Key result
Varying from a recommended intraoperative judgment program for colorectal cancer is associated with a statistically significant excess risk of in-hospital death and failure of disease control.
Why the study?
Does management according to a developed program for intraoperative judgment decisions reduce in-hospital mortality and failure of ultimate control of the malignant process in patients with cancer of the colon and rectum?
Observational
Yes
Does management according to a developed program for intraoperative judgment decisions reduce in-hospital mortality and failure of ultimate control of the malignant process in patients with cancer of the colon and rectum?
Adherence to a structured program for intraoperative judgment decisions in colorectal cancer surgery is associated with reduced in-hospital mortality and improved disease control.
Adherence may reduce mortality and improve control in colorectal cancer surgery; leaves open need for randomized confirmation.
A program developed for the intraoperative judgment decisions commonly faced in cancer of the colon and rectum has been published and has been found to correlate frequently with the management carried out in a cancer hospital and on the ward services of university programs in city/county and Veterans Administration hospitals. Those patients whose management varies with the recommendations of the program are subject to statistically significant excess risk of dying in the hospital and excess risk of failure of ultimate control of their malignant process. It is our opinion that this program is not only useful in demonstrating the explicit nature of surgical judgment but is also useful to the operating surgeon as an indication for the need for consultation or reassessment of his observations.
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Knutson et al. (1978) conducted an observational in Cancer of the colon and rectum. Intraoperative judgment decision program vs. Management varying from program recommendations was evaluated on In-hospital death and failure of ultimate control of malignant process. Varying from a recommended intraoperative judgment program for colorectal cancer is associated with a statistically significant excess risk of in-hospital death and failure of disease control.
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