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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...

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Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources
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Using agile development methodology to develop a decision aid for complex rectal cancer.

Anwen Williams1, Freya Woods2, Claire O'Neill3

  • 1Swansea University Medical School, Institute of Life Science, Swansea, UK; Department of Physics, Centre or NanoHealth, Swansea University, Swansea, UK.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|May 22, 2026
PubMed
Summary
This summary is machine-generated.

A new patient decision aid (PtDA) was developed to support shared decision-making (SDM) for patients undergoing pelvic exenteration (PE) for locally advanced rectal cancer. This validated tool enhances patient satisfaction and decision-making preparedness.

Keywords:
Alpha testingBeta testingEORTC PATSAT C-33Locally advanced rectal cancerLocally recurrent cancerPatient decision aidPelvic exenterationPreparation for decision making scaleQQ-10Qualitative study

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Patient-Centered Care

Background:

  • Locally advanced rectal cancer (LARC) and locally recurrent rectal cancer (LRRC) represent challenging diagnoses.
  • Pelvic exenteration (PE) is a potentially curative but impactful treatment for LARC/LRRC.
  • High-quality patient information is crucial for informed treatment decisions and shared decision-making (SDM).

Purpose of the Study:

  • To develop a validated patient decision aid (PtDA) for patients considering PE.
  • To align the PtDA development with international minimum standards for decision aids.
  • To facilitate the process of SDM for PE patients.

Main Methods:

  • A national, multi-center mixed-methods study adhering to IPDAS guidelines.
  • Agile Cycle Development (ADM) employed by a multidisciplinary committee.
  • Content informed by literature review and qualitative interviews; validated using questionnaires (QQ-10, EORTC PATSAT-C33, Prep-DM).

Main Results:

  • Six development cycles resulted in a PtDA with high perceived value (89%) and low burden (8%).
  • PtDA use significantly improved patient satisfaction across all domains (p < 0.05).
  • Preparation for Decision-Making (Prep-DM) scores increased significantly post-implementation (66.8% to 91.5%, p < 0.001).

Conclusions:

  • The developed PtDA is validated and supports SDM for patients considering PE.
  • The tool enhances patient satisfaction and preparedness for decision-making.
  • Further research will explore implementation barriers in routine clinical practice.