Diagnosis and Treatment of Rectal Cancer

2010 ◽  
pp. 389-407
Author(s):  
Té Vuong ◽  
Tamim Niazi ◽  
Sender Liberman ◽  
Polymnia Galiatsatos ◽  
Slobodan Devic
Keyword(s):  
Rectal Cancer ◽  
Diagnosis And Treatment

scholarly journals Significance, diagnosis and treatment of lateral lymph nodes in rectal cancer: A systematic review

2019 ◽  
Vol 21 ◽  
pp. 73-82 ◽  
Author(s):  
Stephanie Gulevski ◽  
Marcia M. Russell ◽  
Pamela Buchwald
Keyword(s):  
Systematic Review ◽  
Rectal Cancer ◽  
Lymph Nodes ◽  
Diagnosis And Treatment

Diagnosis and treatment of local recurrence following curative rescection for rectal cancer.

1987 ◽  
Vol 20 (11) ◽  
pp. 2584-2592
Author(s):  
Tomoyuki KATO ◽  
Junichi SAKAMOTO ◽  
Kenzo YASUI ◽  
Takeshi MORIMOTO ◽  
Yoshitaka YAMAMURA ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Diagnosis And Treatment

Outcomes in rectal cancer care in Uruguay: A study on quality indicators.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 234-234
Author(s):  
Santiago Fontes ◽  
Megan Berry ◽  
Ana Marín-Jiménez ◽  
Juan Carlos Sánchez ◽  
Graciela Reyes ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Overall Survival ◽  
Treatment Outcomes ◽  
Quality Indicators ◽  
Rectal Carcinoma ◽  
Cancer Care ◽  
Diagnosis And Treatment ◽  
Internal Quality ◽  
Target Values

234 Background: For years, rectal cancer has been considered a model oncologic entity and significant therapeutic improvements have been made in the last two decades. However, evidence suggests there are important differences in quality of care between countries, institutions and teams. Therefore, population-based audits are of great importance to ensure quality cancer care. Quality indicators (QIs) provide information on safety and quality of cancer screening, diagnosis and treatment. Aim: To describe and analyze quality indicators for diagnosis and treatment of rectal carcinoma at a high-volume cancer center in Uruguay. Methods: A retrospective descriptive study was performed as a sub-analysis of a cohort of 971 patients. A total of 497 rectal or rectosigmoid-junction carcinoma patients treated between 2008 and 2020 at the Uruguayan National Cancer Institute were included. Previously validated target values formed the basis of the QIs used in this study. Each QI was reported as the proportion (% 95% CI) of patients fulfilling the criteria out of eligible patients. Kaplan–Meier method was used to calculate overall survival rates. Results: Mean age was 62 years, 59.5% were male, and 78% showed no evidence of disseminated disease at diagnosis. Diagnosis and staging: combined contrast-enhanced CT TAP scan was performed in 66% of the sample, 51% of cases had a total colonoscopy before elective curative intent surgery. Locoregional c-TN staging was assessed by high resolution MRI in 64% of cases. Only 30% and 63% of patients in the preoperatively irradiated and the nonirradiated groups had a minimum of 12 lymph nodes examined. Multimodal treatment: preoperative chemo-radiation was delivered for stages II and III middle/low-third rectal cancers in 81% of the cases. Adjuvant therapy was prescribed in 75% and 47% of stages III and II receiving surgery as upfront treatment, respectively. 78% of cStage IV patients received palliative chemotherapy. Surrogate indicators of outcome: 82% had distal tumor-free margins, although only 72% had a pathological circumferential radial margin ((y)pCRM) mentioned in the pathology report. Non-curative (R1,2) resections in M0 rectal carcinoma in our cohort was below the target value of <20%. 15% of our cases had a positive (y)pCRM. Treatment-outcomes: Our cumulative overall local recurrence was 12.6% and the 3-year overall survival rate was 84.8%. Conclusions: Continuous analysis of QIs in rectal cancer is necessary for internal quality management and for external quality assessment, to improve and compare treatment outcomes. Our results highlight the positive aspects of rectal cancer care at our center and reveal the weak points in diagnosis and treatment that need special attention. They will serve as a guide in the implementation of new strategies and programs that will aim to improve safety and quality of rectal cancer care for Uruguayan patients, regardless of where they live or are treated.

The Impact of Diagnosis and Treatment of Rectal Cancer on Paid and Unpaid Labor

2005 ◽  
Vol 48 (10) ◽  
pp. 1875-1882 ◽  
Author(s):  
Mandy van den Brink ◽  
Wilbert B. van den Hout ◽  
Job Kievit ◽  
Corrie A. M. Marijnen ◽  
Hein Putter ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Diagnosis And Treatment ◽  
Unpaid Labor ◽  
The Impact

Infections of the urinary tract. Fundamental concepts of diagnosis and treatment

JAMA ◽  
1966 ◽  
Vol 195 (3) ◽  
pp. 193-194
Author(s):  
E. N. Cook
Keyword(s):  
Urinary Tract ◽  
Diagnosis And Treatment

Aortic root aneurysm. Diagnosis and treatment

JAMA ◽  
1966 ◽  
Vol 197 (2) ◽  
pp. 133-134 ◽  
Author(s):  
H. Najafi
Keyword(s):  
Aortic Root ◽  
Diagnosis And Treatment ◽  
Aortic Root Aneurysm
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