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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00002920naa a2200445 4500
001oai:DiVA.org:uu-98438
003SwePub
008090223s2009 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-984382 URI
024a https://doi.org/10.1016/j.ejca.2008.11.0392 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a den Dulk, Marcel4 aut
2451 0a The abdominoperineal resection itself is associated with an adverse outcome :b The European experience based on a pooled analysis of five European randomised clinical trials on rectal cancer
264 1b Elsevier BV,c 2009
338 a print2 rdacarrier
520 a PURPOSE: The aim of this study is to identify factors associated with the decision to perform an abdominoperineal resection (APR) and to assess if these factors or the surgical procedure itself is associated with circumferential resection margin (CRM) involvement, local recurrence (LR), overall survival (OS) and cancer-specific survival (CSS). PATIENTS AND METHODS: The Swedish Rectal Cancer Trial (SRCT), TME trial, CAO/ARO/AIO-94 trial, EORTC 22921 trial and Polish Rectal Cancer Trial (PRCT) were pooled. A propensity score was calculated, which indicated the predicted probability of undergoing an APR given gender, age and distance, and used in the multivariate analyses. RESULTS: An APR procedure was associated with an increased risk of CRM involvement [odd ratio (OR) 2.52, p<0.001], increased LR rate [hazard ratio (HR) 1.53, p=0.001] and decreased CSS rate (HR 1.31, p=0.002), whereas the propensity score was not. CONCLUSION: The results suggest that the APR procedure itself is a significant predictor for non-radical resections and increased risk of LR and death due to cancer for patients with advanced rectal cancer.
653 a Rectal cancer
653 a Surgical procedure
653 a Abdominoperineal resection
653 a Circumferential resection margin
653 a Local recurrence
653 a MEDICINE
653 a MEDICIN
700a Putter, Hein4 aut
700a Collette, Laurence4 aut
700a Marijnen, Corrie A. M.4 aut
700a Folkesson, Joakimu Uppsala universitet,Kolorektalkirurgi4 aut0 (Swepub:uu)jofol839
700a Bosset, Jean-Francois4 aut
700a Rödel, Claus4 aut
700a Bujko, Krzysztof4 aut
700a Påhlman, Larsu Uppsala universitet,Kolorektalkirurgi4 aut0 (Swepub:uu)larspahl
700a van de Velde, Cornelis J. H.4 aut
710a Uppsala universitetb Kolorektalkirurgi4 org
773t European Journal of Cancerd : Elsevier BVg 45:7, s. 1175-1183q 45:7<1175-1183x 0959-8049x 1879-0852
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-98438
8564 8u https://doi.org/10.1016/j.ejca.2008.11.039

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