What Factors Influence 10-year Survival After Curative Resection of a Colorectal Carcinoma?

Background Ten-year survival rates are only rarely reported and frequently include a large proportion of censored data—that is, most of the patients have not survived the 10 years. We therefore selected patients in a prospectively maintained, hospital-based tumor register who had been operated on fo...

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Bibliographic Details
Published in:World journal of surgery 2013-10, Vol.37 (10), p.2476-2482
Main Authors: Ueberrueck, Torsten, Wurst, Christine, Rauchfuß, Falk, Knösel, Thomas, Settmacher, Utz, Altendorf-Hofmann, Annelore
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Cardiac Surgery
Colectomy
Colorectal Neoplasms - mortality
Colorectal Neoplasms - surgery
Emergency Operation
Female
Follow-Up Studies
General Surgery
Health Status Indicators
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Multivariate Analysis
Overall Survival
Proportional Hazards Models
Prospective Studies
Rectal Carcinoma
Rectal Location
Rectum - surgery
Registries
Relative Survival
Risk Factors
Surgery
Survival Rate
Survivors
Thoracic Surgery
Treatment Outcome
Vascular Surgery
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Summary:Background Ten-year survival rates are only rarely reported and frequently include a large proportion of censored data—that is, most of the patients have not survived the 10 years. We therefore selected patients in a prospectively maintained, hospital-based tumor register who had been operated on for colorectal carcinoma (CRC) more than 10 years earlier and who were classified as long-term survivors. Methods For 589 consecutive CRC patients who underwent R0 resection in the period 1990–1998, we compared prognosis-relevant characteristics and calculated the survival rate as a function of age, sex, location of the tumor, general state of health, urgency of the operation, and pT and pN class. All patients were observed until their death or until at least 10 years after resection. Patients who died of other causes were censored. Overall survival and relative survival (the latter based on tumor-related death) were assessed. Results The 10-year survivors were more often female (not significant), younger ( p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-013-2138-y