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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Multidisciplinary Rectal Cancer Management: 2nd European Rectal Cancer Consensus Conference (EURECA-CC2).

Vincenzo Valentini1, Cynthia Aristei, Bengt Glimelius

  • 1Cattedra di Radioterapia, Università Cattolica del Sacro Cuore, Policlinico Universitario A. Gemelli, largo Gemelli 8, Rome, Italy. vvalentini@rm.unicatt.it

Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology
|July 15, 2009
PubMed
Summary
This summary is machine-generated.

European experts reached consensus on multidisciplinary rectal cancer treatment. This process established guidelines to improve patient care and future research across Europe.

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Area of Science:

  • Oncology
  • Clinical Practice Guidelines
  • Evidence-Based Medicine

Background:

  • The first decade of the 21st century saw significant European randomized studies in rectal cancer.
  • The International Conference on Multidisciplinary Rectal Cancer Treatment: Looking for an European Consensus (EURECA-CC2) was convened to synthesize this evidence.
  • Endorsed by ESMO, ESSO, and ESTRO, the conference aimed to shape clinical practice.

Framework:

  • A Delphi method was employed for consensus-building.
  • The process involved iterative commenting and voting on statements across eight key chapters: epidemiology, diagnostics, pathology, surgery, radiotherapy/chemotherapy, toxicity/quality of life, follow-up, and research.
  • Open debate and televoting were used for unresolved issues during the Perugia conference.

Implementation:

  • 207 statements were voted upon by committee members.
  • A web-based document facilitated the consensus process.
  • Consensus levels were categorized as 'large', 'moderate', or 'minimum'.

Implications:

  • The conference achieved high consensus, with 86% of statements reaching 'large consensus'.
  • No statement faced disagreement from over 50% of members.
  • The resulting expertise opinion process is expected to inform future rectal cancer protocols, guidelines, and research in Europe.