The National Cancer Data Base Report on Patterns of Care for Adenocarcinoma of the Rectum, 1985-1995

摘要: BACKGROUND The Commission on Cancer data from the National Data Base (NCDB) examining current time trends (1985-1995) in stage of disease, treatment patterns, and survival relating to patients with rectal adenocarcinoma are described this report. METHODS Seven calls for hospital cancer registries across U. S. have yielded a total 5,850,000 cases years 1985-1995 include 20,461 rectosigmoid junction 1985-1986, 36,007 1989-1990, 42,069 1994-1995. These represent 24.4%, 44.5%, 52.5%, respectively, estimated diagnosed each 3 respective periods. Analysis is limited American Joint Committee (AJCC) Stage I-IV disease. RESULTS Four were observed. 1) I disease was decreasing frequency, 37.1% known AJCC 1985-1986 33.8% 2) There an increase frequency which local excision utilized as all or part primary disease. 3) stage, there anterior/posterior resections corresponding decline use abdominoperineal resections. 4) Multimodal regimens being used greater particularly II III disease. CONCLUSIONS The NCDB important implications analyzing outcome suggest that at later especially among young African Americans. The guidelines colorectal carcinoma screening issued by Society Gastroenterological Association should be promoted more vigorously proportion presenting early improve overall survival. increased multimodal therapy continues. 1998;83:2408-2418. © 1998 Society.