Document Detail


The postoperative surveillance of patients with colon cancer and rectal cancer.
MedLine Citation:
PMID:  16769285     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Colon cancer is relatively common; however, the results of treatment have marginally improved over the last half century. Though about 85% of patients have colorectal tumors resected with curative intent, a significant number of these patients will eventually die from cancer. As a result, many clinicians have advocated intensive follow-up in such patients as an attempt to increase survival. DATA SOURCES: A review of the literature focusing on studies that have specifically addressed postoperative surveillance programs in patients with colorectal cancer was conducted. Only studies with level A evidence were included. Further references were obtained through cross-referencing the bibliography cited in each work. CONCLUSION: One of the six prospective randomized studies demonstrated a statistically significant survival benefit. Undoubtedly, survival benefits can be shown with a well-designed evidence-based follow-up strategy. However, well-designed large prospective multi-institutional randomized studies are needed to establish a consensus for follow-up.
Authors:
Farshad Abir; Suraj Alva; Walter E Longo; Riccardo Audiso; Katherine S Virgo; Frank E Johnson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American journal of surgery     Volume:  192     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-13     Completed Date:  2006-07-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  100-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Yale School of Medicine, P.O. Box 208062, New Haven, CT 06520-8062, USA.
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MeSH Terms
Descriptor/Qualifier:
Colonic Neoplasms / diagnosis,  mortality,  surgery*
Follow-Up Studies
Humans
Population Surveillance*
Postoperative Care / methods*
Rectal Neoplasms / diagnosis,  mortality,  surgery*
Survival Rate / trends

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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