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The current practice of cytoreductive surgery and HIPEC for colorectal peritoneal metastases : Results of a worldwide web-based survey of the Peritoneal Surface Oncology Group International (PSOGI)

Bushati, M ; Rovers, K P ; Sommariva, A ; Sugarbaker, P H ; Morris, D L ; Yonemura, Y ; Quadros, C A ; Somashekhar, S P ; Ceelen, W and Dubé, P , et al. (2018) In European Journal of Surgical Oncology 44(12). p.1942-1948
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... (More)

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.

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publishing date
type
Contribution to journal
publication status
published
subject
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
in
European Journal of Surgical Oncology
volume
44
issue
12
pages
1942 - 1948
publisher
Elsevier
external identifiers
  • pmid:30075978
  • scopus:85050664837
ISSN
1532-2157
DOI
10.1016/j.ejso.2018.07.003
language
English
LU publication?
no
additional info
Copyright © 2018 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
id
c945efad-8236-44ed-b865-4f1e842f57b2
date added to LUP
2022-04-04 17:13:07
date last changed
2024-06-18 21:37:07
@article{c945efad-8236-44ed-b865-4f1e842f57b2,
  abstract     = {{<p>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.</p><p>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.</p><p>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.</p><p>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.</p>}},
  author       = {{Bushati, M and Rovers, K P and Sommariva, A and Sugarbaker, P H and Morris, D L and Yonemura, Y and Quadros, C A and Somashekhar, S P and Ceelen, W and Dubé, P and Li, Y and Verwaal, V J and Glehen, O and Piso, P and Spiliotis, J and Teo, M C C and González-Moreno, S and Cashin, P H and Lehmann, K and Deraco, M and Moran, B and de Hingh, I H J T}},
  issn         = {{1532-2157}},
  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}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{1942--1948}},
  publisher    = {{Elsevier}},
  series       = {{European Journal of Surgical Oncology}},
  title        = {{The current practice of cytoreductive surgery and HIPEC for colorectal peritoneal metastases : Results of a worldwide web-based survey of the Peritoneal Surface Oncology Group International (PSOGI)}},
  url          = {{http://dx.doi.org/10.1016/j.ejso.2018.07.003}},
  doi          = {{10.1016/j.ejso.2018.07.003}},
  volume       = {{44}},
  year         = {{2018}},
}