Özet:

Aim: The advent of the multidisciplinary approach to rectal cancer patients has resulted in a paradigm shift when treating these patients. Few programs exist that lay the basis for establishing basic principles for creating such committees. Method: During the year 2021, a multidisciplinary team was created in a university hospital in Buenos Aires for the management of patients with rectal cancer, following the guidelines proposed by the “National Accreditation Program for Rectal Cancer Patients (NAPRC)”. After the first four months of using this system, a summary of the program was made. The feasibility of applying these guidelines in our hospital was evaluated, and the first patients presented in committee were considered. Results: During the study period, four committee meetings were held and 17 patients with a mean age of 69 years (29-86) were presented, following the standards proposed by the NAPRC. Of these patients, 64.70% (11/17) had lower rectal tumors, 94.11% (16/17) were adenocarcinomas, and locally advanced stage was found in 68.75% (11/16). In 75% (12/16), neoadjuvant therapy was recommended, and one patient had a complete clinical response after neoadjuvant treatment. Following NAPRC recommendations, all patients fulfilled the requirements for the MDT team approach. Conclusion: NAPRC guidelines could be of use in establishing a multidisciplinary committee to approach patients with rectal cancer in hospitals of low-income countries. Further experience needs to be presented to evaluate if the use of this guidelines is associated with improved clinical results.

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