Научная статья
в журнале «Diseases of the Colon&Rectum»
в журнале «Diseases of the Colon&Rectum»
The American Board of Colon and Rectal Surgery
The American Society of Colon and Rectal Surgeons is the premier society for colon and rectal surgeons and other surgeons dedicated to advancing and promoting the science and practice of the treatment of patients with diseases and disorders affecting the colon, rectum and anus. More than 2,000 of the Society's 3,800 members are certified by the American Board of Colon and Rectal Surgery. We believe in patient-centered, high-quality, high-value health care. We achieve this care through professionalism, unique knowledge and skills, and the fellowship of the Society's members.
Standardizing the Definition of Each Colon Cancer
Segment: Delphi Consensus on Clinical Decision-
Making for Oncologic Outcomes
Segment: Delphi Consensus on Clinical Decision-
Making for Oncologic Outcomes
The online survey included 17 questions. In the first 2 rounds, participating experts were asked to rank each statement on a scale of 1 (least
relevant) to 9 (most relevant). Consensus statements and definitions were revised according to the results for statements obtaining a consensus score of 7 to 9. During the third round and online meeting, definitions and statements that reached a moderate or high consensus
(above 4 for more than 70% of participants) were included.
relevant) to 9 (most relevant). Consensus statements and definitions were revised according to the results for statements obtaining a consensus score of 7 to 9. During the third round and online meeting, definitions and statements that reached a moderate or high consensus
(above 4 for more than 70% of participants) were included.
The primary goal of our project was focused on precisely localizing the specific segment affected by primary colon cancer rather than
identifying surgical treatment or type of resection needed for a particular segment.
identifying surgical treatment or type of resection needed for a particular segment.
The first round included 331 experts; 301 (91%) completed the second round and 295 (98%) completed the final round. Experts strongly supported the use of a “10-cm rule” to describe colon cancer sites at the flexures and anatomical landmarks for other segments. Regarding the definition of rectosigmoid cancer, experts from United States and Europe reached a high consensus that the term rectosigmoid as a colon cancer location must be abolished in contrast to experts from Asia. The description of overlapping segments of cancers achieved a consensus of 64%.
This Delphi survey, the first internationally conducted consensus study, achieved a remarkable level of consensus among a panel of global
experts. Ambiguity still exists regarding overlapping lesions.
experts. Ambiguity still exists regarding overlapping lesions.
Дата публикации: июль 2024
