ArticleWorld journal of surgery2025
Acute Presentations of Colorectal Cancer: An International Prospective Snapshot on Management and Outcomes.
Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Clinical and inflammatory biomarkers predicting emergency surgical management decisions and postoperative outcomes in complicated colon cancer.Journal of medicine and life · 2026Article
- Article
- Emergency colorectal cancer in old and very elderly patients: a narrative review.Frontiers in oncology · 2026Review
- Acute Presentations of Colorectal Cancer: An International Prospective Snapshot on Management and Outcomes.World journal of surgery · 2025Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with colorectal cancer (CRC) present as an emergency in one-third of cases. This international snapshot study describes the presentation, treatment, and overall outcomes of patients admitted acutely to hospital with CRC.
methodsAcute presentation of colorectal cancer-an international snapshot (APOLLO) was a prospective, international, cohort study enrolling consecutive patients admitted acutely to hospital with CRC from January to June 2023. The primary outcome was mortality at 90 days. Reasons for acute CRC presentation are described, as are the rates of surgical and nonsurgical management and mortality.
resultsOverall, 1861 patients (257 centers, 39 countries) were included (median age 70 years; females 44.8%). Rates of obstruction (54.5%; 1015 of 1861) and perforation (11.4%; 212 of 1861) are quantified. In total, 59.2% of patients were managed with curative intent (1102 of 1861). Curative management of right colon cancer predominantly involved resection and primary anastomosis (RPA) (78.5%). Curative management of left colon cancer predominantly involved either RPA or resection with end stoma formation (RES) (42.9% vs. 40.6%). Acute curative rectal cancer management strategies were more heterogeneous (RPA 21.8%, RES 26.7%, diverting stoma only 15.8%, no surgery 31.5%). Overall 90-day mortality was 17.5% (326 of 1861) and lower in those undergoing curative intent surgery (69 [7.3%] of 949).
conclusionThis international prospective snapshot study found a 17.5% 90-day mortality in patients presenting acutely with CRC, predominantly for obstruction. High levels of variation in the management of acutely presenting left colon cancer and rectal cancer are highlighted.
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