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November 29, 2018Diseases of the Colon & Rectum

Influence of Anastomotic Leak After Elective Colorectal Cancer Resection on Survival and Local Recurrence: A Propensity Score Analysis

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Why the study?

Anastomotic leakage is a life-threatening complication after colorectal surgery, but its impact on long-term survival and local recurrence remains discussed in the literature.

Does anastomotic leakage after elective colorectal cancer resection reduce overall survival, disease-free survival, and local recurrence rate in patients with colorectal cancer?

Population

94 patients with anastomotic leakage and 94 matched controls from 1122 colorectal cancer resection patients

Comparison

Anastomotic leakage vs no anastomotic leakage

Design

Retrospective monocentric 1:1 propensity score-matched pairs analysis

Authors

MZMarkus ZimmermannUniversity Hospital RegensburgUWUlrich F. WellnerUniversitäres Kinderwunschzentrum LübeckTLTilman LaubertKiel University

Discussion

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Implication

Anastomotic leak may worsen long-term survival and raise local recurrence risk after colorectal cancer resection; leaves open whether targeted prevention alters oncologic outcomes.

Structured PICO

Does anastomotic leakage after elective colorectal cancer resection reduce overall survival, disease-free survival, and local recurrence rate in patients with colorectal cancer?

P
Population
1122 patients with resections for colorectal cancer, from which 94 patients with anastomotic leakage and 94 matched control subjects were studied.
I
Intervention
Anastomotic leakage after elective colorectal cancer resection
C
Comparator
No anastomotic leakage (1:1 propensity score-matched reference group)
O
Outcome
Overall survival, disease-free survival, and local recurrence ratehard clinical

Anastomotic leakage after elective colorectal cancer resection does not significantly impact long-term overall survival, disease-free survival, or local recurrence rate when adjusting for confounders via propensity score matching.

Limitations

  • retrospective analysis
  • monocentric study

Cite This Study

Zimmermann et al. (2018) studied this question.

synapsesocial.com/papers/6a7ce8c1a0d4e77c65aeb43ehttps://doi.org/10.1097/dcr.0000000000001287
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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 colon cancer surgery: A predictor of significant morbidity and hospital mortality, and diminished tumour-free survival2009 · 180 citations
  2. 2Methods for Constructing and Assessing Propensity Scores2014 · 900 citations
  3. 3Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak2015 · 407 citations
  4. 4The Impact of Anastomotic Leak and Its Treatment on Cancer Recurrence and Survival Following Elective Colorectal Cancer Resection2014 · 63 citations
  5. 5Delay in Adjuvant Chemotherapy and Survival Advantage in Stage III Colon Cancer2018 · 50 citations