Strategies of follow-up for colorectal cancer: A survey of the American society of colon and rectal surgeons

P. Giordano, Jonathan Efron, A. M. Vernava, E. G. Weiss, J. J. Nogueras, S. D. Wexner

Research output: Contribution to journalArticle

Abstract

Background: The postoperative surveillance of patients who have undergone curative treatment for colorectal cancer (CRC) is controversial. The aim of this study was to investigate the follow-up practice of colorectal surgeons in the United States. Methods: A postal survey was sent to 1641 active members of the American Society of Colon and Rectal Surgeons practicing in the United States to assess the frequency of follow-up and the methods used in the surveillance of asymptomatic patients following curative surgery for CRC. Results: Only 582 (36%) of the questionnaires that were sent were returned fully completed. Of these, 173 surgeons (30%) followed their patients according to guidelines. Ninety-four percent of surgeons during the first year and 81% during the second year saw their patients regularly every 3 or 6 months. The most widely used tests were colonoscopy and carcinoembryonic antigen (CEA) testing. There was wide discrepancy in the frequency of follow-up and techniques employed, with only about 50% of surgeons following recommended practice. Conclusions: Surveillance strategies mainly rely on clinical examination, CEA monitoring and colonoscopy. No clear consensus on surveillance programs for CRC patients exists.

Original languageEnglish (US)
Pages (from-to)199-207
Number of pages9
JournalTechniques in Coloproctology
Volume10
Issue number3
DOIs
StatePublished - Oct 2006
Externally publishedYes

Fingerprint

Colorectal Neoplasms
Colon
Carcinoembryonic Antigen
Colonoscopy
Surgeons
Surveys and Questionnaires
Guidelines
Therapeutics

Keywords

  • Colon
  • Colorectal cancer
  • Follow-up
  • Rectum
  • Surgery
  • Surveillance

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Strategies of follow-up for colorectal cancer : A survey of the American society of colon and rectal surgeons. / Giordano, P.; Efron, Jonathan; Vernava, A. M.; Weiss, E. G.; Nogueras, J. J.; Wexner, S. D.

In: Techniques in Coloproctology, Vol. 10, No. 3, 10.2006, p. 199-207.

Research output: Contribution to journalArticle

Giordano, P. ; Efron, Jonathan ; Vernava, A. M. ; Weiss, E. G. ; Nogueras, J. J. ; Wexner, S. D. / Strategies of follow-up for colorectal cancer : A survey of the American society of colon and rectal surgeons. In: Techniques in Coloproctology. 2006 ; Vol. 10, No. 3. pp. 199-207.
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