Observational studyInternational journal of colorectal disease2019
Oncologic long-term outcomes of emergency versus elective resection for colorectal cancer.
Observational study in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of short-term surgical outcomes and long-term survival between emergency and elective surgery for colorectal cancer: a systematic review and meta-analysis.International journal of colorectal disease · 2023Pooled it
- Emergency Surgery Independently Predicts Postoperative Recurrence in Patients with Pathologic T3N0M0 Colon Cancer: A Retrospective Single-Center Cohort Study.Current oncology (Toronto, Ont.) · 2026Article
- Comparative Outcomes of Colorectal Cancer Patients Undergoing Elective and Emergency Surgeries: A Propensity Score Matched Cohort Study.Journal of gastrointestinal cancer · 2026Article
- Acute Presentations of Colorectal Cancer: An International Prospective Snapshot on Management and Outcomes.World journal of surgery · 2025Article
- Clinical Characteristics and Outcomes of Oncologic Surgical Emergencies: A Retrospective Study.Annals of surgical oncology · 2025Article
- Surgical outcomes of curative intent management in emergency vs. elective colon cancer: A retrospective single center study.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025Article
- Prognostic factors affecting survival and recurrence in patients undergoing curative surgery for rectal cancer: a 10-year retrospective cohort study from a regional tertiary center in Türkiye.Frontiers in oncology · 2025Article
- Large Bowel Obstruction: Etiologies, Diagnosis, and Management.Clinics in colon and rectal surgery · 2024Review
- Emergency Resection for Colonic Cancer Has an Independent and Unfavorable Effect on Long-Term Oncologic Outcome.Journal of gastrointestinal cancer · 2024Article
- Management of obstructed colorectal carcinoma in an emergency setting: An update.World journal of gastrointestinal oncology · 2024Review
- Impact of COVID-19 Pandemic on the Clinical and Pathologic Characteristics of Colorectal Cancer: A Retrospective Multicenter Study in South Korea.Cancer management and research · 2024Article
- Assessing Changes in Colon Cancer Care during the COVID-19 Pandemic: A Four-Year Analysis at a Romanian University Hospital.Journal of clinical medicine · 2023Article
- Colorectal neoplastic emergencies in immunocompromised patients: preliminary result from the Web-based International Register of Emergency Surgery and Trauma (WIRES-T trial).Updates in surgery · 2023Observational
- Clinical outcomes of obstructive colorectal cancer patients during the coronavirus disease 2019 pandemic.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Trends in emergency colorectal surgery: a 7-year retrospective single-centre cohort study.Surgical endoscopy · 2023Article
- Laparoscopic versus open Hartmann reversal: a propensity score matching analysis.International journal of colorectal disease · 2023Article
- Case report: POLE (P286R) mutation in a case of recurrent intestinal leakage and its treatment.Frontiers in oncology · 2023Article
- Clinical presentation, management, screening and surveillance for colorectal cancer during the COVID-19 pandemic.World journal of clinical cases · 2022Review
- Differences in the management of patients requiring an emergency resection for colonic cancer in two European populations.BJS open · 2022Article
- A nomogram model for predicting prognosis of obstructive colorectal cancer.World journal of surgical oncology · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLong-term outcomes in patients undergoing emergency versus elective resection for colorectal cancer (CRC) are discussed controversially. This study aims to assess long-term outcomes of emergency versus elective CRC surgery.
methodsSingle-center retrospective cohort study. Patients undergoing emergency or elective CRC surgery from July 2002 to January 2013 were included. Primary outcome was 5-year survival, secondary outcomes were in-hospital mortality and local tumor recurrence.
resultsOverall, 475 patients were included. Median age was 69.0 (IQR 59.0-77.0) years. A total of 141 patients (30%) were operated for rectal cancer and 334 patients (70%) for colon cancer. Median follow-up was 445 (IQR 67-1409) days. Emergency resection was performed in 105 patients (22%) due to obstruction, perforation, or bleeding. Stage IV tumors and ASA scores≥ 3 were significantly more frequent in the emergency than in the elective resection group (39.0% vs. 33.5%, p < 0.001; 75.5% vs. 61.3%, p = 0.003). The rate of patients with positive lymph nodes was similar in the two groups (46.2% vs. 46.3%, p = 1.000). In-hospital mortality was significantly higher in the emergency CRC versus the elective CRC group (8.4% vs. 3.0%, p = 0.023). Five-year survival (aHR 1.38; 95%CI 0.81-2.37, p = 0.237) or local tumor recurrence (aHR 1.48; 95%CI 0.47-4.66, p = 0.500) were not significantly different in patients undergoing emergency versus elective surgery for CRC.
conclusionIn-hospital mortality was increased in emergency versus elective CRC resections. However, 5-year survival and local recurrence after surgery for CRC were determined by the tumor stage, and not by the emergency versus elective setting of surgical resection.
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