Decline in Surgery for Advanced Rectal Cancer Raises Concerns About Guideline Adherence

A study using the National Cancer Database analyzed trends in the treatment of locally advanced rectal cancers. Researchers found that despite the traditional treatment approach involving surgery, there was a concerning decrease in the number of patients undergoing surgery, along with a rise in patients declining surgery. Several factors associated with forgoing surgery included older age, race, and lower income. The study underscores the need to address disparities and encourage guideline-concordant surgical care to ensure optimal treatment for rectal cancer patients.