Patient Age and Long-term Survival in Colorectal Cancer Patients Who Undergo Emergency Surgery.
Anticancer Res
; 41(2): 1069-1076, 2021 Feb.
Article
em En
| MEDLINE
| ID: mdl-33517317
ABSTRACT
BACKGROUND/AIM:
Emergency surgery for colorectal cancer (CRC) is a high-risk procedure with high morbidity and mortality rates, especially for older patients. The relationship between patient age status and long-term outcomes is unclear. We hypothesize that patient age might be associated with long-term outcomes in patients with CRC who undergo emergency surgery. PATIENTS ANDMETHODS:
Utilizing a database of CRC patients who received emergency surgery, we examined the prognostic association of patient age.RESULTS:
The ≥80-years group was significantly associated with American Society of Anesthesiologists (ASA) physical status, bowel obstruction, N stage, shorter operating time, and less adjuvant chemotherapy (all p<0.03); and also, with shorter recurrence-free survival [multivariable hazard ratio, 2.79; 95% confidence interval, 1.13-7.21; p=0.026]. ASA status and adjuvant chemotherapy were significantly associated with recurrence-free survival (all p<0.03).CONCLUSION:
Advanced age is associated with shorter recurrence-free survival in CRC patients who undergo emergency surgery.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Colorretais
/
Tratamento de Emergência
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Obstrução Intestinal
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article