Prognostic value of disease-free interval in colorectal cancer

• Verfasst von: Birgin, Emrullah [VerfasserIn]
• Verfasst von: Doyon, Fabian [VerfasserIn]
• Verfasst von: Burkert, Justin Lukas [VerfasserIn]
• Verfasst von: Téoule, Patrick [VerfasserIn]
• Verfasst von: Rasbach, Erik [VerfasserIn]
• Verfasst von: Rahbari, Mohammad [VerfasserIn]
• Verfasst von: Reißfelder, Christoph [VerfasserIn]
• Verfasst von: Betzler, Alexander [VerfasserIn]
• Verfasst von: Rahbari, Nuh Nabi [VerfasserIn]
• Titel: Prognostic value of disease-free interval in colorectal cancer
• Titelzusatz: Is it time?
• Verf.angabe: Emrullah Birgin, Fabian Doyon, Justin Burkert, Patrick Téoule, Erik Rasbach, Mohammad Rahbari, Christoph Reissfelder, Alexander Betzler, Nuh N. Rahbari
• E-Jahr: 2022
• Jahr: 26 September 2022
• Umfang: 7 S.
• Fussnoten: Online verfügbar: 3 June 2022, Artikelversion: 26 September 2022 ; Gesehen am 18.09.2023
• Titel Quelle: Enthalten in: European journal of surgical oncology
• Ort Quelle: Burlington, Mass. : Harcourt, 1995
• Jahr Quelle: 2022
• Band/Heft Quelle: 48(2022), 9 vom: Sept., Seite 2032-2038
• ISSN Quelle: 1532-2157
• DOI: doi:10.1016/j.ejso.2022.06.001
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: AJCC
• Sach-SW: Colon cancer
• Sach-SW: Oncology
• Sach-SW: Rectal cancer
• Sach-SW: UICC IV
• K10plus-PPN: 1859820441

Abstract

Background - Previous studies have outlined that the onset of synchronous colorectal cancer (CRC) metastases is associated with poor overall survival (OS) compared to patients with metachronous disease. The aim of this study was to evaluate the association of disease-free interval with newly diagnosed CRC scheduled for primary tumor resection. - Methods - Patients who underwent primary CRC resection over an 18-year period were identified from a prospective database at a tertiary-care hospital. In this observational study, the cohort was stratified for the onset of metastases, i.e. synchronous, early-onset and late-onset metachronous disease. The OS was compared using Kaplan-Meier estimators and stratified Cox hazard regression analysis. - Results - Of 360 patients, 204 (57%) had synchronous, 61 (17%) had early metachronous, and 95 (26%) had late metachronous metastases, respectively. The onset of synchronous metastases was not associated with worse OS compared to early and late metachronous disease. ASA level > II (P = 0.011), right-sided compared to left-sided cancer (P = 0.032) or rectal cancer (P < 0.001), and high-grade tumors (P = 0.022) were identified as independent predictors of poor OS, whereas the only favorable prognostic factor was surgical resection of metastases (P = 0.047). Additionally, ASA level < III (P = 0.003) and low-grade tumors (P = 0.032) were found to predict resection of metastases. - Conclusion - Individual patients' and tumor characteristics rather than the timing of metastases are associated with OS in newly diagnosed CRC. These data support curative treatment strategies even in patients with synchronous metastases.