Assessment of the Surgical Treatment Results in Patients with Colorectal Cancer in a District Hospital Versus Treatment Results in a Highly Specialized Center

Abstract

The proportion of five-year survival in the study group and control group was respectively 46% and 71% (p <0.0001). The percentage of five-year survival among patients undergoing elective procedure in both centers were respectively for Wołomin and Łódź 58% and 73% (p = 0.008). The proportion of 5-year survival among "younger" patients (<70) was respectively in Wołomin and Łódź 64% and 81% (p = 0.004) for "older" patients with (> 70) 50% and 60% (p = 0.6747) Conclusions. Overall results of surgical treatment of patients with colorectal cancer in the district hospital are inferior to treatment results in a highly specialized center. The population treated in the district hospital is statistically significantly different in comparison to patients treated in highly specialized center. The following differences were captured: severity of the disease, age and type of indication (elective vs emergent). The diffrences has an influence on the outcomes. The five years survival for patients > 70 years undergoing elective procedure is not statistically different between the district hospital and highly specialized center.

The surgical treatment of rectal cancer in Poland. The findings of a multi-center observational study by the Polish Society of Surgical Oncology (PSSO-01)

“…Although some audit projects show similar data [2,3], it must be assumed that this percentage is understated and does not reflect the actual situation. European population-based studies show that there are 22-26% of such cases [4] -table V. The actual proportion of patients in the advanced stages of the disease in Poland can reach 36-46% [5]. The low percentage presented in the PSSO-01 study may be due to the small representation of low volume centers, where the majority of patients with advanced stages of the disease are operated on.…”

Expressão de miRNA-92a, miRNA-133a e miRNA-145 e correlações clínico-patológica e prognóstica em pacientes com câncer esporádico de cólon

“…Em CCR, da mesma maneira, pacientes operados em hospitais distritais apresentam sobrevida global em 5 anos de 48%, enquanto que pacientes submetidos a cirurgia em hospitais altamente especializados apresentam sobrevida global em 5 anos de 71% (CIESIELSKI et al, 2016).…”