“…In general, for patients with colorectal, ovarian, high-grade appendix, and mesothelial tumors, selecting patients with a peritoneal carcinoma index score of less than 25 is important in achieving long-term survival. 27 , 28 , 29 , 30 , 31 , 32 This also enables surgeons performing CRS/HIPEC to achieve optimal surgical cytoreduction, which is paramount in and predictive of long-term survival. 29 Additionally, surgeons who perform CRS/HIPEC in the United States are a small community who primarily perform these procedures at high-volume centers because only a limited number of institutions and medical centers are equipped or willing to invest in a CRS/HIPEC program.…”