Evidence map›Paper›PMID 33033856›Full record

ArticleWorld journal of surgery2021

A Snapshot of the International Views of the Treatment of Rectal Cancer Patients, a Multi-regional Survey: International Tendencies in Rectal Cancer.

Antonio Caycedo-Marulanda, Sunil V Patel, Chris P Verschoor, Johanna P Uscategui, Sami A Chadi, Gabriela Moeslein, Manish Chand, Yasuko Maeda, John R T Monson, Steven D Wexner and 1 more

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Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Nonoperative Management for Rectal Cancer.Hematology/oncology clinics of North America · 2022
    Review
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Antonio Caycedo-MarulandaDepartment of Surgery, Queens University, Kingston, Canada. Antonio.Caycedo@Kingstonhsc.ca.ORCID http://orcid.org/0000-0003-2387-5304
Sunil V PatelDepartment of Surgery, Queens University, Kingston, Canada.
Chris P VerschoorHealth Sciences North Research Institute, Sudbury, Canada.
Johanna P UscateguiColorectal Surgery North, Sudbury, Canada.
Sami A ChadiDepartment of Surgery University Health Network (UHN), Toronto, Canada.
Gabriela MoesleinDepartment of Surgery, University of Witten/Herdecke, Witten, Germany.
Manish ChandDepartment of Surgery, University College London, London, UK.
Yasuko MaedaDepartment of Colorectal Surgery, Western General Hospital, Edinburgh, Scotland, UK.
John R T MonsonCenter for Colon and Rectal Surgery, Digestive Health and Surgery Institute, AdventHealth Orlando, Orlando, USA.
Steven D WexnerDepartment of Surgery, Cleveland Clinic Florida, Weston, USA.
Julio MayolDepartment of Surgery, Hospital Clinico San Carlos, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManagement of rectal cancer has a number of potentially appropriate alternatives for each patient. Despite acceptance of standards, practices may vary among regions. There is significant paucity of data in this area. The objective was to create a snapshot of the regional differences.

designThis online survey included 10 questions. Enquiries focused on controversial topics, on surgeon and hospital volume, surgical margins, appropriateness of surgical approaches and techniques, watch-and-wait strategies, and total neoadjuvant therapy. Major colorectal surgery societies around the world were asked to invite their members to complete the survey. OUTCOME MEASURES: Frequency of responses across regions within each question was compared by Fisher's exact test.

resultsSeven hundred and fifty-three participants from 60 countries responded. Eight regions were identified, and four had sufficient representation for comparisons. Similarities and differences in the therapies among these regions were identified. Robotic surgery penetrance is higher in North America, and watch and wait is more accepted in South America. Patients in Oceania are more likely to be diverted; Europe has more usage of taTME. DISCUSSION: This online survey was practical as a mean to provide a rapid assessment of the international picture on consistency and variability of rectal cancer patients' care, and to potentially identify opportunities to standardized care to patients. Medical surveys have inherent limitations; pertinence to our study is selection bias.

conclusionsThe management of rectal cancer varies among different regions. Identification of differences is important when considering global efforts to improve management and interpret data.

Indexed as

Rectal NeoplasmsColorectal SurgeryEuropeHumansNeoadjuvant TherapyProctectomy

Identifiers

PMID33033856

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.