By Gunnar Baatrup
This publication is meant because the an identical of the Swiss military knife for all participants of colorectal melanoma (CRC) multidisciplinary groups and people education within the fields of CRC administration. It describes how you can set up the crew and explains the elemental ideas in the varied disciplines keen on the remedy and care of CRC sufferers. very important, up to date wisdom is equipped on visualization suggestions, surgical procedure, oncological remedy, palliation, and pathology, with unique specialize in controversies and points of curiosity to all crew participants. Care has been taken to make sure that every one specialty-specific bankruptcy should be approachable for workforce contributors from different specialties or professions, thereby facilitating an efficient interdisciplinary method of teamwork. The authors comprise top ecu medical professionals and scientists who've inspired the advance of the multidisciplinary workforce proposal in addition to different points of high quality, individualized therapy of CRC patients.
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Extra resources for Multidisciplinary Treatment of Colorectal Cancer: Staging – Treatment – Pathology – Palliation
During the first years of the project, it became obvious that surgery for rectal cancer should be performed by fewer surgeons specially trained in the TME technique. Thus, it was necessary to change the educational programme for general surgery and to remove rectal cancer surgery from the programme. The professional community recommended that rectal cancer procedures only should be performed by specialists in gastrointestinal surgery. A few years later, following the report showing a wide variation of results between hospitals, the regional health-care authorities decided that rectal cancer patients only should be treated by multidisciplinary teams at central hospitals and university hospitals.
2009;52(6):1046–53. 31. Peeters KC, Marijnen CA, Nagtegaal ID, Kranenbarg EK, Putter H, Wiggers T, Rutten H, Pahlman L, Glimelius B, Leer JW, van de Velde CJ, Dutch Colorectal Cancer Group. The TME trial after a median follow-up of 6 years: increased local control but no survival benefit in irradiated patients with resectable rectal carcinoma. Ann Surg. 2007;246(5): 693–701. Porter GA, Soskolne CL, Yakimetz WW, Newman SC. Surgeon-related factors and outcome in rectal cancer. Ann Surg. 1998;227(2):157–67.
2007;82(4):193–4 (In Spanish). 28. Mroczkowski P, Kube R, Schmidt U, Gastinger I, Lippert H. Quality assessment of colorectal cancer care – an international online model. Colorectal Dis. 2011;13(8):890–5. 29. van Gijn W, Wouters MW, Peeters KC, van de Velde CJ. Nationwide outcome registrations to improve quality of care in rectal surgery. An initiative of the European Society of Surgical Oncology. J Surg Oncol. 2009;99(8):491–6. 30. Tilney H, Lovegrove RE, Smith JJ, Thompson MR, Tekkis PP, Association of Coloproctology of Great Britain and Ireland.