Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group’s practical consensus statements for surgical management of localized and locally advanced rectal cancer
IntroductionThere are standard treatment guidelines for the surgical management of rectal cancer, that are advocated by recognized physician societies. But, owing to disparities in access and affordability of various treatment options, there remains an unmet need for personalizing these internationa...
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.1002530/full |
| _version_ | 1828723009043562496 |
|---|---|
| author | S. P. Somashekhar Avanish Saklani Jagannath Dixit Jagdish Kothari Sandeep Nayak O. V. Sudheer Surender Dabas Jagadishwar Goud Venkatesh Munikrishnan Pavan Sugoor Prasanth Penumadu C. Ramachandra Shilpa Mehendale Akhil Dahiya |
| author_facet | S. P. Somashekhar Avanish Saklani Jagannath Dixit Jagdish Kothari Sandeep Nayak O. V. Sudheer Surender Dabas Jagadishwar Goud Venkatesh Munikrishnan Pavan Sugoor Prasanth Penumadu C. Ramachandra Shilpa Mehendale Akhil Dahiya |
| author_sort | S. P. Somashekhar |
| collection | DOAJ |
| description | IntroductionThere are standard treatment guidelines for the surgical management of rectal cancer, that are advocated by recognized physician societies. But, owing to disparities in access and affordability of various treatment options, there remains an unmet need for personalizing these international guidelines to Indian settings.MethodsClinical Robotic Surgery Association (CRSA) set up the Indian rectal cancer expert group, with a pre-defined selection criterion and comprised of the leading surgical oncologists and gastrointestinal surgeons managing rectal cancer in India. Following the constitution of the expert Group, members identified three areas of focus and 12 clinical questions. A thorough review of the literature was performed, and the evidence was graded as per the levels of evidence by Oxford Centre for Evidence-Based Medicine. The consensus was built using the modified Delphi methodology of consensus development. A consensus statement was accepted only if ≥75% of the experts were in agreement.ResultsUsing the results of the review of the literature and experts’ opinions; the expert group members drafted and agreed on the final consensus statements, and these were classified as “strong or weak”, based on the GRADE framework.ConclusionThe expert group adapted international guidelines for the surgical management of localized and locally advanced rectal cancer to Indian settings. It will be vital to disseminate these to the wider surgical oncologists and gastrointestinal surgeons’ community in India. |
| first_indexed | 2024-04-12T12:42:18Z |
| format | Article |
| id | doaj.art-0582b1d5f3d446e9abc31fe784525d61 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-12T12:42:18Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-0582b1d5f3d446e9abc31fe784525d612022-12-22T03:32:44ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.10025301002530Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group’s practical consensus statements for surgical management of localized and locally advanced rectal cancerS. P. Somashekhar0Avanish Saklani1Jagannath Dixit2Jagdish Kothari3Sandeep Nayak4O. V. Sudheer5Surender Dabas6Jagadishwar Goud7Venkatesh Munikrishnan8Pavan Sugoor9Prasanth Penumadu10C. Ramachandra11Shilpa Mehendale12Akhil Dahiya13Department of Surgical Oncology, Manipal Hospital, Bengaluru, Karnataka, IndiaDepartment of Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, IndiaDepartment of GI Surgery, HCG Hospital, Bengaluru, Karnataka, IndiaDepartment of Surgical Oncology HCG Hospital, Ahmedabad, Gujarat, IndiaDepartment of Surgical Oncology, Fortis Hospital, Bengaluru, Karnataka, IndiaDepartment of GI Surgery and Surgical Oncology, Amrita Institute of Medical Science, Kochi, Kerala, IndiaDepartment of Surgical Oncology, BL Kapur-Max Superspeciality Hospital, Delhi, IndiaDepartment of Surgical Oncology, AOI Hospital, Hyderabad, Telangana, IndiaDepartment of Colorectal Surgery, Apollo Hospital, Chennai, Tamil Nadu, India0Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India1Department of Surgical Oncology, JIPMER, Puducherry, India2Director and Head, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India2Director and Head, Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India3Department of Clinical and Medical Affairs, Intuitive Surgical, California, CA, United StatesIntroductionThere are standard treatment guidelines for the surgical management of rectal cancer, that are advocated by recognized physician societies. But, owing to disparities in access and affordability of various treatment options, there remains an unmet need for personalizing these international guidelines to Indian settings.MethodsClinical Robotic Surgery Association (CRSA) set up the Indian rectal cancer expert group, with a pre-defined selection criterion and comprised of the leading surgical oncologists and gastrointestinal surgeons managing rectal cancer in India. Following the constitution of the expert Group, members identified three areas of focus and 12 clinical questions. A thorough review of the literature was performed, and the evidence was graded as per the levels of evidence by Oxford Centre for Evidence-Based Medicine. The consensus was built using the modified Delphi methodology of consensus development. A consensus statement was accepted only if ≥75% of the experts were in agreement.ResultsUsing the results of the review of the literature and experts’ opinions; the expert group members drafted and agreed on the final consensus statements, and these were classified as “strong or weak”, based on the GRADE framework.ConclusionThe expert group adapted international guidelines for the surgical management of localized and locally advanced rectal cancer to Indian settings. It will be vital to disseminate these to the wider surgical oncologists and gastrointestinal surgeons’ community in India.https://www.frontiersin.org/articles/10.3389/fonc.2022.1002530/fullconsensus statementrectal cancerrectumlow-anterior resectionabdominoperineal resectionlocal excision |
| spellingShingle | S. P. Somashekhar Avanish Saklani Jagannath Dixit Jagdish Kothari Sandeep Nayak O. V. Sudheer Surender Dabas Jagadishwar Goud Venkatesh Munikrishnan Pavan Sugoor Prasanth Penumadu C. Ramachandra Shilpa Mehendale Akhil Dahiya Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group’s practical consensus statements for surgical management of localized and locally advanced rectal cancer Frontiers in Oncology consensus statement rectal cancer rectum low-anterior resection abdominoperineal resection local excision |
| title | Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group’s practical consensus statements for surgical management of localized and locally advanced rectal cancer |
| title_full | Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group’s practical consensus statements for surgical management of localized and locally advanced rectal cancer |
| title_fullStr | Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group’s practical consensus statements for surgical management of localized and locally advanced rectal cancer |
| title_full_unstemmed | Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group’s practical consensus statements for surgical management of localized and locally advanced rectal cancer |
| title_short | Clinical Robotic Surgery Association (India Chapter) and Indian rectal cancer expert group’s practical consensus statements for surgical management of localized and locally advanced rectal cancer |
| title_sort | clinical robotic surgery association india chapter and indian rectal cancer expert group s practical consensus statements for surgical management of localized and locally advanced rectal cancer |
| topic | consensus statement rectal cancer rectum low-anterior resection abdominoperineal resection local excision |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.1002530/full |
| work_keys_str_mv | AT spsomashekhar clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT avanishsaklani clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT jagannathdixit clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT jagdishkothari clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT sandeepnayak clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT ovsudheer clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT surenderdabas clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT jagadishwargoud clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT venkateshmunikrishnan clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT pavansugoor clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT prasanthpenumadu clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT cramachandra clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT shilpamehendale clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer AT akhildahiya clinicalroboticsurgeryassociationindiachapterandindianrectalcancerexpertgroupspracticalconsensusstatementsforsurgicalmanagementoflocalizedandlocallyadvancedrectalcancer |