کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278740 1611501 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Association between surgeon characteristics and their preferences for guideline-concordant staging and treatment for rectal cancer
ترجمه فارسی عنوان
پیوند بین ویژگی های جراح و ترجیحات آنها برای تنظیم مقررات راهنمایی و درمان برای درمان سرطان رکتوم
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundRectal cancer guidelines recommend transrectal ultrasound or magnetic resonance imaging for locoregional staging and neoadjuvant chemoradiation therapy (CRT) for Stage II/III disease, but studies show these are underutilized. We examined how surgeon preferences align with guidelines or vary by training.MethodsQuestionnaires on training, years of practice, and staging/treatment preferences were sent to surgeons practicing in Florida.ResultsOf 759 surveys distributed, 321 (42%) responded; 158 were excluded because they were trainees, not treating rectal cancer, or not board certified/eligible. Among the remaining 163, 71% were general surgeons, 18% colorectal surgeons, and 11% surgical oncologists. Colorectal surgeons and surgical oncologists were more likely than general surgeons to prefer transrectal ultrasound/magnetic resonance imaging (79% vs 50%; P < .01), and neoadjuvant CRT (71% vs 45%; P < .01). Differences remained significant after adjusting for years in practice.ConclusionIncreased focus on appropriate use of staging procedures and neoadjuvant CRT within general surgery training/educational programs is warranted.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 208, Issue 5, November 2014, Pages 817–823
نویسندگان
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