Follow-up System of Multi-Disciplinary Team in Colorectal Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Xiaodong , FENG Shuo , YOU Xiaolin , YANG Chuanhua , LI Li

Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Multi-disciplinary team; Colorectal cancer; Follow-up

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Abstract Full text Figures/Tables Video References Cited by

Objective　 To build a systematic, comprehensive, high efficient and maneuverable follow-up system in multi-disciplinary team (MDT).
Methods 　Comparing with abroad follow-up practical management, the advantages and disadvantages were analyzed by using multiple follow-up forms and the construct of staffs to guide and evaluate the postoperative patients in colorectal carcinoma at the beginning of follow up system.
Results 　Follow-up system was made rationalized, and an effective follow-up model was built up to extend in MDT.
Conclusion 　Following up the present situation with patients of colorectal cancer in this country, the correct direction which is based on current follow-up system would be put out. That would be the important study to improve the medical treatment in next stage.

Citation： WANG Xiaodong,FENG Shuo,YOU Xiaolin,YANG Chuanhua,LI Li. Follow-up System of Multi-Disciplinary Team in Colorectal Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(6): 709-712. doi: Copy

1.	刘展, 汪晓东, 李立. 在结直肠癌领域引入多学科协作管理模式的现状 [J]. 中国普外基础与临床杂志, 2007; 14(1)∶114.
2.	汪晓东, 李立. 结直肠肿瘤多学科协作诊治模式下人员构架的探索与实践 [J]. 中国普外基础与临床杂志, 2007; 14(2)∶235.
3.	汪晓东, 李立. 结直肠肿瘤多学科协作诊治模式下整体构建理念及基本组织构架 [J]. 中国普外基础与临床杂志, 2007; 14(3)∶339.
4.	谢尧, 汪晓东, 李立. 结直肠肿瘤多学科协作诊治模式的团队文化建设(一) [J]. 中国普外基础与临床杂志, 2007; 14 (3)∶346.
5.	曹霖, 汪晓东, 李立. 多学科协作诊治模式的会诊流程探讨(一) [J]. 中国普外基础与临床杂志, 2007; 14(3)∶343.
6.	汪晓东，李立. 结直肠肿瘤多学科协作诊治模式的数据体系构建与运作策略 [J]. 中国普外基础与临床杂志, 2007; 14(4)∶474.
7.	曹霖，徐晶晶，王思宇，等. 多模式临床支持系统的研究进展 [J]. 中国普外基础与临床杂志, 2007; 14(4)∶477.
8.	Bruinvels DJ, de Brauw LM, Kievit J, et al. Attitudes towards detection and management of hepatic metastases of colorectal origin: a second look [J]. HPB Surg， 1994; 8(2)∶115.
9.	Vernava AM 3rd, Longo WE, Virgo KS, et al. Current follow-up strategies after resection of colon cancer. Results of a survey of members of the American Society of Colon and Rectal Surgeons [J]. Dis Colon Rectum, 1994; 37(6)∶573.
10.	Virgo KS, Wade TP, Longo WE, et al. Surveillance after curative colon cancer resection: practice patterns of surgical subspecialists [J]. Ann Surg Oncol, 1995; 2(6)∶472.
11.	Kiebert GM, Welvaart K, Kievit J. Psychological effects of routine follow up on cancer patients after surgery [J]. Eur J Surg, 1993; 159(11-12)∶601.
12.	Stiggelbout AM, de Haes JC, Vree R, et al. Follow-up of colorectal cancer patients: quality of life and attitudes towards follow-up [J]. Br J Cancer, 1997; 75(6)∶914.
13.	Ohlsson B, Breland U, Ekberg H, et al. Follow-up after curative surgery for colorectal carcinoma. Randomized comparison with no follow-up [J]. Dis Colon Rectum, 1995; 38(6)∶619.
14.	Safi F, Link KH, Beger HG. Is follow-up of colorectal cancer patients worthwhile? [J]. Dis Colon Rectum, 1993; 36(7)∶636.
15.	Bohm B, Schwenk W, Hucke HP, et al. Does methodic long-term follow-up affect survival after curative resection of colorectal carcinoma? [J]. Dis Colon Rectum, 1993; 36(3)∶280.
16.	Ovaska J, Jarvinen H, Kujari H, et al. Follow-up of patients operated on for colorectal carcinoma [J]. Am J Surg, 1990; 159(6)∶593.
17.	Castells A, Bessa X, Daniels M, et al. Value of postoperative surveillance after radical surgery for colorectal cancer: results of a cohort study [J]. Dis Colon Rectum, 1998; 41(6)∶714.
18.	Kjeldsen BJ, Kronborg O, Fenger C, et al. A prospective randomized study of follow-up after radical surgery for colorectal cancer [J]. Br J Surg, 1997; 84(5)∶666.
19.	Bergamaschi R, Arnaud JP. Routine compared with nonscheduled follow-up of patients with “curative” surgery for colorectal cancer [J]. Ann Surg Oncol, 1996; 3(5)∶464.
20.	Pietra N, Sarli L, Costi R, et al. Role of follow-up in management of local recurrences of colorectal cancer: a prospective, randomized study [J]. Dis Colon Rectum, 1998; 41(9)∶1127.
21.	Secco GB, Fardelli R, Gianquinto D, et al. Efficacy and cost of risk-adapted follow-up in patients after colorectal cancer surgery: a prospective, randomized and controlled trial [J]. Eur J Surg Oncol, 2002; 28(4)∶418.
22.	Schiessel R, Wunderlich M, Herbst F. Local recurrence of colorectal cancer: effect of early detection and aggressive surgery [J]. Br J Surg, 1986; 73(5)∶342.
23.	Rocklin MS, Slomski CA, Watne AL. Postoperative surveillance of patients with carcinoma of the colon and rectum [J]. Am Surg， 1990; 56(1)∶22.
24.	Howell JD, Wotherspoon H, Leen E, et al. Evaluation of a follow-up programme after curative resection for colorectal cancer [J]. Br J Cancer, 1999; 79(2)∶308.
25.	Willett CG, Tepper JE, Cohen AM, et al. Failure patterns following curative resection of colonic carcinoma [J]. Ann Surg, 1984; 200(6)∶685.
26.	Bergamaschi R, Pessaux P, Burtin P, et al. Abdominoperineal resection for locally recurrent rectal cancer [J]. Tech Coloproctol, 2001; 5(2)∶97.
27.	Kjeldsen BJ, Kronborg O, Fenger C, et al. The pattern of recurrent colorectal cancer in a prospective randomised study and the characteristics of diagnostic tests [J]. Int J Colorectal Dis， 1997; 12(6)∶ 329.
28.	Carraro PG, Segala S, Cesana BM, et al. Obstructing colonic cancer: failure and survival patterns over a ten-year follow-up after one-stage curative surgery [J]. Dis Colon Rectum， 2001; 44(2)∶ 243.
29.	Nesbakken A, Nygaard K,Westerheim O, et al. Local recurrence after mesorectal excision for rectal cancer [J]. Eur J Surg Oncol， 2002; 28(2)∶ 126.
30.	Garcia-Aguilar J, Cromwell JW, Marra C, et al. Treatment of locally recurrent rectal cancer [J]. Dis Colon Rectum， 2001; 44(12)∶1743.
31.	Secco GB, Fardelli R, Rovida S, et al. Is intensive follow-up really able to improve prognosis of patients with local recurrence after curative surgery for rectal cancer ? [J]. Ann Surg Oncol， 2000; 7(1)∶32.
32.	Obrand DI, Gordon PH. Incidence and patterns of recurrence following curative resection for colorectal carcinoma [J]. Dis Colon Rectum， 1997; 40(1)∶15.
33.	Glimelius B, Gronberg H, Jarhult J, et al. A systematic overview of radiation therapy effects in rectal cancer [J]. Acta Oncol， 2003; 42(5-6)∶476.
34.	Kapiteijn E, Marijnen CA, Nagtegaal ID, et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer [J]. N Engl J Med， 2001; 345(9)∶638.
35.	Heald RJ, Moran BJ, Ryall RD, et al. Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997 [J]. Arch Surg， 1998; 133(8)∶894.
36.	Nava HR, Pagana TJ. Postoperative surveillance of colorectal carcinoma [J]. Cancer， 1982; 49(5)∶1043.
37.	Stigliano V, Fracasso P, Grassi A, et al. Endoscopic follow-up in resected colorectal cancer patients [J]. J Exp Clin Cancer Res， 2000; 19(2)∶145.
38.	Colorectal Cancer Collaborative Group. Palliative chemotherapy for advanced colorectal cancer: systematic review and meta-analysis [J]. Br Med J， 2000; 321(7260)∶531.
39.	Tveit KM. Liver metastases from colorectal cancer. More cures awaiting? [J]. Acta Oncol， 2002; 41(7-8)∶578.
40.	Adam R, Avisare E, Ariche A, et al. Five-year survival following hepatic resection after neoadjuvant therapy for nonresectable colorectal [J]. Ann Surg Oncol， 2001; 8(4)∶347.

1. 　刘展, 汪晓东, 李立. 在结直肠癌领域引入多学科协作管理模式的现状 [J]. 中国普外基础与临床杂志, 2007; 14(1)∶114.
2. 　汪晓东, 李立. 结直肠肿瘤多学科协作诊治模式下人员构架的探索与实践 [J]. 中国普外基础与临床杂志, 2007; 14(2)∶235.
3. 　汪晓东, 李立. 结直肠肿瘤多学科协作诊治模式下整体构建理念及基本组织构架 [J]. 中国普外基础与临床杂志, 2007; 14(3)∶339.
4. 　谢尧, 汪晓东, 李立. 结直肠肿瘤多学科协作诊治模式的团队文化建设(一) [J]. 中国普外基础与临床杂志, 2007; 14 (3)∶346.
5. 　曹霖, 汪晓东, 李立. 多学科协作诊治模式的会诊流程探讨(一) [J]. 中国普外基础与临床杂志, 2007; 14(3)∶343.
6. 　汪晓东，李立. 结直肠肿瘤多学科协作诊治模式的数据体系构建与运作策略 [J]. 中国普外基础与临床杂志, 2007; 14(4)∶474.
7. 　曹霖，徐晶晶，王思宇，等. 多模式临床支持系统的研究进展 [J]. 中国普外基础与临床杂志, 2007; 14(4)∶477.
8. 　Bruinvels DJ, de Brauw LM, Kievit J, et al. Attitudes towards detection and management of hepatic metastases of colorectal origin: a second look [J]. HPB Surg， 1994; 8(2)∶115.
9. 　Vernava AM 3rd, Longo WE, Virgo KS, et al. Current follow-up strategies after resection of colon cancer. Results of a survey of members of the American Society of Colon and Rectal Surgeons [J]. Dis Colon Rectum, 1994; 37(6)∶573.
10. 　Virgo KS, Wade TP, Longo WE, et al. Surveillance after curative colon cancer resection: practice patterns of surgical subspecialists [J]. Ann Surg Oncol, 1995; 2(6)∶472.
11. 　Kiebert GM, Welvaart K, Kievit J. Psychological effects of routine follow up on cancer patients after surgery [J]. Eur J Surg, 1993; 159(11-12)∶601.
12. 　Stiggelbout AM, de Haes JC, Vree R, et al. Follow-up of colorectal cancer patients: quality of life and attitudes towards follow-up [J]. Br J Cancer, 1997; 75(6)∶914.
13. 　Ohlsson B, Breland U, Ekberg H, et al. Follow-up after curative surgery for colorectal carcinoma. Randomized comparison with no follow-up [J]. Dis Colon Rectum, 1995; 38(6)∶619.
14. 　Safi F, Link KH, Beger HG. Is follow-up of colorectal cancer patients worthwhile? [J]. Dis Colon Rectum, 1993; 36(7)∶636.
15. 　Bohm B, Schwenk W, Hucke HP, et al. Does methodic long-term follow-up affect survival after curative resection of colorectal carcinoma? [J]. Dis Colon Rectum, 1993; 36(3)∶280.
16. 　Ovaska J, Jarvinen H, Kujari H, et al. Follow-up of patients operated on for colorectal carcinoma [J]. Am J Surg, 1990; 159(6)∶593.
17. 　Castells A, Bessa X, Daniels M, et al. Value of postoperative surveillance after radical surgery for colorectal cancer: results of a cohort study [J]. Dis Colon Rectum, 1998; 41(6)∶714.
18. 　Kjeldsen BJ, Kronborg O, Fenger C, et al. A prospective randomized study of follow-up after radical surgery for colorectal cancer [J]. Br J Surg, 1997; 84(5)∶666.
19. 　Bergamaschi R, Arnaud JP. Routine compared with nonscheduled follow-up of patients with “curative” surgery for colorectal cancer [J]. Ann Surg Oncol, 1996; 3(5)∶464.
20. 　Pietra N, Sarli L, Costi R, et al. Role of follow-up in management of local recurrences of colorectal cancer: a prospective, randomized study [J]. Dis Colon Rectum, 1998; 41(9)∶1127.
21. 　Secco GB, Fardelli R, Gianquinto D, et al. Efficacy and cost of risk-adapted follow-up in patients after colorectal cancer surgery: a prospective, randomized and controlled trial [J]. Eur J Surg Oncol, 2002; 28(4)∶418.
22. 　Schiessel R, Wunderlich M, Herbst F. Local recurrence of colorectal cancer: effect of early detection and aggressive surgery [J]. Br J Surg, 1986; 73(5)∶342.
23. 　Rocklin MS, Slomski CA, Watne AL. Postoperative surveillance of patients with carcinoma of the colon and rectum [J]. Am Surg， 1990; 56(1)∶22.
24. 　Howell JD, Wotherspoon H, Leen E, et al. Evaluation of a follow-up programme after curative resection for colorectal cancer [J]. Br J Cancer, 1999; 79(2)∶308.
25. 　Willett CG, Tepper JE, Cohen AM, et al. Failure patterns following curative resection of colonic carcinoma [J]. Ann Surg, 1984; 200(6)∶685.
26. 　Bergamaschi R, Pessaux P, Burtin P, et al. Abdominoperineal resection for locally recurrent rectal cancer [J]. Tech Coloproctol, 2001; 5(2)∶97.
27. 　Kjeldsen BJ, Kronborg O, Fenger C, et al. The pattern of recurrent colorectal cancer in a prospective randomised study and the characteristics of diagnostic tests [J]. Int J Colorectal Dis， 1997; 12(6)∶ 329.
28. 　Carraro PG, Segala S, Cesana BM, et al. Obstructing colonic cancer: failure and survival patterns over a ten-year follow-up after one-stage curative surgery [J]. Dis Colon Rectum， 2001; 44(2)∶ 243.
29. 　Nesbakken A, Nygaard K,Westerheim O, et al. Local recurrence after mesorectal excision for rectal cancer [J]. Eur J Surg Oncol， 2002; 28(2)∶ 126.
30. 　Garcia-Aguilar J, Cromwell JW, Marra C, et al. Treatment of locally recurrent rectal cancer [J]. Dis Colon Rectum， 2001; 44(12)∶1743.
31. 　Secco GB, Fardelli R, Rovida S, et al. Is intensive follow-up really able to improve prognosis of patients with local recurrence after curative surgery for rectal cancer ? [J]. Ann Surg Oncol， 2000; 7(1)∶32.
32. 　Obrand DI, Gordon PH. Incidence and patterns of recurrence following curative resection for colorectal carcinoma [J]. Dis Colon Rectum， 1997; 40(1)∶15.
33. 　Glimelius B, Gronberg H, Jarhult J, et al. A systematic overview of radiation therapy effects in rectal cancer [J]. Acta Oncol， 2003; 42(5-6)∶476.
34. 　Kapiteijn E, Marijnen CA, Nagtegaal ID, et al. Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer [J]. N Engl J Med， 2001; 345(9)∶638.
35. 　Heald RJ, Moran BJ, Ryall RD, et al. Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997 [J]. Arch Surg， 1998; 133(8)∶894.
36. 　Nava HR, Pagana TJ. Postoperative surveillance of colorectal carcinoma [J]. Cancer， 1982; 49(5)∶1043.
37. 　Stigliano V, Fracasso P, Grassi A, et al. Endoscopic follow-up in resected colorectal cancer patients [J]. J Exp Clin Cancer Res， 2000; 19(2)∶145.
38. 　Colorectal Cancer Collaborative Group. Palliative chemotherapy for advanced colorectal cancer: systematic review and meta-analysis [J]. Br Med J， 2000; 321(7260)∶531.
39. 　Tveit KM. Liver metastases from colorectal cancer. More cures awaiting? [J]. Acta Oncol， 2002; 41(7-8)∶578.
40. 　Adam R, Avisare E, Ariche A, et al. Five-year survival following hepatic resection after neoadjuvant therapy for nonresectable colorectal [J]. Ann Surg Oncol， 2001; 8(4)∶347.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Follow-up System of Multi-Disciplinary Team in Colorectal Cancer

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