Obstructing colorectal cancer: a population-based review of colonic stenting in Queensland, Australia
| Autor: | Cian Keogh, Julie Moore, Danica Cossio, Nick Smith, David A. Clark |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Annals of Coloproctology, Vol 40, Iss 3, Pp 268-275 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2287-9714 2287-9722 |
| DOI: | 10.3393/ac.2023.00640.0091 |
| Popis: | Purpose Stenting is a useful treatment option for malignant colonic obstruction, but its role remains unclear. This study was designed to establish how stents have been used in Queensland, Australia, and to review outcomes. Methods Patients diagnosed with colorectal cancer in Queensland from January 1, 2008, to December 31, 2014, who underwent colonic stent insertion were reviewed. Primary outcomes of 5-year survival, 30-day mortality, and overall length of survival were calculated. The secondary outcomes included patient and tumor factors, and stoma rates. Results In total, 319 patients were included, and distant metastases were identified in 183 patients (57.4%). The 30-day mortality rate was 6.6% (n=21), and the 5-year survival was 11.9% (n=38). Median survival was 11 months (interquartile range, 4–27 months). A further operation (hazard ratio [HR], 0.19; P |
| Databáze: | Directory of Open Access Journals |
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