IMPACT organizational survey highlighting provision of services for patients with locally advanced and recurrent colorectal cancer across Great Britain and Ireland.

Autor: Harji D; Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Manchester, UK., Vallance A; Department of Colorectal Surgery, Bristol Royal Infirmary, Bristol, UK., Ibitoye T; Population Health Science Institute, Newcastle University, Newcastle upon Tyne, UK., Wilkin R; Department of Surgery, NHS Trust, Worcestershire Acute Hospitals, Worcester, UK., Boyle J; Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK., Clifford R; Department of Colorectal Surgery, Countess of Chester National Health Service Foundation Trust, Chester, UK., Convie L; Belfast Health and Social Care Trust, Belfast, UK., Duff M; Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK., Elavia K; IMPACT PPI Group, Association of Coloproctologists of Great Britain and Ireland, London, UK., Evans M; Department of Colorectal Surgery, Singleton Hospital, Swansea, UK., Fleming C; Department of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland., Griffiths B; Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Manchester, UK., Jenkins JT; Complex Cancer Clinic, St Mark's Hospital, Harrow, UK., Mohan H; Peter MacCallum Cancer Center, Melbourne, Australia., Morris EJ; Big Data Institute, Oxford Population Health, University of Oxford, Oxford, UK., Taylor C; Complex Cancer Clinic, St Mark's Hospital, Harrow, UK., Thorpe G; School of Health Sciences, University of East Anglia, Norwich, UK., Tiernan J; The John Goligher Colorectal Surgery Unit, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK., Fearnhead N; Department of Colorectal Surgery, Cambridge University Hospitals, Cambridge, UK.
Jazyk: angličtina
Zdroj: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland [Colorectal Dis] 2024 Dec; Vol. 26 (12), pp. 2033-2038. Date of Electronic Publication: 2024 Oct 22.
DOI: 10.1111/codi.17139
Abstrakt: Aim: 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.
Method: 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.
Results: 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%)].
Conclusion: 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.
(© 2024 Association of Coloproctology of Great Britain and Ireland.)
Databáze: MEDLINE
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