Table 2. Colorectal vs. non-colorectal specialty surgeon referral patterns.
Question | Variables | Colorectal (%) | Non-colorectal (%) | P value |
---|---|---|---|---|
Percentage of cases discussed with HPB prior to resection of primary (asymptomatic or minimally symptomatic) | <5% | 14.3 | 12.5 | 0.38 |
5–25% | 10.7 | 16.7 | 0.22 | |
26–50% | 14.3 | 0.0 | N/A | |
51–75% | 0.0 | 12.5 | N/A | |
>75% | 60.7 | 58.3 | 0.39 | |
In an asymptomatic patient with CRC and liver metastasis, which happens first? | Consult medical oncology | 59.3 | 45.8 | 0.11 |
Consult HPB | 33.3 | 41.7 | 0.26 | |
Operative resection of primary | 7.4 | 12.5 | 0.30 | |
In a symptomatic patient with CRC and liver metastasis, which happens first? | Consult medical oncology | 7.4 | 8.3 | 0.30 |
Consult HPB | 18.5 | 8.3 | 0.03* | |
Operative resection of primary | 74.1 | 83.3 | 0.13 | |
Should all patients with a colorectal primary and hepatic metastases be referred to (select any and all that apply): | Colorectal | 87.5 | 36.4 | ≤0.01* |
HPB | 91.7 | 90.9 | 0.65 | |
Medical oncology | 91.7 | 77.3 | 0.07 | |
Which of the following restricts your practice of referral? | Bilobar/extensive metastases | 60.7 | 50.0 | 0.14 |
– | ||||
Portal lymphadenopathy | 39.3 | 25.0 | 0.04* | |
Extensive comorbidities | 32.1 | 54.2 | ≤0.01* | |
Age of the patient | 14.3 | 12.5 | 0.38 | |
Accessibility of HPB | 3.6 | 25.0 | ≤0.01* |
*, statistical significance. HPB, hepatobiliary; N/A, non-applicable; CR, colorectal; CRC, colorectal cancer.