ArticleJournal of gastrointestinal oncology2015
Thirty days post-operative mortality after surgery for colorectal cancer: a descriptive study.
Article in Journal of gastrointestinal oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Decision-making in emergency colorectal surgery for cancer.Annals of medicine and surgery (2012) · 2026Article
- Propensity-score matched outcomes of minimally invasive and open pelvic exenteration in locally advanced rectal cancer.Updates in surgery · 2025Article
- Review
- The effect of cardiovascular disease on the perioperative period of radical surgery in elderly rectal cancer.BMC gastroenterology · 2024Article
- Article
- Survival benefit of surgery in elderly patients with locally advanced rectal cancer.American journal of cancer research · 2024Article
- Feasibility and safety of lateral pelvic lymph node dissection for elderly patients with middle-low rectal cancer: results of a large multicenter lateral node collaborative group study in China.Techniques in coloproctology · 2023Article
- Oncological and surgical outcomes of radical surgery in elderly colorectal cancer patients with intestinal obstruction.Frontiers in surgery · 2023Article
- A predictive model for early death in elderly colorectal cancer patients: a population-based study.Frontiers in oncology · 2023Article
- A longitudinal cohort study of watch and wait in complete clinical responders after chemo-radiotherapy for localised rectal cancer: study protocol.BMC cancer · 2022Article
- Data analytics and artificial intelligence in predicting length of stay, readmission, and mortality: a population-based study of surgical management of colorectal cancer.Discover oncology · 2022Article
- Can Elderly Patients with Peritoneal Metastasis Induced by Appendiceal or Colorectal Tumours Benefit from Cytoreductive Surgery (CRS) and Hyperthermic Intraperitoneal Chemotherapy (HIPEC)?Clinical interventions in aging · 2021Article
- Adherence to Clinical Practice Guidelines and Colorectal Cancer Survival: A Retrospective High-Resolution Population-Based Study in Spain.International journal of environmental research and public health · 2020Article
- Post-operative outcomes and predictors of mortality after colorectal cancer surgery in the very elderly patients.Heliyon · 2019Article
- Article
- Rectal cancer in old age -is it appropriately managed? Evidence from population-based analysis of routine data across the English national health service.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2019Article
- Long-term oncologic outcomes after laparoscopic vs. open colon cancer resection: a high-quality population-based analysis in a Southern German district.Surgical endoscopy · 2018Observational
- Long-term oncologic outcomes after laparoscopic versus open rectal cancer resection: a high-quality population-based analysis in a Southern German district.Surgical endoscopy · 2018Article
- Overall Survival of Elderly Patients Having Surgery for Colorectal Cancer Is Comparable to Younger Patients: Results from a South Asian Population.Gastroenterology research and practice · 2017Article
- Carcinoembryonic Antigen CEA - Prognostic Value in Immediate Post-Operative Mortality in Colorectal Cancer.Current health sciences journalArticle
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe goal of surgery for colorectal cancer is cure. Unfortunately post-operative mortality occurs. This study aims to identify co-morbidity and causes of mortality in the post-operative period in relation to direct technical complications of surgery.
methodsAll consecutive patients who underwent surgery for colorectal cancer were included. Co-morbidity was determined via the Charlson co-morbidity score. The post-operative course was studied and cause of death within 30 days was determined. Patients were divided in two groups: group 1 died within 30 days after surgery and group 2 survived for longer than 30 days.
resultsTwenty three out of 333 patients (6.9%) with colon cancer and 6 out of 112 (5.3%) with rectal cancer died in the post-operative period. Patients in group 1 were significantly older than patients in group 2 (P<0.001). Patients in group 1 with colon cancer also significantly had more often a higher stage of cancer (P=0.03). The Charlson co-morbidity score for patients with colon cancer in group 1 was mean 5.17 (SD 1.57, range, 1-8), and for rectal cancer mean 4.83 (SD 2.32, range, 2-7). There was no difference in Charlson co-morbidity score when patients from groups 1 and 2 were compared. In group 1, 13 (44%) died as a direct consequence of technical surgical complications. Sixteen patients died due to complications because of pre-existing co-morbidity.
conclusionsPost-operative mortality very often is the direct result of pre-existing co-morbidity and not always the direct result of the surgical procedure.
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