Recurrent Disease After Esophageal Cancer Surgery
| Autor: | Marianne C. Kalff, Sofie P.G. Henckens, Daan M. Voeten, David J. Heineman, Maarten C.C.M. Hulshof, Hanneke W.M. van Laarhoven, Wietse J. Eshuis, Peter C. Baas, Renu R. Bahadoer, Eric J.T. Belt, Baukje Brattinga, Linda Claassen, Admira Ćosović, David Crull, Freek Daams, Annette D. van Dalsen, Jan Willem T. Dekker, Marc J. van Det, Manon Drost, Peter van Duijvendijk, Stijn van Esser, Marcia P. Gaspersz, Burak Görgec, Richard P.R. Groenendijk, Henk H. Hartgrink, Erwin van der Harst, Jan W. Haveman, Joos Heisterkamp, Richard van Hillegersberg, Wendy Kelder, B. Feike Kingma, Willem J. Koemans, Ewout A. Kouwenhoven, Sjoerd M. Lagarde, Frederik Lecot, Philip P. van der Linden, Misha D.P. Luyer, Grard A.P. Nieuwenhuijzen, Pim B. Olthof, Donald L. van der Peet, Jean-Pierre E.N. Pierie, E.G.J.M. Robert Pierik, Victor D. Plat, Fatih Polat, Camiel Rosman, Jelle P. Ruurda, Johanna W. van Sandick, Rene Scheer, Cettela A.M. Slootmans, Meindert N. Sosef, Odin V. Sosef, Wobbe O. de Steur, Hein B.A.C. Stockmann, Fanny J. Stoop, Guusje Vugts, Guy H.E.J. Vijgen, Víola B. Weeda, Marinus J. Wiezer, Martijn G.H. van Oijen, Mark I. van Berge Henegouwen, Suzanne S. Gisbertz |
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| Přispěvatelé: | Surgery, Cardio-thoracic surgery, Cancer Center Amsterdam, Internal medicine, CCA - Cancer Treatment and quality of life, Amsterdam Gastroenterology Endocrinology Metabolism, Plastic, Reconstructive and Hand Surgery, CCA - Cancer Treatment and Quality of Life, Other Research, Graduate School, Radiotherapy, Oncology, Radiology and Nuclear Medicine, APH - Methodology, APH - Quality of Care |
| Rok vydání: | 2022 |
| Předmět: |
Male
Neoadjuvant treatment Esophageal Neoplasms Palliative treatment Esophageal cancer Adenocarcinoma Prognosis Cohort Studies Survival Rate Esophagectomy Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] SDG 3 - Good Health and Well-being Lymphatic Metastasis Humans Recurrences Surgery Neoplasm Recurrence Local Retrospective Studies |
| Zdroj: | Annals of Surgery, 276, 5, pp. 806-813 Kalff, M C, Henckens, S P G, Voeten, D M, Heineman, D J, Hulshof, M C C M, van Laarhoven, H W M, Eshuis, W J, Baas, P C, Bahadoer, R R, Belt, E J T, Brattinga, B, Claassen, L, Ćosović, A, Crull, D, Daams, F, van Dalsen, A D, Dekker, J W T, van Det, M J, Drost, M, van Duijvendijk, P, van Esser, S, Gaspersz, M P, Görgec, B, Groenendijk, R P R, Hartgrink, H H, van der Harst, E, Haveman, J W, Heisterkamp, J, van Hillegersberg, R, Kelder, W, Kingma, B F, Koemans, W J, Kouwenhoven, E A, Lagarde, S M, Lecot, F, van der Linden, P P, Luyer, M D P, Nieuwenhuijzen, G A P, Olthof, P B, van der Peet, D L, Pierie, J-P E N, Pierik, E G J M R, Plat, V D, Polat, F, Rosman, C, Ruurda, J P, van Sandick, J W, Scheer, R, Slootmans, C A M, Sosef, M N, Sosef, O V, de Steur, W O, Stockmann, H B A C, Stoop, F J, Vugts, G, Vijgen, G H E J, Weeda, V O B, Wiezer, M J, van Oijen, M G H, van Berge Henegouwen, M I & Gisbertz, S S 2022, ' Recurrent Disease After Esophageal Cancer Surgery : A Substudy of The Dutch Nationwide Ivory Study ', Annals of Surgery, vol. 276, no. 5, pp. 806-813 . https://doi.org/10.1097/SLA.0000000000005638 Annals of Surgery, 276(5), 806-813. LIPPINCOTT WILLIAMS & WILKINS Annals of Surgery, 276(5), 806-813. Lippincott Williams and Wilkins Annals of Surgery, 276(5), 806-813. Lippincott Williams & Wilkins Annals of surgery, 276(5), 806-813. Lippincott Williams and Wilkins Annals of Surgery, 276, 806-813 |
| ISSN: | 0003-4932 |
| DOI: | 10.1097/sla.0000000000005638 |
| Popis: | Objective: This study investigated the patterns, predictors, and survival of recurrent disease following esophageal cancer surgery.Background: Survival of recurrent esophageal cancer is usually poor, with limited prospects of remission.Methods: This nationwide cohort study included patients with distal esophageal and gastroesophageal junction adenocarcinoma and squamous cell carcinoma after curatively intended esophagectomy in 2007 to 2016 (follow-up until January 2020). Patients with distant metastases detected during surgery were excluded. Univariable and multivariable logistic regression were used to identify predictors of recurrent disease. Multivariable Cox regression was used to determine the association of recurrence site and treatment intent with postrecurrence survival.Results: Among 4626 patients, 45.1% developed recurrent disease a median of 11 months postoperative, of whom most had solely distant metastases (59.8%). Disease recurrences were most frequently hepatic (26.2%) or pulmonary (25.1%). Factors significantly associated with disease recurrence included young age (≤ 65 y), male sex, adenocarcinoma, open surgery, transthoracic esophagectomy, nonradical resection, higher T-stage, and tumor positive lymph nodes. Overall, median postrecurrence survival was 4 months [95% confidence interval (95% CI): 3.6–4.4]. After curatively intended recurrence treatment, median survival was 20 months (95% CI: 16.4–23.7). Survival was more favorable after locoregional compared with distant recurrence (hazard ratio: 0.74, 95% CI: 0.65–0.84).Conclusions: This study provides important prognostic information assisting in the surveillance and counseling of patients after curatively intended esophageal cancer surgery. Nearly half the patients developed recurrent disease, with limited prospects of survival. The risk of recurrence was higher in patients with a higher tumor stage, nonradical resection and positive lymph node harvest. |
| Databáze: | OpenAIRE |
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