Home > Riviste > Minerva Chirurgica > Fascicoli precedenti > Articles online first > Minerva Chirurgica 2018 Feb 01

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

MINERVA CHIRURGICA

Rivista di Chirurgia


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,115


eTOC

 

Minerva Chirurgica 2018 Feb 01

DOI: 10.23736/S0026-4733.18.07550-8

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Comparing outcomes after treatment of rectal cancer over a long-lasting follow-up between patients who were offered to surgery alone and to surgery with neoadjuvant therapy. A single center survey up to 240 months

Francesco GIUDICI 1, Corrado R. ASTERIA 2 , Tatiana BARGELLINI 1, Giovanni ALEMANNO 1, Alessandro STURIALE 1, Giuseppe LUCCHINI 3, Francesco TONELLI 1

1 Department of Surgery and Translational Medicine, School of Medicine, University of Florence, Florence, Italy; 2 Department of Surgery and Orthopaedics, ASST Carlo Poma, Mantua, Italy; 3 Department of Healthcare Medical Management, Biostatistic Service, ASST Carlo Poma, Mantua, Italy


PDF  


BACKGROUND: To assess outcomes of patients operated on for rectal cancer (RC) by analysing the trends of disease free survival curves (DFSc) after a very long-term follow-up.
METHODS: All patients treated with curative intent for RC from 1986 to 2005 were retrospectively analysed. Other than demographics, disease characteristics and treatment-related factors were considered. The DFSc were compared between patients who had neo-adjuvant therapy (NAT) and those who had surgery alone.
RESULTS: Median age of 319 patients included in the study was 66.3 years (range 23-89) and 140 (57.6%) of them were males.. Moreover, NAT was given in 24 (11.8%) patients, and adjuvant therapy in 40 (19.7%) patients. Median follow-up was of 150 months (60-240). In patients who had NAT the mean age was higher (p=0.05), RC were located lower (p= 0.009) and higher positive lymph-nodes were found (p= 0.003), whereas the number of both local (p= 0.4) and distant recurrences (p= 0.7) was not significantly lower, compared to the other group. Comparing trends of DFSc a more progressive decrease was shown in patients treated with surgery alone. Even if the differences of DSFc between groups at the end of follow-up were not significant (95% CI: 0.609 - 2.963, p= 0.46), patients who had NAT displayed better survival up to 180 months.
CONCLUSIONS: Overall, these results showed comparable outcomes between both groups over such a long lasting follow-up. This time frame might be used more extensively for increasing our knowledge of RC biological behaviour as well.


KEY WORDS: Rectal cancer - Long-term follow-up - Disease free survival curves - Outcome studies - Neoadjuvant therapy

inizio pagina

Publication History

Article first published online: February 01, 2018
Manuscript accepted: January 31, 2018
Manuscript received: November 1, 2017

Per citare questo articolo

Giudici F, Asteria CR, Bargellini T, Alemanno G, Sturiale A, Lucchini G, et al. Comparing outcomes after treatment of rectal cancer over a long-lasting follow-up between patients who were offered to surgery alone and to surgery with neoadjuvant therapy. A single center survey up to 240 months. Minerva Chir 2018 Feb 01. DOI: 10.23736/S0026-4733.18.07550-8

Corresponding author e-mail

corrado.asteria@asst-mantova.it