{"id":"https://openalex.org/W7119582002","doi":"https://doi.org/10.1055/a-2771-7960","title":"Challenges of Implementing the \u201cWatch\u201d in Watch-and-Wait for Rectal Cancer","display_name":"Challenges of Implementing the \u201cWatch\u201d in Watch-and-Wait for Rectal Cancer","publication_year":2026,"publication_date":"2026-01-09","ids":{"openalex":"https://openalex.org/W7119582002","doi":"https://doi.org/10.1055/a-2771-7960"},"language":"en","primary_location":{"id":"doi:10.1055/a-2771-7960","doi":"https://doi.org/10.1055/a-2771-7960","is_oa":false,"landing_page_url":"https://doi.org/10.1055/a-2771-7960","pdf_url":null,"source":{"id":"https://openalex.org/S28640989","display_name":"Clinics in Colon and Rectal Surgery","issn_l":"1521-5741","issn":["1521-5741","1530-9681","1531-0043"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinics in Colon and Rectal Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035471553","display_name":"Bailey K. Hilty Chu","orcid":"https://orcid.org/0000-0002-9473-0324","observed_orcids":["https://orcid.org/0000-0002-9473-0324"]},"institutions":[{"id":"https://openalex.org/I28792581","display_name":"University of Rochester Medicine","ror":"https://ror.org/00trqv719","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I28792581","https://openalex.org/I5388228"]},{"id":"https://openalex.org/I5388228","display_name":"University of Rochester","ror":"https://ror.org/022kthw22","country_code":"US","type":"education","lineage":["https://openalex.org/I5388228"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Bailey K. Hilty Chu","raw_affiliation_strings":["Department of Surgery, Surgical Health Outcomes and Research Enterprise, University of Rochester, Rochester, New York, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Surgical Health Outcomes and Research Enterprise, University of Rochester, Rochester, New York, United States","institution_ids":["https://openalex.org/I28792581","https://openalex.org/I5388228"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049251102","display_name":"Anthony Loria","orcid":"https://orcid.org/0000-0003-0877-6500","observed_orcids":["https://orcid.org/0000-0003-0877-6500"]},"institutions":[{"id":"https://openalex.org/I28792581","display_name":"University of Rochester Medicine","ror":"https://ror.org/00trqv719","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I28792581","https://openalex.org/I5388228"]},{"id":"https://openalex.org/I5388228","display_name":"University of Rochester","ror":"https://ror.org/022kthw22","country_code":"US","type":"education","lineage":["https://openalex.org/I5388228"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anthony Loria","raw_affiliation_strings":["Department of Surgery, Surgical Health Outcomes and Research Enterprise, University of Rochester, Rochester, New York, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Surgical Health Outcomes and Research Enterprise, University of Rochester, Rochester, New York, United States","institution_ids":["https://openalex.org/I28792581","https://openalex.org/I5388228"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091121377","display_name":"Fergal J. Fleming","orcid":"https://orcid.org/0000-0003-0553-1591","observed_orcids":["https://orcid.org/0000-0003-0553-1591"]},"institutions":[{"id":"https://openalex.org/I28792581","display_name":"University of Rochester Medicine","ror":"https://ror.org/00trqv719","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I28792581","https://openalex.org/I5388228"]},{"id":"https://openalex.org/I5388228","display_name":"University of Rochester","ror":"https://ror.org/022kthw22","country_code":"US","type":"education","lineage":["https://openalex.org/I5388228"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Fergal Fleming","raw_affiliation_strings":["Department of Surgery, Surgical Health Outcomes and Research Enterprise, University of Rochester, Rochester, New York, United States","Division of Colorectal Surgery, Department of Surgery, University of Rochester, Rochester, New York, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Surgical Health Outcomes and Research Enterprise, University of Rochester, Rochester, New York, United States","institution_ids":["https://openalex.org/I28792581","https://openalex.org/I5388228"]},{"raw_affiliation_string":"Division of Colorectal Surgery, Department of Surgery, University of Rochester, Rochester, New York, United States","institution_ids":["https://openalex.org/I28792581","https://openalex.org/I5388228"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5035471553"],"corresponding_institution_ids":["https://openalex.org/I28792581","https://openalex.org/I5388228"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.01497528,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10335","display_name":"Colorectal Cancer Surgical Treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10335","display_name":"Colorectal Cancer Surgical Treatments","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13110","display_name":"Colorectal and Anal Carcinomas","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11885","display_name":"MRI in cancer diagnosis","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/expectant-management","display_name":"expectant management","score":0.9139999747276306},{"id":"https://openalex.org/keywords/locally-advanced-rectal-cancer","display_name":"locally advanced rectal cancer","score":0.9670000076293945},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.9129999876022339},{"id":"https://openalex.org/keywords/clinical-complete-response","display_name":"clinical complete response","score":0.9290000200271606},{"id":"https://openalex.org/keywords/close-surveillance","display_name":"close surveillance","score":0.8730000257492065},{"id":"https://openalex.org/keywords/neoadjuvant-therapy","display_name":"neoadjuvant therapy","score":0.9010000228881836},{"id":"https://openalex.org/keywords/treatment-decision-making","display_name":"treatment decision-making","score":0.9190000295639038},{"id":"https://openalex.org/keywords/health-care-delivery-challenges","display_name":"health care delivery challenges","score":0.49000000953674316},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.875}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9132999777793884},{"id":"https://openalex.org/C526805850","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Colorectal cancer","level":3,"score":0.7856000065803528},{"id":"https://openalex.org/C2778292576","wikidata":"https://www.wikidata.org/wiki/Q6991934","display_name":"Neoadjuvant therapy","level":4,"score":0.4722999930381775},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.41850000619888306},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.38679999113082886},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3763999938964844},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.3747999966144562},{"id":"https://openalex.org/C3019096185","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Complete response","level":3,"score":0.3684999942779541},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.33660000562667847},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.31349998712539673},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.29919999837875366},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.2818000018596649},{"id":"https://openalex.org/C2991871042","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Rectal carcinoma","level":4,"score":0.26750001311302185}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1055/a-2771-7960","doi":"https://doi.org/10.1055/a-2771-7960","is_oa":false,"landing_page_url":"https://doi.org/10.1055/a-2771-7960","pdf_url":null,"source":{"id":"https://openalex.org/S28640989","display_name":"Clinics in Colon and Rectal Surgery","issn_l":"1521-5741","issn":["1521-5741","1530-9681","1531-0043"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","norway-1"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinics in Colon and Rectal Surgery","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.6699807047843933,"display_name":"Peace, justice, and strong institutions","id":"https://metadata.un.org/sdg/16"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":42,"referenced_works":["https://openalex.org/W1587782074","https://openalex.org/W1764231357","https://openalex.org/W1974120352","https://openalex.org/W1978063955","https://openalex.org/W2030757814","https://openalex.org/W2040137805","https://openalex.org/W2046829339","https://openalex.org/W2155441883","https://openalex.org/W2159919969","https://openalex.org/W2327017360","https://openalex.org/W2750749864","https://openalex.org/W2758695930","https://openalex.org/W2769322361","https://openalex.org/W2809278331","https://openalex.org/W2896936894","https://openalex.org/W2905424513","https://openalex.org/W2944125880","https://openalex.org/W2995505872","https://openalex.org/W3044516008","https://openalex.org/W3139033050","https://openalex.org/W3197140764","https://openalex.org/W4214604017","https://openalex.org/W4225137108","https://openalex.org/W4308602204","https://openalex.org/W4309330730","https://openalex.org/W4312221545","https://openalex.org/W4327583748","https://openalex.org/W4361285058","https://openalex.org/W4388523881","https://openalex.org/W4390061283","https://openalex.org/W4391543918","https://openalex.org/W4395960401","https://openalex.org/W4401010750","https://openalex.org/W4402649990","https://openalex.org/W4402958188","https://openalex.org/W4404141274","https://openalex.org/W4404214312","https://openalex.org/W4404960893","https://openalex.org/W4407288959","https://openalex.org/W4408867484","https://openalex.org/W4410888035","https://openalex.org/W4412397225"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Nonoperative":[1],"management,":[2],"or":[3],"watch-and-wait,":[4,76],"is":[5],"an":[6],"increasingly":[7],"utilized":[8],"treatment":[9,72],"strategy":[10,49],"for":[11,28],"locally":[12],"advanced":[13],"rectal":[14,68],"cancer":[15,69],"both":[16],"in":[17],"the":[18,65,78],"United":[19],"States":[20],"and":[21,35,74,87],"internationally.":[22],"Studies":[23],"demonstrate":[24],"acceptable":[25],"oncologic":[26],"outcomes":[27],"patients":[29],"with":[30,39],"clinical":[31],"complete":[32],"response":[33],"(cCR)":[34],"close":[36],"surveillance":[37,81],"compared":[38],"those":[40],"who":[41],"undergo":[42],"surgery":[43],"after":[44],"neoadjuvant":[45],"therapy,":[46],"but":[47],"this":[48],"relies":[50],"on":[51],"multiple":[52],"key":[53],"factors":[54],"to":[55],"achieve":[56],"optimal":[57],"outcomes.":[58],"Implementing":[59],"watch-and-wait":[60],"raises":[61],"new":[62],"challenges":[63],"throughout":[64,77],"course":[66,79],"of":[67,80],"care,":[70],"from":[71],"decision-making":[73],"offering":[75],"which":[82],"involves":[83],"patients,":[84],"providers,":[85],"systems,":[86],"policy.":[88]},"counts_by_year":[],"updated_date":"2026-08-04T08:18:43.703281","created_date":"2026-01-10T00:00:00"}