Factors affecting survival after excision of the rectum for cancer
| Autor: | Owen F. Dent, Peter Stewart, P. Zelas, S. G. Koorey, R. C. Newland, Pierre H. Chapuis, E. L. Bokey |
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| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty Multivariate analysis Colorectal cancer Rectum Postoperative Complications Surgical oncology Adjuvant therapy Humans Medicine Prospective Studies Stage (cooking) Neoplasm Staging Proportional Hazards Models Rectal Neoplasms business.industry Anastomosis Surgical Gastroenterology Cancer General Medicine Prognosis medicine.disease Survival Analysis Colorectal surgery Surgery medicine.anatomical_structure Multivariate Analysis Female business |
| Zdroj: | Diseases of the Colon & Rectum. 40:3-10 |
| ISSN: | 0012-3706 |
| DOI: | 10.1007/bf02055674 |
| Popis: | PURPOSE: The aim of this study was to identify and categorize the independent prognostic effects of patient, clinical, operative, and pathology variables on long-term survival after anterior resection or abdominoperineal excision of the rectum for cancer. METHODS: Proportional hazards regression analysis was used to analyze prospective data from 709 patients who underwent surgery at Concord Hospital during a 23-year period. No patient received adjuvant therapy. RESULTS AND CONCLUSIONS: After adjusting for age and clinicopathologic stage, significantly poorer survival was experienced by males, patients with extensive tumor adherent to other organ(s), those with a high-grade tumor or a tumor showing venous invasion, those who had a postoperative cardiovascular or respiratory complication, and those who did not undergo surgery by a colorectal surgeon specialist. The nature of the operation performed had no independent effect on survival. |
| Databáze: | OpenAIRE |
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