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Significant polyp and early colorectal cancer – decision‐making and treatment planning in regional networks and multidisciplinary teams
Author(s) -
Dolwani S.
Publication year - 2019
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.14492
Subject(s) - medicine , audit , referral , multidisciplinary approach , case mix index , terminology , colorectal cancer , variation (astronomy) , general surgery , cancer , family medicine , nursing , social science , linguistics , philosophy , physics , management , sociology , astrophysics , economics
Data from colorectal cancer screening programmes in both England and Wales clearly demonstrate a significant variation in the proportion of significant polyps subsequently found to be benign referred for and treated by surgery [1]. Internationally, various studies also suggest significant differences in outcome, as defined by completeness of resection and recurrence rates, as well as the proportion referred for surgery between expert centres and endoscopists compared with local centres [2,3]. In the UK and internationally, national audits of outcomes of bowel resectional surgery suggest a small though significant morbidity and mortality after surgery for benign polyps [4,5]. A strategy to reduce the variation in management would consequently improve outcomes.