- ► Δεκεμβρίου (5110)
- ► Σεπτεμβρίου (5105)
-
▼
Μαΐου
(5467)
-
▼
Μαΐ 13
(101)
- Ventilator Management of Bronchopleural Fistula Se...
- Perceptions of Painful Diabetic Peripheral Neuropa...
- Prospective Observational Post-Marketing Study of ...
- Possible involvement of the lipoxygenase and leuko...
- UGT1A1 polymorphisms with irinotecan-induced toxic...
- Announcements
- Systematic Review of Animal Models Used in Researc...
- Madoff Testimonial for Festschrift: Hear, Hear, an...
- We Begin, We Continue, We Succeed, We Thrive
- Robert Madoff, the Man
- Selected Techniques of Anal Fistula Surgery from A...
- Acquiring Surgical Knowledge: Sound Methodology an...
- Colon and Rectal Surgery Regional Society Meetings
- Physician Burnout and Well-Being: A Systematic Rev...
- Bowel Sounds Are Not Associated With Flatus, Bowel...
- What To Do With Lateral Nodal Disease in Low Local...
- The Evolution of Pelvic Exenteration Practice at a...
- Baseline T Classification Predicts Early Tumor Reg...
- Transanal Total Pelvic Exenteration: Pushing the L...
- The Rationale for and Reality of the New National ...
- Residency Programs in Colon and Rectal Surgery
- Paradoxical Impact of Ileal Pouch-Anal Anastomosis...
- The American Society of Colon and Rectal Surgeons.
- siRNA Targeting Net1 Reduces the Angiogenesis and ...
- Asymmetric Dimethylarginine Induced Apoptosis and ...
- The Association of Chemokine Gene Polymorphisms wi...
- Dexamethasone Modulates Nonvisual Opsins, Glucocor...
- Native Valve Endocarditis due to Veillonella Speci...
- The Acoustic Habitat Hypothesis: An Ecoacoustics P...
- Mechanisms of Resistance to JAK2 Inhibitors in Mye...
- Clinical Review: Loperamide Toxicity
- Adventures of an Aortic Graft: A Transduodenal Jou...
- An unusual case of chronic diarrhea: chronic lymph...
- Tacit knowledge
- Pseudomyxoma peritonei due to low-grade appendicea...
- A case report of Muir-Torre syndrome in a woman wi...
- HSPB8 haploinsufficiency causes dominant adult-ons...
- Zoledronic acid renders human M1 and M2 macrophage...
- Paracrine release of IL-2 and anti-CTLA-4 enhances...
- Dianthin-30 or gelonin versus monomethyl auristati...
- Expression of PD-L1 in keratoacanthoma and differe...
- Common extracellular matrix regulation of myeloid ...
- Pediatric Gynecologic Cancers
- Are Family Routines Modifiable Determinants of Pre...
- Current status of superficial pharyngeal squamous ...
- Isolation and identification Candida vulvovaginiti...
- Topical co-administration of Pistacia atlantica hu...
- High Precision FRET at Single-molecule Level for B...
- Expression, Purification, and Antimicrobial Activi...
- Early gastric adenocarcinoma arising within foveol...
- Zoledronic acid renders human M1 and M2 macrophage...
- Paracrine release of IL-2 and anti-CTLA-4 enhances...
- Dianthin-30 or gelonin versus monomethyl auristati...
- Expression of PD-L1 in keratoacanthoma and differe...
- Common extracellular matrix regulation of myeloid ...
- Patient buys ballistic vests for paramedics who sa...
- Don't Label Me: A Qualitative Study of Patients’ P...
- Increase of resistance to fluoroquinolone and reta...
- A third generation vaccine for human visceral leis...
- Nifuroxazide prompts antitumor immune response of ...
- Vaccine-based immunotherapeutic approaches to glio...
- Next-Generation Sequencing-based genomic profiling...
- Excessively delayed maternal reaction after their ...
- A 0h/1h protocol for safe early discharge of chest...
- Red tattoos, ultraviolet radiation and skin cancer...
- Analysis of serum markers of cellular immune activ...
- Discovery and validation of candidate host DNA met...
- Simultaneous inhibition of NMDA and mGlu1/5 recept...
- TOTAL FATTY ACID CONTENT, ANTIOXIDANT COMPOSITION,...
- Cystic fibrosis carriership and tuberculosis: hint...
- Early morning urine collection to improve urinary ...
- Identification of a major Listeria monocytogenes o...
- Total delay in treatment among tuberculous meningi...
- Issue Information–ISSN page
- Randomized controlled trials in status epilepticus...
- Announcements
- BGG492 as an adjunctive treatment in patients with...
- Novel glycolipid agents for killing cisplatin-resi...
- MicroRNAs for Detection of Pancreatic Neoplasia: B...
- Patient-reported Outcome Measures: A Stethoscope f...
- High-frame rate vector flow imaging of the carotid...
- Tips and tricks for a safe and effective image-gui...
- A confirmed case of sugammadex-induced anaphylaxis...
- Maternal bradycardia occurring prior to onset of H...
- The vanishing duodenal polyp: mesenteric invaginat...
- Urothelial papilloma: a rare cause of gross haemat...
- Vedolizumab: a novel medical intervention in the t...
- Inhibition of mast cell infiltration in an LL-37-i...
- Cancers, Vol. 9, Pages 51: A Feasibility Study of ...
- Impact of Higher Vancomycin Troughs on Vancomycin-...
- Completion Rate and Safety of 12-Dose Isoniazid an...
- Successful Treatment of Post Kala-azar Dermal Leis...
- Oritavancin for the Treatment of Daptomycin Nonsus...
- Isolation of Xanthobacter Species and Bordetella t...
- Mycobacterium lentiflavum Infection in a Patient W...
- Gardnerella vaginalis as a Cause of Abscesses and ...
- Borrelia miyamotoi Polymerase Chain Reaction Posit...
- An Unusual Case of Gardnerella vaginalis: Bacterem...
- Detection of New Virulence Genes in mecA-positive ...
- Complicated Lymphogranuloma Venereum With Pelvic P...
-
▼
Μαΐ 13
(101)
-
►
2016
(7467)
- ► Δεκεμβρίου (514)
- ► Σεπτεμβρίου (1038)
- ► Φεβρουαρίου (793)
Αναζήτηση αυτού του ιστολογίου
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
-
Αλέξανδρος Γ. Σφακιανάκης Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,0030693260717...
-
Alimentary Pharmacology &Therapeutics, EarlyView. https://ift.tt/2qECBIJ
-
heory of COVID-19 pathogenesis Publication date: November 2020Source: Medical Hypotheses, Volume 144Author(s): Yuichiro J. Suzuki ScienceD...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου
Σημείωση: Μόνο ένα μέλος αυτού του ιστολογίου μπορεί να αναρτήσει σχόλιο.