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Predictors of survival after curative resection of carcinoma of the colon and rectum
Author(s) -
Griffin Marie R.,
Bergstralh Erik J.,
Coffey Robert J.,
Beart Robert W.,
Melton L. Joseph
Publication year - 1987
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19871101)60:9<2318::aid-cncr2820600934>3.0.co;2-b
Subject(s) - medicine , rectum , carcinoma , resection , rectal carcinoma , general surgery , oncology , colorectal cancer , surgery , cancer
Of 668 Rochester, Minnesota residents with colon or rectal cancer diagnosed from 1940 through 1979, 400 (60%) were operated on for cure and had a known disease stage. The influence of patient sex, age, and decade of diagnosis, disease stage, grade, site, and size, and the presence of obstruction or perforation were examined as prognostic factors for death, death from colorectal cancer, and cancer recurrence. In this population‐based inception cohort, overall survival was independently associated with male sex ( P = 0.0002), older age ( P < 0.001), and more advanced disease stage ( P < 0.001). Death due to colon cancer, on the other hand, was associated with disease stage ( P < 0.0001), more advanced grade ( P = 0.016), and the presence of obstruction ( P = 0.003). One hundred seven (27%) patients had a recurrence of their colon cancer. Seventy‐one percent of recurrences were evident within the first 2 years and 91% by 5 years. Recurrence was associated with disease stage ( P < 0.0001), grade ( P = 0.006), and the presence of perforation ( P = 0.012).