RT Journal Article
SR Electronic
T1 Patient Age and Long-term Survival in Colorectal Cancer Patients Who Undergo Emergency Surgery
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 1069
OP 1076
DO 10.21873/anticanres.14864
VO 41
IS 2
A1 KOSUMI, KEISUKE
A1 MIMA, KOSUKE
A1 MORITO, ATSUSHI
A1 YUMOTO, SHINSEI
A1 MATSUMOTO, TAKASHI
A1 INOUE, MITSUHIRO
A1 MIZUMOTO, TAKAO
A1 KUBOTA, TATSUO
A1 MIYANARI, NOBUTOMO
A1 BABA, HIDEO
YR 2021
UL http://ar.iiarjournals.org/content/41/2/1069.abstract
AB 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.