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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Surgery and Oncology</journal-id><journal-title-group><journal-title xml:lang="en">Surgery and Oncology</journal-title><trans-title-group xml:lang="ru"><trans-title>Хирургия и онкология</trans-title></trans-title-group></journal-title-group><issn publication-format="electronic">2949-5857</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">830</article-id><article-id pub-id-type="doi">10.17650/2949-5857-2025-15-3-22-26</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Resolution of the round table “Possibilities for modification of colorectal cancer progression risk factors in guidelines of the professional associations”</article-title><trans-title-group xml:lang="ru"><trans-title>Резолюция круглого стола «Возможности модификации факторов риска прогрессирования колоректального рака в рекомендациях профессиональных сообществ»</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9303-8379</contrib-id><name-alternatives><name xml:lang="en"><surname>Gordeev</surname><given-names>S. S.</given-names></name><name xml:lang="ru"><surname>Гордеев</surname><given-names>С. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>24 Kashirskoe Shosse, Moscow 115522</p><p>54 Odesskaya St., Tyumen 625023</p></bio><bio xml:lang="ru"><p>Сергей Сергеевич Гордеев</p><p>115522 Москва, Каширское шоссе, 24</p></bio><email>dr.gordeyev@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2245-214X</contrib-id><name-alternatives><name xml:lang="en"><surname>Tryakin</surname><given-names>А. А.</given-names></name><name xml:lang="ru"><surname>Трякин</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>24 Kashirskoe Shosse, Moscow 115522</p></bio><bio xml:lang="ru"><p>115522 Москва, Каширское шоссе, 24</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4944-4035</contrib-id><name-alternatives><name xml:lang="en"><surname>Chernykh</surname><given-names>М. V.</given-names></name><name xml:lang="ru"><surname>Черных</surname><given-names>М. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>24 Kashirskoe Shosse, Moscow 115522</p><p>Bld. 1, 6 Pirogovskaya St., Moscow 119992</p></bio><bio xml:lang="ru"><p> 115522 Москва, Каширское шоссе, 24</p><p>119992 Москва, ул. Б. Пироговская, 6, стр. 1</p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff3"/><xref ref-type="aff" rid="aff6"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9289-1247</contrib-id><name-alternatives><name xml:lang="en"><surname>Mamedli</surname><given-names>Z. Z.</given-names></name><name xml:lang="ru"><surname>Мамедли</surname><given-names>З. З.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>24 Kashirskoe Shosse, Moscow 115522</p></bio><bio xml:lang="ru"><p>115522 Москва, Каширское шоссе, 24</p></bio><xref ref-type="aff" rid="aff5"/><xref ref-type="aff" rid="aff6"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н. Н. Блохина» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">2Department of Oncology, Radiology and Radiotherapy, Туиmeп State Medical University, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">кафедра онкологии, радиологии и радиотерапии ФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">3Department of Oncology, Radiotherapy and Reconstructive Surgery, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">кафедра онкологии, радиотерапии и реконструктивной хирургии ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова. Минздрава России (Сеченовский Университет)</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="ru"></institution></aff><aff><institution xml:lang="en">N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia</institution></aff></aff-alternatives><aff id="aff5"><institution>ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н. Н. Блохина» Минздрава России</institution></aff><aff id="aff6"><institution></institution></aff><pub-date date-type="pub" iso-8601-date="2025-09-03" publication-format="electronic"><day>03</day><month>09</month><year>2025</year></pub-date><volume>15</volume><issue>3</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>22</fpage><lpage>26</lpage><history><date date-type="received" iso-8601-date="2025-09-02"><day>02</day><month>09</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-09-02"><day>02</day><month>09</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Gordeev S.S., Tryakin А.А., Chernykh М.V., Mamedli Z.Z.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Гордеев С.С., Трякин А.А., Черных М.В., Мамедли З.З.</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Gordeev S.S., Tryakin А.А., Chernykh М.V., Mamedli Z.Z.</copyright-holder><copyright-holder xml:lang="ru">Гордеев С.С., Трякин А.А., Черных М.В., Мамедли З.З.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://onco-surgery.info/jour/article/view/830">https://onco-surgery.info/jour/article/view/830</self-uri><abstract xml:lang="en"><p>In the article, evidence-based data on modifiable risk factors of colorectal cancer recurrence are presented. The possibility of supplementing the existing clinical practice guidelines with information on the effect of lifestyle and behavioral changes on overall and recurrence-free survival is discussed. Maintaining a high level of physical activity and smoking cessation can significantly improve long-term treatment outcomes. Data on the role of diet and alcohol consumption are contradictory and do not allow to make clear recommendations.</p></abstract><trans-abstract xml:lang="ru"><p>В статье представлены доказательные данные о модифицируемых факторах риска прогрессирования колоректального рака. Обсуждаются вопросы возможности дополнения существующих рекомендаций информацией о влиянии изменения образа жизни на показатели общей и безрецидивной выживаемости. Поддержание высокого уровня физической активности и отказ от курения могут существенно улучшить отдаленные результаты лечения. Данные о роли диеты и употребления алкоголя более противоречивы и не позволяют сформировать четкие рекомендации.</p></trans-abstract><kwd-group xml:lang="en"><kwd>rectal cancer</kwd><kwd>colon cancer</kwd><kwd>colorectal cancer</kwd><kwd>diet</kwd><kwd>smoking</kwd><kwd>physical activity</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>рак прямой кишки</kwd><kwd>рак ободочной кишки</kwd><kwd>колоректальный рак</kwd><kwd>диета</kwd><kwd>курение</kwd><kwd>физическая активность</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. Choy K. T., Lam K., Kong J. C. Exercise and colorectal cancer survival: an updated systematic review and meta-analysis. Int J Colorectal Dis 2022;37(8):1751–8. DOI: 10.1007/s00384‑022‑04224‑5</mixed-citation><mixed-citation xml:lang="ru">Choy K. T., Lam K., Kong J. C. 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