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. 2018 Aug;7(4):242–250. doi: 10.21037/hbsn.2017.12.01

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.