IMPACT organizational survey highlighting provision of services for patients with locally advanced and recurrent colorectal cancer across Great Britain and Ireland

Deena Harji¹, Abigail Vallance², Temi Ibitoye³, Richard Wilkin⁴, Jemma Boyle⁵, Rachael Clifford⁶, Liam Convie⁷, Michael Duff⁸, Ken Elavia⁹, Martyn Evans¹⁰, Christina Fleming¹¹, Ben Griffiths¹, John T Jenkins¹², Helen Mohan¹³, E J Morris¹⁴, Clare Taylor¹², Gabrielle Thorpe¹⁵, Jim Tiernan¹⁶, Nicola Fearnhead¹⁷; ACPGBI IMPACT¹⁸

Collaborators, Affiliations

Collaborators

ACPGBI IMPACT:
Tushar Agarwal, Kamal Aryal, Ceri Beaton, Ashish Bhalla, Graham Branagan, Keith Chapple, Hamish Clouston, Peter Coyne, Andrew Day, James Eccersley, Henry Ferguson, Mark L George, Rina George, Emma Hamilton, Ben Hornung, R B N Khan, Barrie Keeler, Thu Linn, David McArthur, Frank McDermott, Malcolm McFall, Sarah J Mills, Daniel O'Leary, Marius T Paraoan, Syed Fida Rahman-Casans, Nirooshun Rajendran, Andrew Ramwell, Shantanu Rout, Matthew D Rutter, Mohammed M Sadat, David Sallomi, Ajai Samad, Paul Skaife, Richard Slater, Mamoon Solkar, William Speake, Nicholas Symons, Karen Telford, Nicholas Ward, David Westwood, Max Wilde, Jeremy Wilson, Firas Younis

Affiliations

¹ Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Manchester, UK.
² Department of Colorectal Surgery, Bristol Royal Infirmary, Bristol, UK.
³ Population Health Science Institute, Newcastle University, Newcastle upon Tyne, UK.
⁴ Department of Surgery, NHS Trust, Worcestershire Acute Hospitals, Worcester, UK.
⁵ Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
⁶ Department of Colorectal Surgery, Countess of Chester National Health Service Foundation Trust, Chester, UK.
⁷ Belfast Health and Social Care Trust, Belfast, UK.
⁸ Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK.
⁹ IMPACT PPI Group, Association of Coloproctologists of Great Britain and Ireland, London, UK.
¹⁰ Department of Colorectal Surgery, Singleton Hospital, Swansea, UK.
¹¹ Department of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
¹² Complex Cancer Clinic, St Mark's Hospital, Harrow, UK.
¹³ Peter MacCallum Cancer Center, Melbourne, Australia.
¹⁴ Big Data Institute, Oxford Population Health, University of Oxford, Oxford, UK.
¹⁵ School of Health Sciences, University of East Anglia, Norwich, UK.
¹⁶ The John Goligher Colorectal Surgery Unit, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK.
¹⁷ Department of Colorectal Surgery, Cambridge University Hospitals, Cambridge, UK.
¹⁸ Improving Outcomes for Advanced Colorectal Tumours, Association of Coloproctologists of Great Britain and Ireland, London, UK.

PMID: 39435558
DOI: 10.1111/codi.17139

IMPACT organizational survey highlighting provision of services for patients with locally advanced and recurrent colorectal cancer across Great Britain and Ireland

Deena Harji et al. Colorectal Dis. 2024 Dec.

. 2024 Dec;26(12):2033-2038.

doi: 10.1111/codi.17139. Epub 2024 Oct 22.

Authors

Collaborators

ACPGBI IMPACT:
Tushar Agarwal, Kamal Aryal, Ceri Beaton, Ashish Bhalla, Graham Branagan, Keith Chapple, Hamish Clouston, Peter Coyne, Andrew Day, James Eccersley, Henry Ferguson, Mark L George, Rina George, Emma Hamilton, Ben Hornung, R B N Khan, Barrie Keeler, Thu Linn, David McArthur, Frank McDermott, Malcolm McFall, Sarah J Mills, Daniel O'Leary, Marius T Paraoan, Syed Fida Rahman-Casans, Nirooshun Rajendran, Andrew Ramwell, Shantanu Rout, Matthew D Rutter, Mohammed M Sadat, David Sallomi, Ajai Samad, Paul Skaife, Richard Slater, Mamoon Solkar, William Speake, Nicholas Symons, Karen Telford, Nicholas Ward, David Westwood, Max Wilde, Jeremy Wilson, Firas Younis

Affiliations

¹ Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Manchester, UK.
² Department of Colorectal Surgery, Bristol Royal Infirmary, Bristol, UK.
³ Population Health Science Institute, Newcastle University, Newcastle upon Tyne, UK.
⁴ Department of Surgery, NHS Trust, Worcestershire Acute Hospitals, Worcester, UK.
⁵ Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
⁶ Department of Colorectal Surgery, Countess of Chester National Health Service Foundation Trust, Chester, UK.
⁷ Belfast Health and Social Care Trust, Belfast, UK.
⁸ Department of Colorectal Surgery, Western General Hospital, Edinburgh, UK.
⁹ IMPACT PPI Group, Association of Coloproctologists of Great Britain and Ireland, London, UK.
¹⁰ Department of Colorectal Surgery, Singleton Hospital, Swansea, UK.
¹¹ Department of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
¹² Complex Cancer Clinic, St Mark's Hospital, Harrow, UK.
¹³ Peter MacCallum Cancer Center, Melbourne, Australia.
¹⁴ Big Data Institute, Oxford Population Health, University of Oxford, Oxford, UK.
¹⁵ School of Health Sciences, University of East Anglia, Norwich, UK.
¹⁶ The John Goligher Colorectal Surgery Unit, St. James's University Hospital, Leeds Teaching Hospital Trust, Leeds, UK.
¹⁷ Department of Colorectal Surgery, Cambridge University Hospitals, Cambridge, UK.
¹⁸ Improving Outcomes for Advanced Colorectal Tumours, Association of Coloproctologists of Great Britain and Ireland, London, UK.

PMID: 39435558
DOI: 10.1111/codi.17139

Abstract

Aim: Locally advanced and recurrent colorectal cancer represents a complex clinical entity, which requires multidisciplinary decision-making and management. The aim of this work is to understand the provision of clinical services in this cohort of patients across Great Britain and Ireland (GB&I) as a key essential step to help facilitate future service development and improvement.

Method: A cross-sectional, organizational survey was sent to all colorectal cancer multidisciplinary teams (MDTs) across GB&I. It consisted of 12 key questions addressing the provision of specialist services and advanced surgical techniques. Results are reported in line with the CHERRIES guideline.

Results: One hundred and seventy-five MDTs across GB&I participated, with 142 English, 13 Welsh, 14 Scottish, 3 Northern Irish and 3 Irish MDTs. The overall response rate was 93.5% (175/187). Ninety (51.4%) hospital sites reported having a specialist dedicated or subsection MDT. Specialist advanced nursing support was available in 46 (26.2%) hospitals, with a dedicated advanced colorectal cancer outpatient clinic available in 31 (17.7%) hospitals. One hundred and thirteen MDTs (64.5%) offered surgery for advanced colonic cancer, 82 (46.8%) for recurrent colonic cancer, 58 (33.1%) for advanced rectal cancer and 39 (22.2%) for recurrent rectal cancer. A variable number of MDTs offered specialist surgical techniques, including distal sacrectomy [33 (18.9%)], high sacrectomy [16 (9.1%)], complex vascular resection ± reconstruction [33 (18.9%)] and extended lymphadenectomy (pelvic sidewall or para-aortic) [44 (25.1%)].

Conclusion: The IMPACT organizational survey highlights the current variation in the delivery and provision of clinical services for patients with advanced and recurrent colorectal cancer across Great Britain and Ireland.

Keywords: advanced rectal cancer; pelvic exenteration; rectal cancer; recurrent rectal cancer.

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References

REFERENCES

1. Vallance AE, Harji D, Fearnhead NS, IMPACT Collaborative. Making an IMPACT: a priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer. Eur J Surg Oncol. 2019;45(9):1567–1574.
1. O'Shannassy SJ, Brown KGM, Steffens D, Solomon MJ. Referral patterns and outcomes of a highly specialised pelvic exenteration multidisciplinary team meeting: a retrospective cohort study. Eur J Surg Oncol. 2020;46(6):1138–1143.
1. Harji DP, Griffiths B, McArthur DR, Sagar PM. Current UK management of locally recurrent rectal cancer. Colorectal Dis. 2012;14(12):1479–1482.
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IMPACT organizational survey highlighting provision of services for patients with locally advanced and recurrent colorectal cancer across Great Britain and Ireland

Collaborators

Affiliations

IMPACT organizational survey highlighting provision of services for patients with locally advanced and recurrent colorectal cancer across Great Britain and Ireland

Authors

Collaborators

Affiliations

Abstract

References

REFERENCES

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical