{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:55:29Z","timestamp":1788173729362,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The impact of time delays between multidisciplinary team (MDT) discussion and surgery for colorectal peritoneal metastases remains uncertain. This study evaluated whether the interval between MDT discussion and cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) affected surgical, patient\u2010reported and survival outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This single centre retrospective study included patients with colorectal peritoneal metastases who underwent CRS and HIPEC between August 2017 and September 2024. Data on surgical outcomes including postoperative complications and survival were collected. Patient\u2010reported outcomes were assessed using the Short Form 36 Survey (SF\u201036). Multivariate regression and Cox proportional hazards models assessed associations between MDT\u2010to\u2010surgery interval and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and eighty\u2010five patients who underwent CC0 or CC1 cytoreduction were included. Median MDT\u2010to\u2010surgery time was 28\u2009days (range 19\u201349). Time from MDT to surgery was not associated with postoperative complications (95% CI: 0.00\u20130.02,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.13), physical and mental quality of life outcomes (for SF\u201036 scores at 12\u2009months, 95% CI: \u22120.09 to 0.05,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.56 and 95% CI: \u22120.05 to 0.12,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.37 for physical and mental components, respectively) or survival (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.20). Charlson Comorbidity Index (CCI) (95% CI: 0.82\u20133.90,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.00) and Eastern Cooperative Oncology Group (ECOG) status (95% CI: 1.83\u20139.38,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.00) were associated with increased postoperative stay. The SF\u201036 mental component at 6\u2009months correlated with predischarge scores (95% CI: 0.18\u20130.49,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.00).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Moderate delays in MDT\u2010to\u2010surgery time did not influence outcomes. These findings help to reassure patients who face delays due to patient related or scheduling factors and might facilitate preoperative optimisation. Future research should explore integrated risk models using ECOG and CCI scores to identify patients requiring targeted support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70551","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:23:23Z","timestamp":1774527803000},"page":"947-953","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Time Between Multidisciplinary Team Meeting Discussion and Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy in Patients With Colorectal Peritoneal Metastases on Surgical, Quality of Life and Survival Outcomes"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1812-8001","authenticated-orcid":false,"given":"Wilson","family":"Jiang","sequence":"first","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe) Royal Prince Alfred Hospital (RPAH)  Sydney New South 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