Validation of a modified clinical risk score to predict cancer‐specific survival for stage II colon cancer

作者: Raymond Oliphant , Paul G. Horgan , David S. Morrison , Donald C. McMillan ,

DOI: 10.1002/CAM4.352

关键词: Colorectal cancerMultivariate analysisClinical risk factorInternal medicineSurgeryClinical auditStage ii colon cancerConfidence intervalDiseaseHazard ratioMedicine

摘要: Many patients with stage II colon cancer will die of their disease despite curative surgery. Therefore, identification at high risk poor outcome after surgery for is desirable. This study aims to validate a clinical score predict cancer-specific survival in undergoing cancer. Patients 16 hospitals the West Scotland between 2001 and 2004 were identified from prospectively maintained regional audit database. Overall rates up 5 years calculated. A total 871 included. At 5 years, was 81.9% overall 65.6%. On multivariate analysis, age ≥75 years (hazard ratio (HR) 2.11, 95% confidence intervals (CI) 1.57–2.85; P<0.001) emergency presentation (HR 1.97, CI 1.43–2.70; independently associated survival. Age mode HRs added form 0–2. The cumulative 0 88.7%, 1 78.2% 2 65.9%. These results modified simple combination these two universally documented factors provides solid foundation examination impact additional clinicopathological treatment on

参考文章(26)
Russell Morris, Vera D. L. Carstairs, Deprivation and health in Scotland. Health bulletin. ,vol. 48, pp. 162- 175 ,(1990)
C. S. D. Roxburgh, F. McTaggart, M. Balsitis, R. H. Diament, Impact of the bowel-screening programme on the diagnosis of colorectal cancer in Ayrshire and Arran Colorectal Disease. ,vol. 15, pp. 34- 41 ,(2013) , 10.1111/J.1463-1318.2012.03100.X
R. Oliphant, G. A. Nicholson, P. G. Horgan, R. G. Molloy, D. C. McMillan, D. S. Morrison, , Contribution of surgical specialization to improved colorectal cancer survival. British Journal of Surgery. ,vol. 100, pp. 1388- 1395 ,(2013) , 10.1002/BJS.9227
H. Ptok, F. Marusch, F. Meyer, D. Schubert, I. Gastinger, H. Lippert, , Impact of anastomotic leakage on oncological outcome after rectal cancer resection. British Journal of Surgery. ,vol. 94, pp. 1548- 1554 ,(2007) , 10.1002/BJS.5707
E Morris, R A Haward, M S Gilthorpe, C Craigs, D Forman, The impact of the Calman–Hine report on the processes and outcomes of care for Yorkshire's colorectal cancer patients British Journal of Cancer. ,vol. 95, pp. 979- 985 ,(2006) , 10.1038/SJ.BJC.6603372
C S D Roxburgh, J E M Crozier, F Maxwell, A K Foulis, J Brown, R F McKee, J H Anderson, P G Horgan, D C McMillan, Comparison of tumour-based (Petersen Index) and inflammation-based (Glasgow Prognostic Score) scoring systems in patients undergoing curative resection for colon cancer. British Journal of Cancer. ,vol. 100, pp. 701- 706 ,(2009) , 10.1038/SJ.BJC.6604926
D C McMillan, C S McArdle, D S Morrison, A clinical risk score to predict 3-, 5- and 10-year survival in patients undergoing surgery for Dukes B colorectal cancer British Journal of Cancer. ,vol. 103, pp. 970- 974 ,(2010) , 10.1038/SJ.BJC.6605864