BACKGROUND: The role of asymptomatic primary tumor resection (PTR) stage IV colon cancer in inoperable metastases remains unclear. The desire for resection is increasingly observed. The purpose of this study was to investigate trends of stage IV colon cancers of different treatment modalities on long-term mortality and the timing of postoperative chemotherapy.
METHODS: A national database of Kankerdata 2006-2012 was requested. for stage IV colon cancer PATIENTS. Cures were grouped into PTR and chemotherapy, PTR only, chemotherapy, chemotherapy only, and no cure. Descriptive tests were performed in which patient and outpatient clinical data related to the different curative modalities were examined; COX regression tests were applied to estimate the adjusted impact of all different curative modalities over time. survival Field multivariate logistic regression was applied to investigate moments related to postoperative chemotherapy.
RESULTS: Of the 31, 310 patients who met the connectivity aspect, 22% received PTR and chemotherapy, 37.5% received chemotherapy, 11.9% received PTR only, and 28.6% received no cure. Patients who did not receive treatment were most likely to die after 1, 3, and 5 years, followed by PTR alone and PTR combined with chemotherapy and chemotherapy alone. Patients who were older and had more comorbidities were least likely to receive postoperative chemotherapy.
Conclusion: Initial tumor resection combined with postoperative chemotherapy stage IV colon cancer patients with inoperable metastases was associated with a long-term survival advantage compared to other curative variants. Procedures are available to increase the documentation of postoperative chemotherapy.
Key texts: outcome studies. Rectal Tumors.
Copyright©2019 Elsevier Inc. All rights reserved.
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