Rectal cancer in Victoria in 1994: Patterns of reported management

Abstract

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.

The Rate of Abdominoperineal Resections for Rectal Cancer in the State of Victoria, Australia: A Population-Based Study

“…An almost identical rate of 23.5% was recorded for the year 1994 in a VCR patterns of care survey. 20 It is worth noting, however, that the older study included rectosigmoid cancers for which restorative resection is the standard and that would give a lower APR rate for comparative purposes with our study in which rectosigmoid cancers were excluded.…”

Treatment patterns among colorectal cancer patients in South Australia: a demonstration of the utility of population‐based data linkage

“…To our knowledge, this is the first Australian study to examine broad patterns of CRC management (surgery, radiotherapy and chemotherapy) according to site and stage, with entire statewide coverage of both public and private health care services. Previous studies evaluating the extent to which CRC management in Australia matches treatment guidelines have used clinician self‐report [18–20], which is likely to overestimate compliance.…”

“…patterns of CRC management (surgery, radiotherapy and chemotherapy) according to site and stage, with entire statewide coverage of both public and private health care services. Previous studies evaluating the extent to which CRC management in Australia matches treatment guidelines have used clinician self-report [18][19][20], which is likely to overestimate compliance. Results show that surgical resection (or local excision where appropriate) was the core component of primary treatment for almost all CRC patients with loco-regional disease (stages A-C).…”

Cancer statistics: everything you wanted to know about the cancer registry data but were too afraid to ask

“…Recognizing the absence of local information on cancer management in our region, attempts have been made in recent decades to address this issue. These activities range from the type of professional audit taken up, for example, by the breast surgeons 17 to the notable attempt in South Australia to capture clinical data on cancer via a network of hospital units 18 and the ‘patterns of care’ model based on surveying clinicians involved in the care of a random sample of cases drawn from the population cancer registry 19,20 .…”