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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Minsky, BD; Coia, L; Haller, D; Hoffman, J; John, M; Landry, J; Pisansky, TM; Willett, C; Mahon, I; Owen, J; Hanks, G

Published Date

  • April 1, 1998

Published In

Volume / Issue

  • 41 / 1

Start / End Page

  • 21 - 27

PubMed ID

  • 9588913

International Standard Serial Number (ISSN)

  • 0360-3016

Digital Object Identifier (DOI)

  • 10.1016/s0360-3016(98)00027-3


  • eng

Conference Location

  • United States