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Causes of death after surgery for colon cancer-impact of other diseases, urgent admittance, and gender
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Oncology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Health and Developmental Care, Regional Cancer Center South East Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Oncology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Oncology.
2013 (English)In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 48, no 10, p. 1160-1165Article in journal (Refereed) Published
Abstract [en]

Objective. In patients with colon cancer, high age and comorbidity is common. In this population-based retrospective study we have investigated causes of death and the influence of urgent operation, and gender on survival. Material and methods. Medical records of 413 patients with verified colon cancer were reviewed. The diagnosis was made during 2000-2006 and operation was performed in 385 patients (93%). Results. The overall 5-year survival after surgery was 48.3%. At the end of the follow-up, 128 patients (54.9%) had verified colon cancer when they died but 105 patients (45.1%) had no signs of colon cancer. Their 5-year survival was 5.5% and 41.9%, respectively (p andlt; 0.0001). Median survival time was significantly shorter after urgent compared with elective admittance, 20.7 months versus 77.9 months, and the 5-year survival 32.4% versus 57.9% (p = 0.0001). The tumor stage at operation was more favorable in patients dying with no signs of colon cancer than in those dying with cancer regarding stage I-II (66.7% versus 16.4%), and stage IV (1.0% versus 53.1%), but not regarding stage III (30.5% versus 29.7%). The overall survival in women who were operated was longer than in men (p = 0.045) as well as survival after elective admittance (p = 0.013). Conclusion. After a median follow-up of 56.1 months almost half of the patients who were dead had died from other causes than colon cancer. Ten percent of those patients had an incorrectly reported diagnosis of colon cancer as cause of death. Urgent admittance was associated with reduced survival time. The median survival time was longer in women than in men.

Place, publisher, year, edition, pages
Informa Healthcare , 2013. Vol. 48, no 10, p. 1160-1165
Keyword [en]
colon cancer, comorbidity, neoplasm, survival, urgent admittance
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-99407DOI: 10.3109/00365521.2013.828771ISI: 000324761000008OAI: oai:DiVA.org:liu-99407DiVA, id: diva2:656894
Available from: 2013-10-17 Created: 2013-10-17 Last updated: 2017-12-06

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Sjödahl, RuneRosell, JohanStarkhammar, Hans

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Division of Clinical SciencesFaculty of Health SciencesDepartment of Surgery in LinköpingOncologyRegional Cancer Center South East SwedenDepartment of Oncology
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Scandinavian Journal of Gastroenterology
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