Does Month of Birth Influence Colorectal Cancer Prognosis?

Overview

Journal Langenbecks Arch Surg

Specialty General Surgery

Date 2023 Oct 26

PMID 37882968

Authors

Jose Martin-Arevalo

David Moro-Valdezate

Vicente Pla-Marti

Stephanie Garcia-Botello

Pablo Moya-Marcos

Ana Izquierdo-Moreno

Leticia Perez-Santiago

David Casado-Rodrigo

Susana Rosello-Keranen

Alejandro Espi-Macias

Affiliations

Soon will be listed here.

Abstract

Purpose: The main aim of this study was to identify a possible association between month of birth of colorectal cancer (CRC) patients and overall survival (OS) or disease-free survival (DFS).

Methods: This observational study included all consecutive adult patients diagnosed with CRC undergoing oncological surgery from January 2005 to December 2019 with a minimum follow-up of 10 years. The outcome variables were locoregional recurrence, death due to cancer progression, OS and DFS. Non-supervised learning techniques (K-means) were conducted to identify groups of months with similar oncologic outcomes. Finally, OS and DFS were analysed using Kaplan-Meier and Cox regression tests. The model was calibrated with resampling techniques and subsequently a cross-validation was performed.

Results: A total of 2520 patients were included. Three birth month groups with different oncologic outcomes were obtained. Survival analysis showed between-group differences in OS (p < 0.001) and DFS (p = 0.03). The multivariable Cox proportional hazards model identified the clusters obtained as independent prognostic factors for OS (p < 0.001) and DFS (p = 0.031).

Conclusion: There is an association between month of birth and oncologic outcomes of CRC. Patients born in the months of January, February, June, July, October and December had better OS and DFS than those born in different months of the year.

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