ArticleInternational journal of colorectal disease2015
Defining characteristics of patients with colorectal cancer requiring emergency surgery.
Article in International journal of colorectal disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Determinants of emergency presentation in patients with colorectal cancer: a systematic review and meta-analysis.Scientific reports · 2022Pooled it
- A Systematic Review Comparing Emergency Resection and Staged Treatment for Curable Obstructing Right-Sided Colon Cancer.Annals of surgical oncology · 2021Pooled it
- Inequalities in colorectal cancer diagnosis by ethnic group: a population-level study in the English National Health Service.BMJ open gastroenterology · 2025Article
- Variations in colorectal cancer pattern of care by age and comorbidity in South Australia.Cancer medicine · 2023Article
- Preoptimisation in patients with acute obstructive colon cancer (PREOCC) - a prospective registration study protocol.BMC gastroenterology · 2023Article
- Article
- Associations of advanced age with comorbidity, stage and primary subsite as contributors to mortality from colorectal cancer.Frontiers in public health · 2023Article
- Prediction of the postoperative 90-day mortality after acute colorectal cancer surgery: development and temporal validation of the ACORCA model.International journal of colorectal disease · 2021Article
- Non-elective paraesophageal hernia repair: surgical approaches and short-term outcomes.Surgical endoscopy · 2021Article
- Comorbid chronic diseases and cancer diagnosis: disease-specific effects and underlying mechanisms.Nature reviews. Clinical oncology · 2019Review
- Outcomes of Elderly Patients Undergoing Emergency Surgery for Complicated Colorectal Cancer: A Retrospective Cohort Study.Clinics (Sao Paulo, Brazil) · 2019Article
- Evaluation of the patients with colorectal cancer undergoing emergent curative surgery.SpringerPlus · 2016Article
- Comorbidities and colorectal surgery.International journal of colorectal disease · 2015Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEmergency surgery for colorectal cancer has been associated with high mortality. The aim of this study is to determine factors predictive of undergoing emergency surgery, of 30-day mortality, and explore the role of screening in patients undergoing emergency surgery.
methodsAll patients at our unit, undergoing surgery for colorectal cancer between 2004 and 2014 were included. Data on patient demographics, tumour staging, admission type, comorbidity score, mortality data, and screening data were analysed. Multivariable analyses were carried out to determine predictors of undergoing emergency surgery as well as mortality postoperatively.
resultsA total of 1911 consecutive patients underwent elective and emergency surgery for colorectal cancer. Of the 263 patients who underwent emergency surgery for CRC, 37.3 % (n = 98) had right-sided colonic cancers. Multivariable analyses determined right-sided cancers (OR 2.92, 95 % CI 2.03-4.20, p < 0.001) and stage IV tumours to be independently associated with undergoing emergency surgery (OR 6.64, 95 % CI 2.86-15.42, p < 0.001). Undergoing emergency surgery was an independent predictor of 30-day mortality (OR 9.62, 95 % CI 5.96-15.54, p < 0.001). Of the 50 patients that died within 30 days in the emergency surgery group, 32 % were in patients with right-sided colon cancers. Cancer detection through guaiac faecal occult blood testing (gFOBT) amongst this group is low with six out of nine patients having a false negative gFOBT test.
conclusionEmergency CRC surgery is associated with high mortality. Alternative screening strategies that improve detection of proximal colon cancers may reduce the number of patients undergoing emergency surgery for right-sided cancers.
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