Taiwan Society of Colon and Rectal Surgeons Consensus on mCRC Treatment
Therapeutic options for metastatic CRC (mCRC) have changed significantly in recent years, greatly increasing the complexity of therapeutic decision-making. Although oncology guidelines have helped improve the care process, guidelines may also limit the flexibility to individualize in-clinic decision...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:51101c1ebda440049aea4e70c061c41a2021-11-15T12:57:08ZTaiwan Society of Colon and Rectal Surgeons Consensus on mCRC Treatment2234-943X10.3389/fonc.2021.764912https://doaj.org/article/51101c1ebda440049aea4e70c061c41a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.764912/fullhttps://doaj.org/toc/2234-943XTherapeutic options for metastatic CRC (mCRC) have changed significantly in recent years, greatly increasing the complexity of therapeutic decision-making. Although oncology guidelines have helped improve the care process, guidelines may also limit the flexibility to individualize in-clinic decision-making. This consensus paper addresses specific gaps in the current international guidelines to assist Taiwanese colon and rectal experts make specific therapeutic choices. Over 3 years and three meetings with selected experts on “real-world” Taiwanese practice patterns for mCRC, consensus was achieved. The experts also discussed specific questions during in-depth one-on-one consultation. Outcomes of the discussion were then correlated with published evidence by an independent medical writer. The final consensus includes clinically implementable recommendations to provide guidance in treating Taiwanese mCRC patients. The consensus includes criteria for defining fit and unfit intensive treatment patients, treatment goals, treatment considerations of molecular profiles, treatment consideration, and optimal treatment choices between different patient archetypes, including optimal treatment options based on RAS, BRAF, and microsatellite instability (MSI) status. This consensus paper is the second in the Taiwan Society of Colon and Rectal Surgeons (TSCRS) Consensus series to address unmet gaps in guideline recommendations in lieu of Taiwanese mCRC management. Meticulous discussions with experts, the multidisciplinary nature of the working group, and the final drafting of the consensus by independent medical professionals have contributed to the strong scientific value of this consensus.Hong-Hwa ChenTao-Wei KeChing-Wen HuangChing-Wen HuangJeng-Kae JiangChou-Chen ChenYao-Yu HsiehHao-Wei TengBo-Wen LinYi-Hsin LiangYu-Li SuHung-Chih HsuFeng-Che KuanYenn-Hwei ChouJohnson LinBen-Ren LinYu-Yao ChangJaw-Yuan WangJaw-Yuan WangJaw-Yuan WangJaw-Yuan WangFrontiers Media S.A.articleTaiwanmetastatic colorectal cancertreatment consensusmolecular biomarkerdisease management in real world practiceNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN |
topic |
Taiwan metastatic colorectal cancer treatment consensus molecular biomarker disease management in real world practice Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
spellingShingle |
Taiwan metastatic colorectal cancer treatment consensus molecular biomarker disease management in real world practice Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Hong-Hwa Chen Tao-Wei Ke Ching-Wen Huang Ching-Wen Huang Jeng-Kae Jiang Chou-Chen Chen Yao-Yu Hsieh Hao-Wei Teng Bo-Wen Lin Yi-Hsin Liang Yu-Li Su Hung-Chih Hsu Feng-Che Kuan Yenn-Hwei Chou Johnson Lin Ben-Ren Lin Yu-Yao Chang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Taiwan Society of Colon and Rectal Surgeons Consensus on mCRC Treatment |
description |
Therapeutic options for metastatic CRC (mCRC) have changed significantly in recent years, greatly increasing the complexity of therapeutic decision-making. Although oncology guidelines have helped improve the care process, guidelines may also limit the flexibility to individualize in-clinic decision-making. This consensus paper addresses specific gaps in the current international guidelines to assist Taiwanese colon and rectal experts make specific therapeutic choices. Over 3 years and three meetings with selected experts on “real-world” Taiwanese practice patterns for mCRC, consensus was achieved. The experts also discussed specific questions during in-depth one-on-one consultation. Outcomes of the discussion were then correlated with published evidence by an independent medical writer. The final consensus includes clinically implementable recommendations to provide guidance in treating Taiwanese mCRC patients. The consensus includes criteria for defining fit and unfit intensive treatment patients, treatment goals, treatment considerations of molecular profiles, treatment consideration, and optimal treatment choices between different patient archetypes, including optimal treatment options based on RAS, BRAF, and microsatellite instability (MSI) status. This consensus paper is the second in the Taiwan Society of Colon and Rectal Surgeons (TSCRS) Consensus series to address unmet gaps in guideline recommendations in lieu of Taiwanese mCRC management. Meticulous discussions with experts, the multidisciplinary nature of the working group, and the final drafting of the consensus by independent medical professionals have contributed to the strong scientific value of this consensus. |
format |
article |
author |
Hong-Hwa Chen Tao-Wei Ke Ching-Wen Huang Ching-Wen Huang Jeng-Kae Jiang Chou-Chen Chen Yao-Yu Hsieh Hao-Wei Teng Bo-Wen Lin Yi-Hsin Liang Yu-Li Su Hung-Chih Hsu Feng-Che Kuan Yenn-Hwei Chou Johnson Lin Ben-Ren Lin Yu-Yao Chang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang |
author_facet |
Hong-Hwa Chen Tao-Wei Ke Ching-Wen Huang Ching-Wen Huang Jeng-Kae Jiang Chou-Chen Chen Yao-Yu Hsieh Hao-Wei Teng Bo-Wen Lin Yi-Hsin Liang Yu-Li Su Hung-Chih Hsu Feng-Che Kuan Yenn-Hwei Chou Johnson Lin Ben-Ren Lin Yu-Yao Chang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang |
author_sort |
Hong-Hwa Chen |
title |
Taiwan Society of Colon and Rectal Surgeons Consensus on mCRC Treatment |
title_short |
Taiwan Society of Colon and Rectal Surgeons Consensus on mCRC Treatment |
title_full |
Taiwan Society of Colon and Rectal Surgeons Consensus on mCRC Treatment |
title_fullStr |
Taiwan Society of Colon and Rectal Surgeons Consensus on mCRC Treatment |
title_full_unstemmed |
Taiwan Society of Colon and Rectal Surgeons Consensus on mCRC Treatment |
title_sort |
taiwan society of colon and rectal surgeons consensus on mcrc treatment |
publisher |
Frontiers Media S.A. |
publishDate |
2021 |
url |
https://doaj.org/article/51101c1ebda440049aea4e70c061c41a |
work_keys_str_mv |
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