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One-year excess mor...
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Bahadoer, Renu R.Leiden University Medical Center, Department of Surgery, Albinusdreef 2, Postbus 9600, RC Leiden, Netherlands
(författare)
One-year excess mortality and treatment in surgically treated patients with colorectal cancer : A EURECCA European comparison
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
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Elsevier,2021
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-180454
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-180454URI
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https://doi.org/10.1016/j.ejso.2021.01.011DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:146942272URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Background: Mortality in the first postoperative year represents an accurate reflection of the perioperative risk after colorectal cancer surgery. This research compares one-year mortality after surgery divided into three age-categories (18-64, 65-74, ≥75 years), focusing on time trends and comparing treatment strategies.Material: Population-based data of all patients diagnosed and treated surgically for stage I-III primary colorectal cancer from 2007 to 2016, were collected from Belgium, the Netherlands, Norway, and Sweden. Stratified for age-category and stage, treatment was evaluated, and 30-day, one-year and one-year excess mortality were calculated for colon and rectal cancer separately. Results were evaluated over two-year time periods.Results: Data of 206,024 patients were analysed. Postoperative 30-day and one-year mortality reduced significantly over time in all countries and age-categories. Within the oldest age category, in 2015–2016, one-year excess mortality varied from 9% in Belgium to 4% in Sweden for colon cancer and, from 9% in Belgium to 3% in the other countries for rectal cancer. With increasing age, patients were less likely to receive additional therapy besides surgery. In Belgium, colon cancer patients were more often treated with adjuvant chemotherapy (p < 0.001). For neoadjuvant treatment of rectal cancer, patients in Belgium and Norway were mostly treated with chemoradiotherapy. In the Netherlands and Sweden, radiotherapy alone was preferred (p < 0.001).Conclusions: Despite improvement over time in all countries and age-categories, substantial variation exists in one-year postoperative mortality. Differences in one-year excess postoperative mortality could be due to differences in treatment strategies, highlighting the consequences of under- and over-treatment on cancer survival.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Bastiaannet, EstherLeiden University Medical Center, Department of Surgery, Albinusdreef 2, Postbus 9600, RC Leiden, Netherlands
(författare)
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Claassen, Yvette H.M.Leiden University Medical Center, Department of Surgery, Albinusdreef 2, Postbus 9600, RC Leiden, Netherlands
(författare)
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van der Mark, MarianneNetherlands Comprehensive Cancer Organization, Department of Research and Development, Godebaldkwartier 419, Postbus 19079, DB Utrecht, Netherlands
(författare)
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van Eycken, ElizabethBelgian Cancer Registry, Koningsstraat 215 Bus 7, Brussels, Belgium
(författare)
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Verbeeck, JulieBelgian Cancer Registry, Koningsstraat 215 Bus 7, Brussels, Belgium
(författare)
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Guren, Marianne G.Oslo University Hospital, Department of Oncology and K.G. Jebsen Colorectal Cancer Research Centre, Nydalen, PO, Oslo, Norway
(författare)
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Kørner, HartwigStavanger University Hospital, Stavanger, Department of Gastrointestinal Surgery, Postboks 8100, Stavanger, Norway; University of Bergen, Department of Clinical Medicine, Jonas Lies Veg 87, N-5021, Bergen, Norway
(författare)
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Martling, AnnaKarolinska Institutet
(författare)
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Johansson, RobertUmeå universitet,Enheten för biobanksforskning(Swepub:umu)rojo0001
(författare)
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van de Velde, Cornelis J.H.Leiden University Medical Center, Department of Surgery, Albinusdreef 2, Postbus 9600, RC Leiden, Netherlands
(författare)
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Dekker, Jan Willem T.Reinier de Graaf Hospital, Department of Surgery, Reinier de Graafweg 5, Postbus 5011, GA Delft, Netherlands
(författare)
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Leiden University Medical Center, Department of Surgery, Albinusdreef 2, Postbus 9600, RC Leiden, NetherlandsNetherlands Comprehensive Cancer Organization, Department of Research and Development, Godebaldkwartier 419, Postbus 19079, DB Utrecht, Netherlands
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Journal of Surgical Oncology: Elsevier47:7, s. 1651-16600748-79831532-2157
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Guren, Marianne ...
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