Colorectal cancer prognosis twenty years later

被引:31
作者
Bujanda, Luis [1 ]
Sarasqueta, Cristina [2 ]
Hijona, Elisabeth [1 ]
Hijona, Lander [1 ]
Cosme, Angel [1 ]
Gil, Ines [1 ]
Luis Elorza, Jose [3 ]
Asensio, Jose I. [3 ]
Larburu, Santiago [3 ]
Enriquez-Navascues, Jose M. [3 ]
Jover, Rodrigo [4 ]
Balaguer, Francesc [5 ]
Llor, Xavier [6 ]
Bessa, Xavier [7 ]
Andreu, Montserrat [7 ]
Paya, Artemio [5 ]
Castells, Antoni [4 ]
机构
[1] Univ Basque Country, Dept Gastroenterol, CIBEREHD, Donostia Hosp, San Sebastian 20014, Spain
[2] CIBERESP, Donostia Hosp, Dept Epidemiol, San Sebastian 20014, Spain
[3] Donostia Hosp, Dept Surg, San Sebastian 20014, Spain
[4] Gen Hosp, Dept Gastroenterol, Alicante 03010, Spain
[5] IDIBAPS, CIBEREHD, Clin Hosp, Dept Gastroenterol, Barcelona 08036, Spain
[6] Univ Illinois, Digest Dis & Nutr Sec, Chicago, IL 60607 USA
[7] Hosp del Mar, Dept Gastroenterol, Barcelona 08003, Spain
关键词
Colon cancer; Prognosis; Survival; Chemotherapy; Surgery; REVISED BETHESDA GUIDELINES; ADJUVANT THERAPY; ACCEPTABLE MORBIDITY; 30-DAY MORTALITY; COLON-CANCER; SURGERY; IDENTIFICATION; POPULATION;
D O I
10.3748/wjg.v16.i7.862
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AIM: To evaluate changes in colorectal cancer (CRC) survival over the last 20 years. METHODS: We compared two groups of consecutive CRC patients that were prospectively recruited: Group I included 1990 patients diagnosed between 1980 and 1994. Group H included 871 patients diagnosed in 2001. RESULTS: The average follow up time was 21 mo (1-229) for Group I and 50 mo (1-73.4) for Group U. Overall median survival was significantly longer in Group II than in Group 1 (73 mo vs 25 mo, P < 0.001) and the difference was significant for all tumor stages. Post surgical mortality was 8% for Group I and 2% for Group H (P < 0.001). Only 17% of Group I patients received chemotherapy compared with 50% of Group U patients (P < 0.001). CONCLUSION: Survival in colorectal cancer patients has doubled over the past 20 years. This increase seems to be partly due to the generalization in the administration of chemotherapy and to the decrease of post surgical mortality. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:862 / 867
页数:6
相关论文
共 24 条
[1]   Adjuvant therapy for colon cancer - The pace quickens [J].
Allegra, C ;
Sargent, DJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (26) :2746-2748
[2]   Postoperative mortality and morbidity in French patients undergoing colorectal surgery - Results of a prospective multicenter study [J].
Alves, A ;
Panis, Y ;
Mathieu, P ;
Mantion, G ;
Kwiatkowski, F ;
Slim, K .
ARCHIVES OF SURGERY, 2005, 140 (03) :278-283
[3]  
[Anonymous], 2002, SLEISENGER FORDTRANS
[4]  
Boschi L, 1995, Minerva Chir, V50, P831
[5]  
BUYSE M, 1988, Journal of the American Medical Association, V259, P3571, DOI 10.1001/jama.259.24.3571
[6]   OPERATIVE MORTALITY FOLLOWING SURGERY FOR COLORECTAL-CANCER [J].
CANIVET, JL ;
DAMAS, P ;
DESAIVE, C ;
LAMY, M .
BRITISH JOURNAL OF SURGERY, 1989, 76 (07) :745-747
[7]  
Crucitti F, 1983, Chir Ital, V35, P823
[8]  
CURRERI AR, 1958, CANCER RES, V18, P478
[9]  
Delaney CP, 2008, AM J SURG, V195, P348
[10]   Pooled analysis of fluorouracil-based adjuvant therapy for stage II and III colon cancer:: Who benefits and by how much? [J].
Gill, S ;
Loprinzi, CL ;
Sargent, DJ ;
Thomé, SD ;
Alberts, SR ;
Haller, DG ;
Benedetti, J ;
Francini, G ;
Shepherd, LE ;
Seitz, JF ;
Labianca, R ;
Chen, W ;
Cha, SS ;
Heldebrant, MP ;
Goldberg, RM .
JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (10) :1797-1806