Abstract
BACKGROUND: At present, selected patients with resectable colorectal peritoneal metastases (CRC-PM) are increasingly treated with a combination therapy of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). The aim of this study was to investigate the current worldwide practice.
METHODS: HIPEC experts from 19 countries were invited through the Peritoneal Surface Oncology Group International (PSOGI) to complete an online survey concerning their personal expertise and current hospital and countrywide practice.
RESULTS: It is estimated that currently more than 3800 patients with CRC-PM (synchronous and metachronous) are annually treated with CRS and HIPEC in 430 centers. Integration of CRS and HIPEC in national guidelines varies, resulting in large treatment disparities between countries. Amongst the experts, there was general agreement on issues related to indication, surgical technique and follow up but less on systemic chemotherapy or proactive strategies.
CONCLUSION: This international survey demonstrates that CRS and HIPEC is now performed on a large scale for CRC-PM patients. Variation in treatment may result in heterogeneity in surgical and oncological outcomes, emphasising the necessity to reach consensus on several issues of this comprehensive procedure. Future initiatives directed at achieving an international consensus statement are needed.
Original language | English |
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Pages (from-to) | 1942-1948 |
Journal | European Journal of Surgical Oncology |
Volume | 44 |
Issue number | 12 |
DOIs | |
Publication status | Published - 2018 |
Externally published | Yes |
Bibliographical note
Copyright © 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.Subject classification (UKÄ)
- Cancer and Oncology
Free keywords
- Colorectal Neoplasms/pathology
- Combined Modality Therapy
- Cytoreduction Surgical Procedures/methods
- Humans
- Hyperthermia, Induced/methods
- Internet
- Peritoneal Neoplasms/secondary
- Practice Patterns, Physicians'/statistics & numerical data
- Surveys and Questionnaires
- Treatment Outcome