Statistics, damned statistics and time to intervene

Scott, N. A.; Sagar, P.
April 2009
Gut;Apr2009, Vol. 58 Issue 4, p608
Academic Journal
The article focuses on the conclusion gained with the combined Hospital Episode Statistics (HES) and Cancer Registry data in England between 1998 and 2004. It notes that the variation in abdomino-perineal excision of rectum (APE) rates mandates direct and immediate intervention in rectal cancer surgery. However, a concern was raised concerning the naivety of the data's statement on the use of APE and anterior resection (AR) as clinical techniques.


Related Articles

  • Laparoscopic rectal resection with anal sphincter preservation for rectal cancer: long-term outcome. Dulucq, J.-L.; Wintringer, P.; Stabilini, C.; Mahajna, A. // Surgical Endoscopy;Nov2005, Vol. 19 Issue 11, p1468 

    Background: Total mesorectal excision (TME) is the surgical gold standard treatment for middle and low third rectal carcinoma. Laparoscopy has gradually become accepted for the treatment of colorectal malignancy after a long period of questions regarding its safety. The purposes of...

  • Changes in treatment of rectal cancer: increased use of low anterior resection. Mekras, A.; Michalopoulos, A.; Papadopoulos, V.; Mekras, D.; Kalles, V.; Tzeveleki, I.; Dabakis, G.; Netta, S.; Basdanis, G. // Techniques in Coloproctology;Oct2011, Vol. 15, p51 

    Purpose: The most common surgical procedures for patients with rectal cancer are low anterior resection (LAR) or abdominoperineal excision (APE). The aim of the present study is to evaluate and report the changes in the incidence of LAR and APE in the surgical treatment of rectal cancer over the...

  • REZECÅ¢IA ANTERIOARÄ‚ JOASÄ‚ DE RECT CU EXCIZIE TOTALÄ‚ DE MEZORECT - TEHNICÄ‚. Radu, I.; Aniţei, Maria Gabriela; Scripcariu, V.; Dragomir, Cr. // Jurnalul de Chirurgie;2011, Vol. 7 Issue 4, p692 

    Local recurrence after surgery for rectal cancer remains a major issue for all surgeons who treat these disorders. RJ Heald has shown that there are lymph nodes metastasis in mesorectum, distal to rectal tumor. This is the reason why, for inferior and middle rectal tumour, total mesorectal...

  • Unacceptable variation in abdominoperineal excision rates for rectal cancer: time to intervene? Morris, E; Quirke, P; Thomas, J D; Fairley, L; Cottier, B; Forman, D // Gut;Dec2008, Vol. 57 Issue 12, p1690 

    Objective: To determine the variation in the rates of use of abdominoperineal excision (APE) by cancer network, hospital trust and surgeon across England between 1998 and 2004 and determine if any variation could be explained by differences in patient characteristics such as stage of disease,...

  • Laparoscopic Total Mesorectal Excision for Ultralow Rectal Cancer with Transanal Intersphincteric Dissection as a First Step: A Single-surgeon Experience. MAGLIO, RICCARDO; MEUCCI, MASSIMO; GALLINELLA MUZI, MARCO; MAGLIO, MARIANNA; MASONI, LUIGI // American Surgeon;Jan2014, Vol. 80 Issue 1, p26 

    Laparoscopic intersphincteric resection (ISR) after neoadjuvant chemoradiation is helpful in the management of patients with low rectal cancer. With the advent of this technique, the need for performance of abdominoperineal resection seems to have decreased in patients with very low rectal...

  • Transanal Local Excision for Preoperative Concurrent Chemoradiation Therapy for Distal Rectal Cancer in Selected Patients. Chimin Park; Wooyong Lee; Sangah Han; Seonghyeon Yun; Ho-Kyung Chun // Surgery Today;Dec2007, Vol. 37 Issue 12, p1068 

    Abstract Purpose  To evaluate the clinical course and outcomes of patients with T2 or T3 rectal cancer treated by transanal local excision after preoperative chemoradiation therapy (CRT). Methods  Between June 2000 and August 2004, seven patients underwent local excision of T2 or...

  • Influence of learning curve on short-term results after laparoscopic resection for rectal cancer. Ito, Masaaki; Sugito, Masanori; Kobayashi, Akihiro; Nishizawa, Yusuke; Tsunoda, Yoshiyuki; Saito, Norio // Surgical Endoscopy;Feb2009, Vol. 23 Issue 2, p403 

    Technical difficulties have been encountered in laparoscopic surgery for the treatment of rectal cancer. There are fewer studies about the learning curve for laparoscopic rectal resection. Between June 1995 and August 2007, 200 patients who were scheduled to undergo laparoscopic rectal resection...

  • Surgery for rectal cancer.  // Caribbean Health;Dec2000, Vol. 3 Issue 4, p23 

    The article offers information on the technique of total mesorectal excision (TIME) in the treatment of rectal cancer. The technique relies on sharp dissection under direct vision with the removal of an intact mesorectal envelope with margins free of tumor. It has been taught since 1994 to all...

  • Treatment of the locally advanced rectal cancer: abdominal sacral resection. Lodin, M.; Giannone, G. // Techniques in Coloproctology;Aug2004, Vol. 8 Issue 2, p138 

    Presents images on abdominal sacral resection on the treatment of locally advanced rectal cancer.


Read the Article


Sign out of this library

Other Topics