Does enhanced recovery improve the survival rates of patients 3 years after undergoing surgery to remove a tumor in the ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-03

AUTHORS

P. Viannay, A. Hamy, R. Jaouen, F. X. Caroli-Bosc, C. Luel, S. Vasseur, M. Levaillant, J. F. Hamel, Aurélien Venara

ABSTRACT

PURPOSE: The advantages of enhanced recovery programs (ERP) after colorectal surgery for morbidity and length of stay are well known. On a longer term, evidence is much more limited. The aim of this study is to determine the impact of ERP on survival after 3 years of follow-up, following colorectal cancer surgery. METHODS: All the patients undergoing resection for colorectal cancer between the years 2010 and 2014 were included. Patients were classified according to their compliance with the ERP (< 70 or ≥ 70%). RESULTS: Among the 206 patients included during the period, 129 were male (62.6%). The 3-year overall survival rate was 70.4% (145 patients) and relapse-free survival was 59.2% (122 patients). The survival after 3 years was influenced by the initial metastatic status (p < 0.0001), operative morbidity (p < 0.001), and the presence of peritumoral emboli (p = 0.006). However, the compliance with the ERP ≥ 70% did not influence overall survival (p = 0.63), nor relapse-free survival (p = 0.93). The same observations were found among the "at-risk" population (synchronous metastasis and postoperative complication). CONCLUSION: The ERP does not seem to influence the 3-year relapse-free survival after colorectal resection for cancer. More... »

PAGES

1-9

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00384-018-3205-5

DOI

http://dx.doi.org/10.1007/s00384-018-3205-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1110448636

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30536115


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