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Titolo:
A COMMUNITY-BASED HOSPITAL EXPERIENCE WITH COLORECTAL-CANCER
Autore:
PLATELL C;
Indirizzi:
UNIV FREMANTLE,FREMANTLE HOSP,DEPT SURG,POB 480 FREMANTLE WA 6160 AUSTRALIA
Titolo Testata:
Australian and New Zealand journal of surgery
fascicolo: 7, volume: 67, anno: 1997,
pagine: 420 - 423
SICI:
0004-8682(1997)67:7<420:ACHEWC>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
LARGE BOWEL-CANCER; SURGICAL-TREATMENT; CURATIVE SURGERY; ADJUVANT THERAPY; CARCINOMA; RECURRENCE; SURVIVAL; RECTUM; COLON;
Keywords:
COLON CANCER; COLON SURGERY; EPIDEMIOLOGY; MORBIDITY; MORTALITY; RECTAL CANCER; RECTAL SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
C. Platell, "A COMMUNITY-BASED HOSPITAL EXPERIENCE WITH COLORECTAL-CANCER", Australian and New Zealand journal of surgery, 67(7), 1997, pp. 420-423

Abstract

Background: Survival figures for patients with colorectal cancer are often based on data from tertiary referral centres for colorectal surgery. The relevance of such data to community-based hospitals is questionable. The aim of the present study was to determine the long-term survival in patients presenting with colorectal cancer to a large community-based teaching hospital. Methods: A search was conducted on the hospital computerized database to determine those patients who were admitted with a diagnosis of colorectal cancer between 1989 and 1994. These records were linked to the Deaths Registry to determine longterm survival. Results: A total of 477 patients were managed at Fremantle Hospital over the 5-year period. Nearly half of these patients (47.6%) presented via the hospital emergency centre. At diagnosis, 57.8% of patients had advanced cancers with either nodal or distant metastases. Surgery was undertaken on 455 patients, with a postoperative mortality of 4.5%. The corrected 5-year survival rate for patients undergoing curative resections (i.e. complete local excision and no evidence of metastases) was 62.9% for colon cancers and 48.2% for rectal cancers. Local recurrence developed in 21.4% of patients with rectal cancers. Conclusions: A majority of patients with colorectal cancers are continuing topresent with advanced disease. Earlier diagnosis of these cancers through community-based screening programmes could well serve as an achievable solution to this problem.

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Documento generato il 26/11/20 alle ore 19:36:08