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July 22, 2004Annals of SurgeryOpen Access

Anastomotic Leakage Is Predictive of Diminished Survival After Potentially Curative Resection for Colorectal Cancer

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Key result

Anastomotic leakage after curative resection for colorectal cancer was independently associated with worse overall survival (HR 1.6; 95% CI 1.2-2.0) and cancer-specific survival (HR 1.8).

Why the study?

Does anastomotic leakage reduce overall and cancer-specific survival in patients undergoing curative resection for colorectal cancer?

Population

1,722 consecutive patients undergoing potentially curative resection for colorectal cancer between 1971 and…

Comparison

Anastomotic leakage vs No anastomotic leakage

Design

Cohort

Follow-up

until death or to December 31, 2002

Authors

KWKenneth WalkerUniversity of AberdeenSBStephen BellPeter MacCallum Cancer CentreMRMatthew J. F. X. RickardConcord Repatriation General Hospital

Discussion

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Member takes

Implication

Highlights need for leak prevention in colorectal resections; leaves open whether mitigation improves survival.

Study Design

Type

Cohort (n=1,722)

Multicenter

No

Structured PICO

Does anastomotic leakage reduce overall and cancer-specific survival in patients undergoing curative resection for colorectal cancer?

P
Population
1,722 consecutive patients undergoing potentially curative resection for colorectal cancer between 1971 and 1999
I
Intervention
Anastomotic leakage (defined as any leak, whether local, general, or radiologically diagnosed)
C
Comparator
No anastomotic leakage
O
Outcome
Overall survival and cancer-specific survivalhard clinical

Main Result

Effect estimate: HR 1.6 (95% CI 1.2-2.0)

Absolute Event Rate: 44.3% vs 64%

Anastomotic leakage following curative resection for colorectal cancer is independently associated with diminished overall and cancer-specific survival.

Cite This Study

Walker et al. (2004) conducted a cohort in Colorectal cancer (n=1,722). Anastomotic leakage vs. No anastomotic leakage was evaluated on Overall survival (HR 1.6, 95% CI 1.2-2.0). Anastomotic leakage after curative resection for colorectal cancer was independently associated with worse overall survival (HR 1.6; 95% CI 1.2-2.0) and cancer-specific survival (HR 1.8).

synapsesocial.com/papers/6a0cbc659bd1c994e6addb22https://doi.org/10.1097/01.sla.0000133186.81222.08
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anastomotic Leakage after Colorectal Cancer Surgery: A Risk Factor for Recurrence and Poor Prognosis1993 · 113 citations
  2. 2Exfoliated cells and in vitro growth in colorectal cancer1987 · 150 citations
  3. 3Survival after curative resection of lymph node negative colorectal carcinoma1995 · 66 citations
  4. 4Cell viability studies on the exfoliated colonic cancer cell1978 · 79 citations
  5. 5Clinicopathological staging for colorectal cancer: An International Documentation System (IDS) and an International Comprehensive Anatomical Terminology (ICAT)1991 · 422 citations