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Factors associated with the refusal of surgery and the associated impact on survival in patients with rectal cancer using the National Cancer Database
Author(s) -
Alex Coffman,
Randa Tao,
Jessica N. Cohan,
Lyen C. Huang,
T. Bartley Pickron,
Anna Torgeson,
Shane Lloyd
Publication year - 2021
Publication title -
journal of gastrointestinal oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.084
H-Index - 39
eISSN - 2219-679X
pISSN - 2078-6891
DOI - 10.21037/jgo-20-437
Subject(s) - medicine , propensity score matching , cohort , cancer , colorectal cancer , retrospective cohort study , surgery , logistic regression , stage (stratigraphy) , proportional hazards model , rectum , biology , paleontology
Surgical resection is an integral component of the curative-intent treatment for most patients with non-metastatic rectal cancer. However, some patients refuse surgery for a number of reasons. Utilizing the National Cancer Database (NCDB), we investigated the sociodemographic and clinical factors associated with patients who were coded as having been offered but refused surgery, and the factors affecting overall survival (OS) in these patients.

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