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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Autores principales: Hong-Hwa Chen, Tao-Wei Ke, 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
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/51101c1ebda440049aea4e70c061c41a
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spelling 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
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