Clinical practice guidelines for the surgical management of colon cancer: a consensus statement of the Hellenic and Cypriot Colorectal Cancer Study Group by the HeSMO

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Clinical practice guidelines for the surgical management of colon cancer: a consensus statement of the Hellenic and Cypriot Colorectal Cancer Study Group by the HeSMO (EN)

Dervenis, Christos
Makatsoris, Thomas
Agalianos, Christos
Chrysou, Evangelia
Karachaliou, Niki
Athanasiadis, Athanasios
Xynos, Evaghelos
Boukovinas, Ioannis
Pentheroudakis, Georgios
Katopodi, Ourania
Souglakos, John
Triantopoulou, Charina
Kountourakis, Panteleimon
Ziras, Nikolaos
Papakostas, Pavlos
Androulakis, Nikolaos
Papamichael, Demetris
Tekkis, Paris
Gouvas, Nikolaos
Zoras, Odysseas
Georgiou, Panagiotis
Xynogalos, Spyridon
Tzardi, Maria
Vini, Louiza
Vassiliou, Vassilios
Emmanouilidis, Christos
Pilpilidis, Ioannis
Christodoulou, Christos
Sgouros, Joseph

Despite considerable improvement in the management of colon cancer, there is a great deal of variation in the outcomes among European countries, and in particular among diff erent hospital centers in Greece and Cyprus. Discrepancy in the approach strategies and lack of adherence to guidelines for the management of colon cancer may explain the situation. Th e aim was to elaborate a consensus on the  multidisciplinary management of colon cancer, based on European guidelines (ESMO and EURECCA), and also taking into account local special characteristics of our healthcare system. Following discussion and online communication among members of an executive team, a consensus was developed. Statements entered the Delphi voting system on two rounds to achieve consensus by multidisciplinary international experts. Statements with an agreement rate of ≥80% achieved a large consensus, while those with an agreement rate of 60-80% a moderate consensus. Statements achieving an agreement of <60% aft er both rounds were rejected and not presented. Sixty statements on the management of colon cancer were subjected to the Delphi methodology. Voting experts were 109. Th e median rate of abstain per statement was 10% (range: 0-41%). In the end of the voting process, all statements achieved a consensus by more than 80% of the experts. A consensus on the management of colon cancer was developed by applying the Delphi methodology. Guidelines are proposed along with algorithms of diagnosis and treatment. Th e importance of centralization, care by a multidisciplinary team, and adherence to guidelines is emphasized.Keywords Colon cancer, surgery, guidelinesAnn Gastroenterol 2016; 29 (1): 3-17 (EN)

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Gastroenterologiki Company (EN)

2016-01-08


Annals of Gastroenterology (EN)

Annals of Gastroenterology; Volume 29, No 1 (2016); 3 (EN)



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