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Practice Editing Here (Nov 23rd in-class Wiki session work)

 * This is a place to practice clicking the "edit" button and practice adding references (via the citation button).

Hereditary nonpolyposis colorectal cancer

Assignment # 3
'''Proposed Changes '''

Under the Treatment section of the article, I will be making the following additions:

"[Surgery remains the front-line therapy for HNPCC], with either a partial colectomy or total colectomy with ileorectal anastomosis. Due to increased risk of colorectal cancer following partial colectomy and similar quality of life after both surgeries, a total colectomy may be a preferred treatment for HNPCC, especially in younger patients."

'''Rationale for Proposed Change '''

''[…], with either a partial colectomy or total colectomy with ileorectal anastomosis. '' This change was made to expand upon the very minimal treatment section of this article. I extended this sentence to elaborate on the two main types of surgeries that are used to treat HNPCC. I plan to link the word “colectomy” to the associated Wikipedia article, so that readers can refer to it for further knowledge.

''Due to increased risk of colorectal cancer following partial colectomy and similar quality of life after both surgeries, a total colectomy may be a preferred treatment for HNPCC, especially in younger patients. '' The addition of this sentence is meant to provide readers with more information about HNPCC treatment, tailored to a patient perspective. It is important to provide a brief comparison of the two types of surgical treatments, according to regular practice.

Both changes will be referenced with the following article:

Stjepanovic N, Moreira L, Carneiro F, Balaguer F, Cervantes A, Balmaña J, Martinelli E; ESMO Guidelines Committee. Electronic address: clinicalguidelines@esmo.org. Hereditary gastrointestinal cancers: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up†. Ann Oncol. 2019 Oct 1;30(10):1558-1571. doi: 10.1093/annonc/mdz233. PMID: 31378807.

This reference was used as it provides a clear summary of surgical options for the treatment of HNPCC through the format of a Clinical Guideline. Therefore, the information in this reference is reflective of the standard of care that is currently provided. As the proposed changes are simply adding more information to a sparse section of the article, there is little controversy surrounding this topic. Almost all surgical approaches to HNPCC involve a partial or total colectomy, and there is little controversy over the increased risk of colorectal cancer following partial colectomy.

'''Critique of Source '''

As the source is a Clinical Guideline, reflects the standard of care that is currently provided, was published in 2019, and encompasses the findings of many primary sources, there is a reduced possibility of bias. However, this source is from the European Society for Medical Oncology, and may have a slight bias towards medical practices in Europe as compared to the rest of the world. Follow up research for standard treatment practices for HNPCC in North America confirmed that the proposed changes also reflect North American practices. Therefore, this does not impact my plans for the proposed changes.

What to post on the Wikipedia article talk page?

 * This will also be covered on Nov 23rd in class. Your group should use the below template to share an outline of your proposed improvements (including your new wording and citations). Article talk pages are not places to share your assignment answers. The Wikipedia community will be more interested in viewing your exact article improvement suggestions including where you plan to improve the article (which section), what wording you suggest, and the exact citation (Note: all citations must meet WP:MEDRS)
 * You will not be able to paste citations directly from your sandbox to talk pages (unless you are interested in editing/learning Wiki-code in the "source editing" mode). We suggest re-adding your citations on the talk page manually (using the cite button and populating the citation by pasting in the DOI, website, or PMID). You will have to repeat this process yet again when you edit the actual article live.
 * Talk Page Template: CARL Medical Editing Initiative/Fall 2020/Talk Page Template