Colorectal cancer resection in the Australian nonagenarian patient
| Autor: | Steven Schlichtemeier, Anthony J. Gill, Anthony Logaraj, Alexander Engel |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
education.field_of_study
medicine.medical_specialty business.industry Colorectal cancer medicine.medical_treatment Population Gastroenterology Retrospective cohort study medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Medicine Adenocarcinoma 030211 gastroenterology & hepatology Stage (cooking) business Elective Surgical Procedure education Survival rate Colectomy |
| Zdroj: | Colorectal Disease. 19:243-250 |
| ISSN: | 1462-8910 |
| Popis: | Aim The nonagenarian population is a rapidly growing segment of the Australian population. Surgical resection continues to offer the best chance of long-term survival in colorectal cancer. The primary aims of the present study were to evaluate the 30-day mortality and survival of Australian patients aged 90 years or more undergoing surgical resection for colorectal cancer in our health service. The secondary aims were to examine the clinicopathological characteristics of the patients and their tumours. Method All patients aged 90 years or more undergoing surgical resection for colorectal cancer from 1998 to 2012 were identified in a centralised multihospital database. Key clinicopathological data, 30-day mortality and long-term overall survival were recorded for each patient. Results There were 121 identified patients of median age 91 years 74% of whom were female. The median tumour size was 40 mm with 51% of operations being carried out as an emergency. The TNM stage was Stage I/II in 57%, Stage III in 40% and Stage IV in 3%. The 30-day mortality was 6.6% (8/121) and the 1, 3 and 5-year overall survival rates were 82.6%, 50.2% and 32.3%. Conclusion Surgical resection in the nonagenarian patient has an acceptable mortality and offers good overall survival. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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