Academic Journal
Need for guidance
| Title: | Need for guidance |
|---|---|
| Authors: | Fugazzola, Paola, Allievi, Niccolò, Celotti, Andrea, Cicuttin, Enrico, Cobianchi, Lorenzo, Dagnoni, Andrea, Dal Mas, Francesca, Frassini, Simone, Ghaly, Ahmed, Magnone, Stefano |
| Source: | Academia medicine and health, vol. 3, no. 3, pp. 1-21, 2026. ; ISSN: 3070-3530 |
| Publisher Information: | Academia.edu Journals |
| Publication Year: | 2026 |
| Subject Terms: | peritoneal carcinomatosis, peritoneal metastasis, malignant bowel obstruction, emergency surgery, clinical decision-making, survey research, practice variability, info:eu-repo/classification/udc/617 |
| Description: | Introduction: Advances in systemic chemotherapy, cytoreductive surgery, and intraperitoneal treatment have improved long-term outcomes in peritoneal carcinomatosis (PC), yet acute complications such as obstruction, perforation, and strangulation remain poorly standardized in their surgical management. This study investigated current clinical attitudes and decision-making strategies in PC emergencies. Materials and methods: A 76-item web-based survey was sent out via the World Society of Emergency Surgery (WSES) and the Italian Society of Surgical Oncologists (SICO) from October 2023 to January 2024. Questions addressed diagnostic approaches, surgical indications, treatment strategies, and referral pathways. Respondents were stratified by specialty (Emergency vs. Oncologic Surgery) and institutional experience with peritoneal procedures (>30 cases). Data were analyzed using descriptive statistics and the Mann–Whitney U test for subgroup comparisons. Results: Six hundred twenty-two surgeons completed the survey. A strong consensus emerged on the significant impact of emergencies on long-term outcomes and the need for international guidelines. However, 75% of survey items exhibited standard deviation (SD) > 0.84, and 58% showed SD > 1.0, indicating substantial heterogeneity. Peritoneal surgery specialists were more likely to support active surgical management, post-operative intensive care unit (ICU) admission, early nutritional assessment, and referral to high-volume centres (all p < 0.05). Conclusions: This international survey reveals marked variability in the emergency surgical management of PC and underscores the urgent need for standardized, evidence-based recommendations. These findings will inform a consensus effort by WSES, the Peritoneal Surface Oncology Group International (PSOGI), and SICO to harmonize care and improve outcomes in peritoneal carcinomatosis emergencies. |
| Document Type: | article in journal/newspaper |
| File Description: | application/pdf; text/url |
| Language: | English |
| Relation: | https://dirros.openscience.si/IzpisGradiva.php?id=31959; https://dirros.openscience.si/Dokument.php?id=49754&dn=; https://dirros.openscience.si/Dokument.php?id=49753&dn=; https://plus.cobiss.net/cobiss/si/sl/bib/288260611 |
| Availability: | https://dirros.openscience.si/IzpisGradiva.php?id=31959 https://dirros.openscience.si/Dokument.php?id=49754&dn= https://dirros.openscience.si/Dokument.php?id=49753&dn= https://plus.cobiss.net/cobiss/si/sl/bib/288260611 https://hdl.handle.net/20.500.12556/DiRROS-31959 |
| Rights: | http://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/openAccess |
| Accession Number: | edsbas.54167F95 |
| Database: | BASE |
| Description not available. |