TABLE 1.

Modification in practice of rectal cancer

S. No.	Treatment modality	Modification strategy
1.	Radiotherapy	Intermediate risk: SCRT where needed Locally advanced: SCRT followed by chemotherapy Avoid post‐operative radiotherapy. Indicated only in select T4, margin positive and N2 disease Wait and watch approach where feasible
2.	Surgery	Delay in surgery following radiation: 4 to 6 weeks after SCRT ≥12 weeks after LCRT or SCRT with chemotherapy
3.	Chemotherapy	Avoid adjuvant chemotherapy Oral capecitabine‐based chemotherapy in high‐risk cases Omit addition of oxaliplatin Total neoadjuvant approach Avoid bolus 5FU

Abbreviations: LCRT, long‐course radiotherapy; SCRT, short‐course radiotherapy.