An analysis of the serious late complications of post-operative radiation therapy for cancer of the rectum and rectosigmoid

Mak, A.C.A.; Rich, Tyvin A.; Schultheiss, T.E.; Kavanagh, Brian D.; Romsdahl, Marvin M.

doi:10.1016/0360-3016(92)90337-h

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“…The radiation doses employed at this time in Victoria were in the same range as those used in the randomized trials of postoperative adjuvant radiation. There was evidence by 1994 that three field techniques rather than two field techniques, leads to less bowel toxicity 33 and in our survey, in most cases treated with postoperative radiation, three fields rather than two were used.…”

Section: Discussionmentioning

confidence: 57%

Rectal cancer in Victoria in 1994: Patterns of reported management

Farmer

Penfold

Millar

et al. 2002

ANZ Journal of Surgery

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There was considerable variation in preoperative assessment. Staging was less complete than expected by today's standards. The diversity of surgical techniques observed may reflect both the lack of clinical trials and disparity in surgical training and experience. Referral to stomal therapists, and medical and radiation oncologists was lower than would now be expected, as was the use and timing of adjuvant therapies. These findings will be useful as a baseline for comparison with subsequent surveys conducted since the introduction of evidence-based guidelines.

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Section: Discussionmentioning

confidence: 57%