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...
Ausführliche Beschreibung
Autor*in: |
Ueberrueck, Torsten [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2013 |
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Anmerkung: |
© Société Internationale de Chirurgie 2013 |
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Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 37(2013), 10 vom: 10. Juli, Seite 2476-2482 |
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Übergeordnetes Werk: |
volume:37 ; year:2013 ; number:10 ; day:10 ; month:07 ; pages:2476-2482 |
Links: |
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DOI / URN: |
10.1007/s00268-013-2138-y |
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Katalog-ID: |
SPR003440273 |
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520 | |a 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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. | ||
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10.1007/s00268-013-2138-y doi (DE-627)SPR003440273 (SPR)s00268-013-2138-y-e DE-627 ger DE-627 rakwb eng Ueberrueck, Torsten verfasserin aut What Factors Influence 10-year Survival After Curative Resection of a Colorectal Carcinoma? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. Overall Survival (dpeaa)DE-He213 Emergency Operation (dpeaa)DE-He213 Rectal Carcinoma (dpeaa)DE-He213 Relative Survival (dpeaa)DE-He213 Rectal Location (dpeaa)DE-He213 Wurst, Christine aut Rauchfuß, Falk aut Knösel, Thomas aut Settmacher, Utz aut Altendorf-Hofmann, Annelore aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 10 vom: 10. Juli, Seite 2476-2482 (DE-627)SPR003391159 nnns volume:37 year:2013 number:10 day:10 month:07 pages:2476-2482 https://dx.doi.org/10.1007/s00268-013-2138-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 37 2013 10 10 07 2476-2482 |
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10.1007/s00268-013-2138-y doi (DE-627)SPR003440273 (SPR)s00268-013-2138-y-e DE-627 ger DE-627 rakwb eng Ueberrueck, Torsten verfasserin aut What Factors Influence 10-year Survival After Curative Resection of a Colorectal Carcinoma? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. Overall Survival (dpeaa)DE-He213 Emergency Operation (dpeaa)DE-He213 Rectal Carcinoma (dpeaa)DE-He213 Relative Survival (dpeaa)DE-He213 Rectal Location (dpeaa)DE-He213 Wurst, Christine aut Rauchfuß, Falk aut Knösel, Thomas aut Settmacher, Utz aut Altendorf-Hofmann, Annelore aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 10 vom: 10. Juli, Seite 2476-2482 (DE-627)SPR003391159 nnns volume:37 year:2013 number:10 day:10 month:07 pages:2476-2482 https://dx.doi.org/10.1007/s00268-013-2138-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 37 2013 10 10 07 2476-2482 |
allfields_unstemmed |
10.1007/s00268-013-2138-y doi (DE-627)SPR003440273 (SPR)s00268-013-2138-y-e DE-627 ger DE-627 rakwb eng Ueberrueck, Torsten verfasserin aut What Factors Influence 10-year Survival After Curative Resection of a Colorectal Carcinoma? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. Overall Survival (dpeaa)DE-He213 Emergency Operation (dpeaa)DE-He213 Rectal Carcinoma (dpeaa)DE-He213 Relative Survival (dpeaa)DE-He213 Rectal Location (dpeaa)DE-He213 Wurst, Christine aut Rauchfuß, Falk aut Knösel, Thomas aut Settmacher, Utz aut Altendorf-Hofmann, Annelore aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 10 vom: 10. Juli, Seite 2476-2482 (DE-627)SPR003391159 nnns volume:37 year:2013 number:10 day:10 month:07 pages:2476-2482 https://dx.doi.org/10.1007/s00268-013-2138-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 37 2013 10 10 07 2476-2482 |
allfieldsGer |
10.1007/s00268-013-2138-y doi (DE-627)SPR003440273 (SPR)s00268-013-2138-y-e DE-627 ger DE-627 rakwb eng Ueberrueck, Torsten verfasserin aut What Factors Influence 10-year Survival After Curative Resection of a Colorectal Carcinoma? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. Overall Survival (dpeaa)DE-He213 Emergency Operation (dpeaa)DE-He213 Rectal Carcinoma (dpeaa)DE-He213 Relative Survival (dpeaa)DE-He213 Rectal Location (dpeaa)DE-He213 Wurst, Christine aut Rauchfuß, Falk aut Knösel, Thomas aut Settmacher, Utz aut Altendorf-Hofmann, Annelore aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 10 vom: 10. Juli, Seite 2476-2482 (DE-627)SPR003391159 nnns volume:37 year:2013 number:10 day:10 month:07 pages:2476-2482 https://dx.doi.org/10.1007/s00268-013-2138-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 37 2013 10 10 07 2476-2482 |
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10.1007/s00268-013-2138-y doi (DE-627)SPR003440273 (SPR)s00268-013-2138-y-e DE-627 ger DE-627 rakwb eng Ueberrueck, Torsten verfasserin aut What Factors Influence 10-year Survival After Curative Resection of a Colorectal Carcinoma? 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. Overall Survival (dpeaa)DE-He213 Emergency Operation (dpeaa)DE-He213 Rectal Carcinoma (dpeaa)DE-He213 Relative Survival (dpeaa)DE-He213 Rectal Location (dpeaa)DE-He213 Wurst, Christine aut Rauchfuß, Falk aut Knösel, Thomas aut Settmacher, Utz aut Altendorf-Hofmann, Annelore aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 37(2013), 10 vom: 10. Juli, Seite 2476-2482 (DE-627)SPR003391159 nnns volume:37 year:2013 number:10 day:10 month:07 pages:2476-2482 https://dx.doi.org/10.1007/s00268-013-2138-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 37 2013 10 10 07 2476-2482 |
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2476 |
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Ueberrueck, Torsten Wurst, Christine Rauchfuß, Falk Knösel, Thomas Settmacher, Utz Altendorf-Hofmann, Annelore |
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37 |
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Elektronische Aufsätze |
author-letter |
Ueberrueck, Torsten |
doi_str_mv |
10.1007/s00268-013-2138-y |
title_sort |
what factors influence 10-year survival after curative resection of a colorectal carcinoma? |
title_auth |
What Factors Influence 10-year Survival After Curative Resection of a Colorectal Carcinoma? |
abstract |
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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. © Société Internationale de Chirurgie 2013 |
abstractGer |
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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. © Société Internationale de Chirurgie 2013 |
abstract_unstemmed |
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 < 0.001), in good general health (p < 0.001), had undergone elective resection (p < 0.001), and had early-stage tumors (p < 0.001). In the univariate analysis emergency operation, impaired general health, invasion beyond the muscularis propria, and lymph-node metastasis were found to reduce relative survival. In the multivariate analysis, location, emergency resection, pT, and pN were found to be statistically independent risk factors. Conclusions Long-term freedom from tumor recurrence, like-short-term, is influenced largely by factors that are beneficially influenced by early recognition. The patient’s age at resection is immaterial. © Société Internationale de Chirurgie 2013 |
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title_short |
What Factors Influence 10-year Survival After Curative Resection of a Colorectal Carcinoma? |
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https://dx.doi.org/10.1007/s00268-013-2138-y |
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Wurst, Christine Rauchfuß, Falk Knösel, Thomas Settmacher, Utz Altendorf-Hofmann, Annelore |
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up_date |
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