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Research ArticleClinical Studies

Patient Age and Long-term Survival in Colorectal Cancer Patients Who Undergo Emergency Surgery

KEISUKE KOSUMI, KOSUKE MIMA, ATSUSHI MORITO, SHINSEI YUMOTO, TAKASHI MATSUMOTO, MITSUHIRO INOUE, TAKAO MIZUMOTO, TATSUO KUBOTA, NOBUTOMO MIYANARI and HIDEO BABA
Anticancer Research February 2021, 41 (2) 1069-1076; DOI: https://doi.org/10.21873/anticanres.14864
KEISUKE KOSUMI
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
2Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
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  • For correspondence: peugeolf_ksk_0930@yahoo.co.jp
KOSUKE MIMA
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
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ATSUSHI MORITO
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
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SHINSEI YUMOTO
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
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TAKASHI MATSUMOTO
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
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MITSUHIRO INOUE
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
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TAKAO MIZUMOTO
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
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TATSUO KUBOTA
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
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NOBUTOMO MIYANARI
1Department of Surgery, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan;
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HIDEO BABA
2Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
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Abstract

Background/Aim: Emergency surgery for colorectal cancer (CRC) is a high-risk procedure with high morbidity and mortality rates, especially for older patients. The relationship between patient age status and long-term outcomes is unclear. We hypothesize that patient age might be associated with long-term outcomes in patients with CRC who undergo emergency surgery. Patients and Methods: Utilizing a database of CRC patients who received emergency surgery, we examined the prognostic association of patient age. Results: The ≥80-years group was significantly associated with American Society of Anesthesiologists (ASA) physical status, bowel obstruction, N stage, shorter operating time, and less adjuvant chemotherapy (all p<0.03); and also, with shorter recurrence-free survival [multivariable hazard ratio, 2.79; 95% confidence interval, 1.13-7.21; p=0.026]. ASA status and adjuvant chemotherapy were significantly associated with recurrence-free survival (all p<0.03). Conclusion: Advanced age is associated with shorter recurrence-free survival in CRC patients who undergo emergency surgery.

Key Words:
  • Advanced age
  • colorectal neoplasms
  • emergency
  • lymph node dissection
  • prognosis
  • urgent

Footnotes

  • Authors’ Contributions

    KK, KM, NM, and HB participated in study conception and design. All authors participated in data acquisition. KK, and KM performed the statistical analyses. KK, and KM analyzed the data. NM and HB supervised the work. KK, KM, NM, and HB were the major contributors to manuscript preparation. All Authors contributed to the manuscript, critically revised it, and approved the final version.

  • Conflicts of Interest

    No conflicts of interest exist in relation to this study.

  • Funding

    This work was supported in part by a Grant-in-Aid for Scientific Research from the Japan Society for the Promotion of Science [grant number 19K16750 (to K.K.)].

  • Received December 22, 2020.
  • Revision received January 10, 2021.
  • Accepted January 11, 2021.
  • Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 41 (2)
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Patient Age and Long-term Survival in Colorectal Cancer Patients Who Undergo Emergency Surgery
KEISUKE KOSUMI, KOSUKE MIMA, ATSUSHI MORITO, SHINSEI YUMOTO, TAKASHI MATSUMOTO, MITSUHIRO INOUE, TAKAO MIZUMOTO, TATSUO KUBOTA, NOBUTOMO MIYANARI, HIDEO BABA
Anticancer Research Feb 2021, 41 (2) 1069-1076; DOI: 10.21873/anticanres.14864

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Patient Age and Long-term Survival in Colorectal Cancer Patients Who Undergo Emergency Surgery
KEISUKE KOSUMI, KOSUKE MIMA, ATSUSHI MORITO, SHINSEI YUMOTO, TAKASHI MATSUMOTO, MITSUHIRO INOUE, TAKAO MIZUMOTO, TATSUO KUBOTA, NOBUTOMO MIYANARI, HIDEO BABA
Anticancer Research Feb 2021, 41 (2) 1069-1076; DOI: 10.21873/anticanres.14864
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Keywords

  • Advanced age
  • colorectal neoplasms
  • emergency
  • lymph node dissection
  • prognosis
  • urgent
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