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Care Management and Survival of Patients Diagnosed with Synchronous Metastatic Colorectal Cancer: A High-Resolution Population-Based Study in Two French Areas

Overview
Journal Cancers (Basel)
Publisher MDPI
Specialty Oncology
Date 2022 Apr 12
PMID 35406549
Authors
Affiliations
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Abstract

Methods: All CRC cases with SM diagnosed between 2006 and 2016 ( = 3062) were selected from two specialized digestive cancer registries from northwest France. Cox regression analysis was used to assess survival. Multivariable logistic regression was used to examine factors related to the combination of PTR and CT.

Results: The longest survival was observed in patients treated by PTR combined with CT (Group 4; = 1159). Overall survival was 51.80% at one year (95% Confidence Interval (CI) 50.00-53.60%) and 9.40% at five years (95% CI, 8.30-10.60%). Survival did not differ with respect to the order of treatment in multivariable analysis (hazard ratio, 1.05; 95% CI, 0.88-1.24; = 0.55).

Conclusion: Regardless of the sequence of treatment, a PTR + CT offered the best survival in patients with CRC and SM, even though few were eligible for combination therapy (38%).

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References
1.
Cotte E, Villeneuve L, Passot G, Boschetti G, Bin-Dorel S, Francois Y . GRECCAR 8: impact on survival of the primary tumor resection in rectal cancer with unresectable synchronous metastasis: a randomized multicentre study. BMC Cancer. 2015; 15:47. PMC: 4327953. DOI: 10.1186/s12885-015-1060-0. View

2.
Xu H, Xia Z, Jia X, Chen K, Li D, Dai Y . Primary Tumor Resection Is Associated with Improved Survival in Stage IV Colorectal Cancer: An Instrumental Variable Analysis. Sci Rep. 2015; 5:16516. PMC: 4643284. DOI: 10.1038/srep16516. View

3.
t Lam-Boer J, Mol L, Verhoef C, de Haan A, Yilmaz M, Punt C . The CAIRO4 study: the role of surgery of the primary tumour with few or absent symptoms in patients with synchronous unresectable metastases of colorectal cancer--a randomized phase III study of the Dutch Colorectal Cancer Group (DCCG). BMC Cancer. 2014; 14:741. PMC: 4196118. DOI: 10.1186/1471-2407-14-741. View

4.
Cirocchi R, Trastulli S, Abraha I, Vettoretto N, Boselli C, Montedori A . Non-resection versus resection for an asymptomatic primary tumour in patients with unresectable stage IV colorectal cancer. Cochrane Database Syst Rev. 2012; (8):CD008997. PMC: 11810131. DOI: 10.1002/14651858.CD008997.pub2. View

5.
Poultsides G, Servais E, Saltz L, Patil S, Kemeny N, Guillem J . Outcome of primary tumor in patients with synchronous stage IV colorectal cancer receiving combination chemotherapy without surgery as initial treatment. J Clin Oncol. 2009; 27(20):3379-84. PMC: 3646319. DOI: 10.1200/JCO.2008.20.9817. View