Treatment systems guidelines for primary rectal cancer from the 1996 Patterns of Care Study Journal Article


Authors: Minsky, B. D.; Coia, L.; Haller, D.; Hoffman, J.; John, M.; Landry, J.; Pisansky, T. M.; Willett, C.; Mahon, I.; Owen, J.; Hanks, G.
Article Title: Treatment systems guidelines for primary rectal cancer from the 1996 Patterns of Care Study
Abstract: Purpose: The Patterns of Care Rectal Cancer Committee was formed to develop consensus recommendations for patients with adenocarcinoma of the rectum limited to the pelvis. Methods and Materials: The Committee was composed of a multidisciplinary group of oncologists, and clinical scenarios were chosen to address most of the major treatment controversies in the combined modality treatment of rectal cancer. A literature search was then conducted and the major articles were identified. A modified Delphi technique was used to arrive at consensus. Serial surveys were conducted by distributing questionnaires to the Committee members to consolidate expert opinion. Voting was conducted using a scoring system and opinions were unified to the highest degree possible. Results: Consensus voting was performed for 4 clinical scenarios. Acceptability ratings for treatment were grouped into 3 broad categories: not acceptable, acceptable, and most acceptable. Based on the treatment options, a decision tree was developed that reflects the consensus of the committee. Conclusion: These options may help guide treatment decisions in rectal cancer.
Keywords: aged; middle aged; fluorouracil; multimodality cancer therapy; chemotherapy, adjuvant; radiotherapy, adjuvant; cancer staging; adenocarcinoma; radiotherapy dosage; practice guideline; delphi technique; rectal neoplasms; rectum cancer; decision trees; levamisole; humans; male; female; priority journal; article
Journal Title: International Journal of Radiation Oncology, Biology, Physics
Volume: 41
Issue: 1
ISSN: 0360-3016
Publisher: Elsevier Inc.  
Date Published: 1998-04-01
Start Page: 21
End Page: 27
Language: English
DOI: 10.1016/s0360-3016(98)00027-3
PUBMED: 9588913
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 12 December 2016 -- Source: Scopus
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  1. Bruce Minsky
    256 Minsky