How Do We Audit Rectal Cancer Treatment: The EURECCA Perspective
Randomised controlled trials (RCTs) are considered as the gold standard for determining treatment efficacy. Moreover, the effectiveness of quality control in surgery, radiotherapy, and pathology has been showed in the Dutch TME trial. McArdle and Hole stated in the early 1990s that “some surgeons perform less then optimal surgery; some are less competent technically than their colleagues; and some fail to supervise surgeons in training adequately... If by more meticulous attention to detail the results of surgery could be improved, and our results suggest that this would not be difficult, the impact on survival might be greater than that of any of the adjuvant therapies currently under study” .
- 5.National Bowel Cancer Audit Report (2014) http://www.hscic.gov.uk/catalogue/PUB16021/nati-clin-audi-supp-prog-bowe-canc-2014-rep1.pdf. Accessed July 2015
- 15.Bujko K, Nowacki MP, Nasierowska-Guttmejer A, Michalski W, Bebenek M, Kryj M (2006) Long-term results of a randomized trial comparing preoperative short-course radiotherapy with preoperative conventionally fractionated chemoradiation for rectal cancer. Br J Surg 93(10):1215–1223CrossRefPubMedGoogle Scholar
- 21.International watch and wait database. http://www.iwwd.org/. Accessed July 2015