The current practice of cytoreductive surgery and HIPEC for colorectal peritoneal metastases: Results of a worldwide web-based survey of the Peritoneal Surface Oncology Group International (PSOGI).
The current practice of cytoreductive surgery and HIPEC for colorectal peritoneal metastases: Results of a worldwide web-based survey of the Peritoneal Surface Oncology Group International (PSOGI).
- 2018
Available online from MWHC library: 1995 - present, Available in print through MWHC library:2002-2007
BACKGROUND: At present, selected patients with resectable colorectal peritoneal metastases (CRC-PM) are increasingly treated with a combination therapy of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). The aim of this study was to investigate the current worldwide practice. CONCLUSION: This international survey demonstrates that CRS and HIPEC is now performed on a large scale for CRC-PM patients. Variation in treatment may result in heterogeneity in surgical and oncological outcomes, emphasising the necessity to reach consensus on several issues of this comprehensive procedure. Future initiatives directed at achieving an international consensus statement are needed. Copyright (c) 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved. METHODS: HIPEC experts from 19 countries were invited through the Peritoneal Surface Oncology Group International (PSOGI) to complete an online survey concerning their personal expertise and current hospital and countrywide practice. RESULTS: It is estimated that currently more than 3800 patients with CRC-PM (synchronous and metachronous) are annually treated with CRS and HIPEC in 430 centers. Integration of CRS and HIPEC in national guidelines varies, resulting in large treatment disparities between countries. Amongst the experts, there was general agreement on issues related to indication, surgical technique and follow up but less on systemic chemotherapy or proactive strategies.
English
0748-7983
10.1016/j.ejso.2018.07.003 [doi] S0748-7983(18)31182-X [pii]
*Colorectal Neoplasms/pa [Pathology]
*Cytoreduction Surgical Procedures/mt [Methods]
*Hyperthermia, Induced/mt [Methods]
*Peritoneal Neoplasms/sc [Secondary]
*Peritoneal Neoplasms/th [Therapy]
*Practice Patterns, Physicians'/sn [Statistics & Numerical Data]
Combined Modality Therapy
Humans
Internet
Surveys and Questionnaires
Treatment Outcome
Washington Cancer Institute
Journal Article
Available online from MWHC library: 1995 - present, Available in print through MWHC library:2002-2007
BACKGROUND: At present, selected patients with resectable colorectal peritoneal metastases (CRC-PM) are increasingly treated with a combination therapy of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). The aim of this study was to investigate the current worldwide practice. CONCLUSION: This international survey demonstrates that CRS and HIPEC is now performed on a large scale for CRC-PM patients. Variation in treatment may result in heterogeneity in surgical and oncological outcomes, emphasising the necessity to reach consensus on several issues of this comprehensive procedure. Future initiatives directed at achieving an international consensus statement are needed. Copyright (c) 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved. METHODS: HIPEC experts from 19 countries were invited through the Peritoneal Surface Oncology Group International (PSOGI) to complete an online survey concerning their personal expertise and current hospital and countrywide practice. RESULTS: It is estimated that currently more than 3800 patients with CRC-PM (synchronous and metachronous) are annually treated with CRS and HIPEC in 430 centers. Integration of CRS and HIPEC in national guidelines varies, resulting in large treatment disparities between countries. Amongst the experts, there was general agreement on issues related to indication, surgical technique and follow up but less on systemic chemotherapy or proactive strategies.
English
0748-7983
10.1016/j.ejso.2018.07.003 [doi] S0748-7983(18)31182-X [pii]
*Colorectal Neoplasms/pa [Pathology]
*Cytoreduction Surgical Procedures/mt [Methods]
*Hyperthermia, Induced/mt [Methods]
*Peritoneal Neoplasms/sc [Secondary]
*Peritoneal Neoplasms/th [Therapy]
*Practice Patterns, Physicians'/sn [Statistics & Numerical Data]
Combined Modality Therapy
Humans
Internet
Surveys and Questionnaires
Treatment Outcome
Washington Cancer Institute
Journal Article