The management of rectal cancer in Belgium: a survey of our practice

Rectal disease; Clinical management; Management; Belgium; Survey; Gastroenterology; Rectum cancer; Europe; Digestive diseases; Intestinal disease; Malignant tumor; Rectum pathologie; Gestion; Conduite à tenir; Belgique; Enquête; Gastroentérologie; Cancer du rectum; Appareil digestif pathologie; Intestin pathologie; Tumeur maligne; Recto patología; Actitud médica; Gestión; Belgica; Encuesta; Gastroenterología; Cáncer del recto; Europa; Aparato digestivo patología; Intestino patología; Tumor maligno

Abstract :

[en] In 1995, a Peer Review Commission Radiotherapy was installed at the initiative of the Belgian Ministry of Health as part of a larger pilot project on quality assurance. This commission was composed of 14 members, 8 radiation oncologists (appointed by the Belgian Association of Radiation Oncology) and 6 physicists (appointed by the Belgian Association of Hospital Physicists). Peer review is only one of the activities within the Quality control of the medical performance aiming to improve quality in diagnostic and therapeutic procedures. Other activities in Quality assurance are development of standards and guidelines, continuous education and measurements of the treatment process. In 1998, the Peer review Commission Radiotherapy has proposed to make a survey of rectal cancer management including diagnostic procedures and therapeutic approaches. More than 1300 questionnaires were sent to the chairman of the 25 Belgian radiotherapy departments, asking them to have it filled in by the radiation oncologist in charge of rectal cancer treatment in their department and to all the known surgeons from a list provided by the Ministry of Health. The paper reports and discuss the results of this survey.
[fr] En 1995, un examen par les pairs de la Commission de radiothérapie a été installée à l'initiative du Ministère belge de la Santé dans le cadre d'un projet pilote plus vaste sur l'assurance de la qualité. Cette commission était composée de 14 membres, 8 radio-oncologues (nommé par l'Association belge de radio-oncologie ) et 6 physiciens (nommé par l'Association belge des Physiciens Hospital). Peer review is only one of the activities within the Quality control of the medical performance aiming to improve quality in diagnostic and therapeutic procedures. Examen par les pairs n'est que l'une des activités au sein du contrôle de la qualité de la performance médicale visant à améliorer la qualité des procédures diagnostiques et thérapeutiques. Other activities in Quality assurance are development of standards and guidelines, continuous education and measurements of the treatment process. Autres activités dans l'assurance de la qualité sont le développement de normes et directives, formation continue et les mesures des processus de traitement. In 1998, the Peer review Commission Radiotherapy has proposed to make a survey of rectal cancer management including diagnostic procedures and therapeutic approaches. En 1998, la Commission d'examen par les pairs radiothérapie a proposé de faire une enquête sur la gestion du cancer du rectum, y compris les procédures diagnostiques et des approches thérapeutiques. More than 1300 questionnaires were sent to the chairman of the 25 Belgian radiotherapy departments, asking them to have it filled in by the radiation oncologist in charge of rectal cancer treatment in their department and to all the known surgeons from a list provided by the Ministry of Health. Plus de 1300 questionnaires ont été envoyés au président des 25 départements belges de radiothérapie, leur demandant de faire remplir par le radio-oncologue en charge du traitement du cancer du rectum dans leur ministère et à tous les chirurgiens connus à partir d'une liste fournie par le ministère de santé. The paper reports and discuss the results of this survey. Les rapports de papier et de discuter des résultats de cette enquête.

Disciplines :

Oncology

Author, co-author :

BEAUDUIN, Marc P.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

Deneufbourg, Jean-Marie ; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

DE NEVE, W.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

HERMANS, J.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

HOORNAERT, M.T.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

SCALLIET, P.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

SPAAS, P.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

Vanderick, JEAN ; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

VAN DIJCKE, J.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

VAN HOUTTE, P.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

WELTENS, C.; Algemeen Ziekenhuis Sint-Maanen, Duffel, BELGIQUE

Language :

English

Title :

The management of rectal cancer in Belgium: a survey of our practice

Alternative titles :

[en] La gestion du cancer du rectum en Belgique: une enquête auprès de notre pratique

Publication date :

2004

Journal title :

Acta Gastro-Enterologica Belgica

ISSN :

0001-5644

eISSN :

1784-3227

Publisher :

Société Royale Belge de Gastro-Entérologie, Brussels, Belgium

Volume :

Issue :

Pages :

9-13

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 25 January 2010

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Bibliography

BATHIA A., SINGH N., ARORA V., GUPTA K. Prospective Peer Review in fine needle aspirationcytology, another step toward quality assurance. Acta Cytol., 1998, 42: 865-868.
BRUNDAGE M., DIXON P., MACKILLOP W. A real time audit of radiation therapy in a regional cancer center. Int. J. Radiat. Oncol. Biol. Phys., 1999, 43: 115-124.
DUTREIX A., VAN DER SCHUEREN E., DERREUMAUX S., CHAVAUDRA J. Preliminary results of a quality assurance network for radiotherapy centers in Europe. Radiother. Oncol., 1993, 29: 97-101.
WELTENS C., LEUNENS G., COSSET J.M., DUTREIX A., ESCHWEGE F., VAN DER SCHUEREN E. Accuracy in mantle field irradiations: treated volume and daily dose. Radiother. Oncol., 1993, 29: 18-26.
GOLDBERG P.A., NICHOLLS R.J., PORTER N.H., LOVE S., GRIMSEY J.E. Long-term results of a randomized trial of short-course low-dose adjuvant preoperative radiotherapy for rectal cancer: reduction in local treatment failure. Eur. J. Cancer, 1994, 30A: 1602-1606.
MARSH P.J., JAMES R.D., SCHOFIELD P.F. Adjuvant preoperative radiotherapy for locally advanced rectal carcinoma. Results from a prospective, randomized trial. Dis. Colon Rectum, 1994, 37: 1205-1214.
GÉRARD A., BUYSE M., NORDLINGER B. et al. Preoperative radiotherapy as adjuvant treatment in rectal cancer. Final results of a randomized study of the European Organization for Research and Treatment of Cancer (EORTC). Ann. Surg., 1988, 208: 606-614.
MARIJNEN C.A., NAGTEGAAL I.D., KLEIN-KRANENBARG E. et al. No downstaging after short-term preoperative radiotherapy in rectal cancer patients. J. Clin. Oncol., 2001, 19: 1976-1984
ARNAUD J.P., NORDLINGER B., BOSSET J.F. et al. Radical surgery and postoperative radiotherapy as combined treatment in rectal cancer. Final results of a phase III study of the EORTC. Br. J. Surg., 1997, 84: 352-357.
TREURNIET-DONKER A.D., VAN PUTTEN W.L. et al. Postoperative radiation therapy for rectal cancer. An interim analysis of a prospective, randomized multicenter trial in the Netherlands. Cancer, 1991, 67: 2042-2048.
FISHER B., WOLMARK N., ROCKETTE H. et al. Postoperative adjuvant chemotherapy or radiation therapy for rectal cancer: results from NSABP Protocol R-01. J. Natl. Inst., 1988, 80: 21-29.
TVEIT K.M., GULDVOG I., HAGEN S. et al. Randomized controlled trial of postoperative radiotherapy and short-term time-sheduled 5-fluorouracil against surgery alone in the treatment of Dukes B and C rectal cancer. Norwegian Adjuvant Rectal Cancer Project Group. Br. J. Surg., 1997, 84: 1130-5.
O'CONNELL M.J., MARTENSON J.A., WIEAND H.S. et al. Improving adjuvant therapy for rectal cancer by combining protracted infusion fluorouracil with radiation therapy after curative surgery. N. Engl. J. Med., 1994, 331: 502-507.
MANSOUR E.G., LEFKOPOULOU M., JOHNSON R., DOUGLASS H. A comparison of postoperative adjuvant chemotherapy, radiotherapy or combination therapy in potentially curable resectable rectal carcinoma. An ECOG study Est 4276 (abstract). Proc. Am. Soc. Clin. Oncol., 1991, 10: 154.
WOLMARK N., WIEAND H.S., HYAMS D.M. et al. Randomized trial of postoperative adjuvant chemotherapy with or without radiotherapy for carcinoma of the rectum: National Surgical Adjuvant Breast and Bowel Project Protocol R-02. J. Natl. Cancer Inst., 2000, 92: 388-396.
DAS I.J., LANCIANO R.M., MOVSAS B., KAGARVA K., BARNES S.J. Efficacy of a belly board device with CT-simulation in reducing small bowel volume within pelvic irradiation fields. Int. J. Radiat. Oncol. Biol. Phys., 1997, 39: 67-76.
American Society of Clinical Oncology: Recommended Colorectal Cancer Surveillance Guidelines by the American Society of Clinical Oncology. J. Clin. Oncol., 1999, 17: 1312-1321.
Verslag van de Commissie Peer Review in de Radiotherapie, 1999: 24-61.
Swedish Rectal Cancer Trial. Preoperative irradiation followed by surgery vs surgery alone in resectable rectal carcinoma - postoperative morbidity and mortality in a Swedish multicenter trial. Br. J. Surg., 1993, 80: 1333-1336.
LESCHERT J.G., LEBESQUE J.V., DE BOER RW, HART A.A., BARTELINK H. Dose-volume correlation in radiation-induced late small-bowel complications: a clinical study. Radiother. Oncol., 1990, 18: 307-320.
FRYKHOLM G.J., GLIMELIUS B., PÅHLMAN L. Preoperative or postoperative irradiation in adenocarcinoma of the rectum: Final treatment results of a randomized trial and an evaluation of late secondary effects. Dis. Colon Rectum, 1993, 36: 564-572.
MAK A.C., RICH T.A., SCHULTHEISS T.E., KAVANAGH B., OTA D.M., ROMSDAHL M.N. Late complications of postoperative radiation therapy for cancer of the rectum and rectosigmoid. Int. J. Radiat. Oncol. Biol. Phys., 1994, 28: 567-603.
PÅHLMAN L., GLIMELIUS B. Pre- and postoperative radiotherapy in rectal carcinoma. Report from a randomized multicenter tiral. Ann. Surg., 1990, 211: 187-195.
WITHERS H.R., PETERS L.J., TAYLOR J.M. Dose-response relationship for radiation therapy of subclinical disease. Int. J. Radiat. Oncol. Biol. Phys., 1995, 31: 353-359.
DENHAM J.W. The radiation dose-response relationship for control of primary breast cancer. Radiother. Oncol., 1986, 7: 107-723.
FLETCHER G.H. Lucy Wortham James Lecture. Subclinical disease. Cancer, 1984, 53: 1274-1284.
GRAY L.H., CONGER A.D., EBERT M., HORNSEY S., SCOTT O.C.A. The concentration of oxygen dissolved in tissue at the time of irradiation as a factor in radiotherapy. Br. J. Radiol., 1953, 26: 638-648.
TROTTI A., KLOTCH D., ENDICOTT J., RIDLEY M., GREENBERG H. A prospective trial of accelerated radiotherapy in the postoperative treatment of high risk squamous cell carcinoma of the head and neck. In: JOHNSON J.T., DIDOKLAR M.S. (eds). Head and neck cancer. Amsterdam: Elsevier, 1993: 13-21.
FOWLER J.F. The linear-quadratic formula and progress in fractionated radiotherapy. Br. J. Radiol., 1989, 62: 679-694.
GLIMELIUS B., ISACSSON U., JUNG B., PÅHLMAN L. Radiotherapy in addition to radical surgery for rectal cancer - evidence for a dose-response effect favouring preoperative treatment. Int. J. Radiat. Oncol. Biol. Phys., 1997, 37: 281-287.
CEDERMARK B., JOHANSSON H., RUTQVIST L.E., WILKING N. The Stockholm 1 trial of preoperative short term radiotherapy in operable rectal carcinoma. A prospective randomized trial. Cancer, 1995, 75: 2269-2275.
HOLM T., SINGNOMKLAO T., RUTQVIST L.E., CEDERMARK B. Adjuvant preoperative radiotherapy in patients with rectal carcinoma. Adverse effects during long term follow-up of two randomized trials. Cancer, 1996, 78: 968-976.
SAGAR P.M., PEMBERTON J.H. Surgical management of locally recurrent rectal cancer. Br. J. Surg., 1996, 83: 293-304.
HEALD R.J., HUSBAND E.M., RYALL R.D. The mesorectum in rectal cancer surgery - the clue to pelvic recurrence? Br J Surg, 1982, 69: 613-616.
ENKER W.E., THALER H.T., CRANOR M.L., POLYAK T. Total mesorectal excision in the operative treatment of carcinoma of the rectum. J Am Coll Surg, 1995, 181: 335-346.
MAC FARLANE J.K., RYALL R.D., HEALD R.J. Mesorectal excision for rectal cancer. Lancet, 1993, 341: 457-460.
ADAM I.J., MOHAMDEE M.O., MARTIN I.G. et al. Role of circumferential margin involvement in the local recurrence of rectal cancer. Lancet, 1994, 344: 707-711.
KUTCHER G., SMITH A., FOWBLE B. Treatment planning of primary breast cancer: a patterns of care study. Int. J. Radiat. Oncol. Biol. Phys., 1996, 36: 731-737.
FREYER G., BOSSARD N., ROMESTAING P. et al. Addition of oxaliplatin to continous fluorouracil, L-folinic acid, and concomitant radiotherapy in rectal cancer: the lyon R97-03 phase I trial. J. Clin. Oncol., 2001, 19: 2433-2438.
KAPITEIJN E., MARIJNEN A.M., NAGTEGAAL I. et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer. N. Engl. J. Med., 2001, 345: 638-646.