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Clinical Practice Guidelines - National Health and Medical Research ...

Clinical Practice Guidelines - National Health and Medical Research ...

Clinical Practice Guidelines - National Health and Medical Research

Clinical Practice Guidelines FOR THE PREVENTION, EARLY DETECTION AND MANAGEMENT OF APPROVED BY COLORECTAL CANCER

  • Page 2 and 3: Clinical Practice Guidelines for th
  • Page 5 and 6: CONTENTS Foreword .................
  • Page 7 and 8: 7.4 Genetic testing ...............
  • Page 9 and 10: Chapter 15 Adjuvant therapy for col
  • Page 11 and 12: 22.2 Economic evaluation...........
  • Page 13 and 14: Foreword This document is a revisio
  • Page 15 and 16: SUMMARY AND GUIDELINES Colorectal C
  • Page 17 and 18: SECTION I: EARLY COLORECTAL CANCER
  • Page 19 and 20: Chapter Does antioxidant vitamin su
  • Page 21 and 22: Chapter Recommendations What is the
  • Page 23 and 24: Chapter Recommendations What role d
  • Page 25 and 26: Chapter Recommendations 11 ELECTIVE
  • Page 27 and 28: Chapter Recommendations When should
  • Page 29 and 30: Chapter 21 Recommendations When is
  • Page 32 and 33: CHAPTER 1 SETTING THE SCENE 1.1 Col
  • Page 34 and 35: References 1. Australian Institute
  • Page 36 and 37: Setting the scene 7
  • Page 38 and 39: any site (data not shown here). The
  • Page 40 and 41: concluded that substituting other s
  • Page 42 and 43: that increased intake of heavily br
  • Page 44 and 45: Project used poorly-soluble cereal
  • Page 46 and 47: 2.9 Nutritional supplements Dietary
  • Page 48 and 49: 2.10 Other chemopreventive candidat
  • Page 50 and 51: Should hormone replacement therapy
  • Page 52 and 53:

    18. Pedersen A, Johansen C, Gronbae

  • Page 54 and 55:

    51. Peters U, Sinha R, Chatterjee N

  • Page 56 and 57:

    84. Bergsma-Kadijk JA, van't Veer P

  • Page 58 and 59:

    116. Gann PH, Manson JE, Glynn RJ,

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    Primary prevention 31

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    With Colorectal Cancer, screening a

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    3.3.3 Potential psychological conse

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    The newer guaiac tests (e.g. Hemocc

  • Page 68 and 69:

    3.6.2 Performing flexible sigmoidos

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    Following the success of the Bowel

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    17. U.S.Preventive Services Task Fo

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    Population screening for colorectal

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    information to be discussed. It is

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    Bowel function usually improves and

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    References 1. Dunn SM, Butow PN, Ta

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    Communication with the patient 53

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    An Australian survey has shown that

  • Page 86 and 87:

    References 1. Weller D, Hiller J, B

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    CHAPTER 6 SCREENING BASED ON FAMILY

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    • at least one first-degree relat

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    What recommendations are there for

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    18. Hall NR, Bishop DT, Stephenson

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    Screening based on family history o

  • Page 98 and 99:

    In HNPCC, extracolonic cancer may a

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    At-risk individuals include: • al

  • Page 102 and 103:

    developed through a progression of

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    Microsatellite instability testing

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    Immunohistochemistry testing using

  • Page 108 and 109:

    - a family member has or has had an

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    When should large bowel screening b

  • Page 112 and 113:

    Table 7.4 Hereditary Bowel Cancer R

  • Page 114 and 115:

    16. Nystrom-Lahti M, Parsons R, Sis

  • Page 116 and 117:

    50. Aarnio M, Mecklin JP, Aaltonen

  • Page 118 and 119:

    81. Vasen HF, Wijnen JT, Menko FH e

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    CHAPTER 8 DIAGNOSTIC TESTS AND PREO

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    trained colonoscopists have reporte

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    • advanced (T3-4) rectal cancers

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    Intraoperative ultrasound When comb

  • Page 128 and 129:

    References 1. Keddie N, Hargreaves

  • Page 130 and 131:

    35. Zerhouni EA, Rutter C, Hamilton

  • Page 132 and 133:

    69. Australian Association of Stoma

  • Page 134 and 135:

    CHAPTER 9 MANAGEMENT OF EPITHELIAL

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    While polyp size, extent of replace

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    What is the management of malignant

  • Page 140 and 141:

    References 1. Jass JR, Sobin LH. Hi

  • Page 142 and 143:

    35. Morson BC, Whiteway JE, Jones E

  • Page 144 and 145:

    69. Rashid A, Houlihan PS, Booker S

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    CHAPTER 10 PREPARATION FOR SURGERY

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    Should bowel preparation be given r

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    10.6 Antibiotic prophylaxis Prophyl

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    17. Vamvakas EC, Carven JH, Hibberd

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    Preparation for surgery 125

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    mortality were not significantly di

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    microscopic metastases were found i

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    References 1. Turnbull RB, Jr., Kyl

  • Page 162 and 163:

    35. COLOR Study Group. COLOR: a ran

  • Page 164 and 165:

    CHAPTER 12 ELECTIVE SURGERY FOR REC

  • Page 166 and 167:

    imaging (MRI) with external phase a

  • Page 168 and 169:

    McDermott et al 35 had 505 anterior

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    Comparison between centres where TM

  • Page 172 and 173:

    does not permit its earlier recogni

  • Page 174 and 175:

    19. Hager T, Gall FP, Hermanek P. L

  • Page 176 and 177:

    53. Quirke P, Durdey P, Dixon MF, W

  • Page 178 and 179:

    87. Umpleby HC, Williamson RC. Anas

  • Page 180 and 181:

    CHAPTER 13 EMERGENCY SURGERY In pop

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    A subtotal colectomy is preferred i

  • Page 184 and 185:

    References 1. Ohman U. Prognosis in

  • Page 186 and 187:

    35. Porter GA, O’Keefe GE, Yakime

  • Page 188 and 189:

    CHAPTER 14 STAGING AND REPORTING St

  • Page 190 and 191:

    Table 14.2 Pathological TNM staging

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    Figure 14.1 Cancer of the colon and

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    14.5.1 Microsatellite instability I

  • Page 196 and 197:

    Staging and reporting 167

  • Page 198 and 199:

    References 1. Dukes CE. The classif

  • Page 200 and 201:

    Staging and reporting 171

  • Page 202 and 203:

    The NSABP trial C-01 was the first

  • Page 204 and 205:

    clinician preference. Risk of recur

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    Factors such as poor histological d

  • Page 208 and 209:

    15.5.8 Raltitrexed Raltitrexed is a

  • Page 210 and 211:

    16. Moertel CG, Fleming TR, Macdona

  • Page 212 and 213:

    43. James RD, Donaldson D, Gray R,

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    Adjuvant therapy for colon cancer 1

  • Page 216 and 217:

    Only one other study has compared C

  • Page 218 and 219:

    study, 1168 patients less than 80 y

  • Page 220 and 221:

    In an interim analysis at 3.5 years

  • Page 222 and 223:

    into the randomised Stockholm study

  • Page 224 and 225:

    15. Boulis-Wassif S, Gerard A, Loyg

  • Page 226 and 227:

    44. Smith RD, Hall J, Gurney H, Har

  • Page 228 and 229:

    CHAPTER 17 FOLLOW UP AFTER CURATIVE

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    There is no evidence that intensive

  • Page 232 and 233:

    The review should consist of histor

  • Page 234 and 235:

    17. Beart RW, Jr., O'Connell MJ. Po

  • Page 236 and 237:

    CHAPTER 18 PSYCHOSOCIAL CARE The di

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    eferral to community-based domicili

  • Page 240 and 241:

    18. Fallowfield LJ, Hall A, Maguire

  • Page 242:

    Section II Advanced Colorectal Canc

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    e considered in locally advanced ca

  • Page 247 and 248:

    There are difficulties in different

  • Page 249 and 250:

    15. Wiig JN, Tveit KM, Poulsen JP,

  • Page 251 and 252:

    48. Wong RK, Gafni A, Whelan T, Fra

  • Page 253 and 254:

    CHAPTER 20 THE ROLE OF SYSTEMIC CHE

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    have recently been reported. 19 Tre

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    previously untreated patients, the

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    15. Meta-analysis Group in Cancer.

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    230 The prevention, early detection

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    metastases and have shown equivalen

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    • almost all (94-99%) administere

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    for using older generation systemic

  • Page 269 and 270:

    18. Scheele J. Surgical treatment o

  • Page 271 and 272:

    50. Kerr DJ, McArdle CS, Ledermann

  • Page 273 and 274:

    80. Fernandez-Trigo V, Stuart OA, S

  • Page 275 and 276:

    CHAPTER 22 COST EFFECTIVENESS 22.1

  • Page 277 and 278:

    • treatment — chemotherapy •

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    Table 22.3 Results of studies inves

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    Table 22.4 Results of studies inves

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    Study Country Comparator/ screening

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    Study Country Comparator/ screening

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    Study Country Comparator/ screening

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    Table 22.5 Summary of findings from

  • Page 291 and 292:

    Study Country Study questions Concl

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    testing was conducted first, to ₤

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    Study Country Study question Conclu

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    22.8 Follow up Several cost-effecti

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    Study Country Study question Conclu

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    Table 22.9 Results of studies inves

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    Study Country Study questions Concl

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    Study Country Study questions Concl

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    Study Country Study questions Concl

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    Study Country Study questions Concl

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    22.9.3 Other A small number of stud

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    16. Whynes, D.K., et al., Faecal oc

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    48. Pignone, M., et al., Cost-effec

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    81. Worthington, T.R., T. Wilson, a

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    113. Cunningham, D., S. Falk, and D

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    CHAPTER 23 SOCIO-ECONOMIC ASPECTS I

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    292 The prevention, early detection

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    APPENDIX 1 THE PRINCIPLES OF MULTID

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    APPENDIX 2 GUIDELINE DEVELOPMENT PR

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    The Working Party designated an Exe

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    APPENDIX 3 LITERATURE REVIEW Method

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    Chapter 4 — Communication with th

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    Inclusion/exclusion criteria Releva

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    • seven were papers on new subjec

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    Clinicopathological staging, rectal

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    Chapter 18 — Psychosocial care Se

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    and assessed based on the inclusion

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    Levels of evidence 2 I Evidence obt

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    APPENDIX 4 COMMITTEE MEMBERSHIP AND

  • Page 350 and 351:

    Working party on diagnosis, preoper

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    Dr George Hruby Radiation Oncologis

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    4. Prof Linda Kristjanson Research

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    26. Ms Meg Rogers The Cancer Nurses

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    APPENDIX 5 ABBREVIATIONS AND GLOSSA

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    MACRONUTRIENTS MAP MICRONUTRIENTS M

  • Page 362 and 363:

    GLOSSARY Abdomen The part of the bo

  • Page 364 and 365:

    FAP Familial adenomalous Polyposis

  • Page 366 and 367:

    Palliative care The active total ca

  • Page 368:

    up pictures of structures in the bo

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