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Prognosis of ulcerative colitis colorectal cancer vs. sporadic colorectal cancer: propensity score matching analysis

Authors
 Yoon Dae Han  ;  Mahdi Hussain Al Bandar  ;  Audrius Dulskas  ;  Min Soo Cho  ;  Hyuk Hur  ;  Byung Soh Min  ;  Kang Young Lee  ;  Nam Kyu Kim 
Citation
 BMC Surgery, Vol.17(1) : 28, 2017 
Journal Title
 BMC Surgery 
Issue Date
2017
MeSH
Adult ; Aged ; Colectomy/adverse effects ; Colitis, Ulcerative/complications ; Colitis, Ulcerative/mortality ; Colitis, Ulcerative/surgery* ; Colorectal Neoplasms/etiology ; Colorectal Neoplasms/mortality ; Colorectal Neoplasms/surgery* ; Female ; Humans ; Male ; Middle Aged ; Prognosis ; Propensity Score ; Retrospective Studies
Keywords
Colorectal cancer ; Sporadic cancer ; Surgery ; Ulcerative colitis
Abstract
BACKGROUND: Ulcerative colitis (UC) harbours a high risk of UC-associated colorectal cancer (UCCC), which is important cause of morbidity and mortality in patients with inflammatory bowel disease. Overall Survival (OS) of patients with UCCC has not been addressed well in the literature. Thus, we compared oncologic outcome of UCCC and sporadic colorectal cancer (SCC) using propensity score matching analysis. METHODS: Propensity score matching was performed for 36 patients, a 1:1 matching method stratified into 18 in UCCC and 18 patients in SCC. Matched variables were sex, age, body mass index, tumour stage, histology, preoperative carcinoembryonic antigen (CEA) level, and adjuvant treatment status. Patients with SCC or UCCC were retrospectively retrieved from our database from March 2000 to December 2015. All patients had undergone either oncological segmental resection or total proctocolectomy. RESULTS: The majority of cancers were found in the sigmoid colon. Total proctocolectomy was performed only in the UCCC group; however, half of the UCCC group underwent a standard operation. Five cases of postoperative complication occurred within six months in the UCCC group compared to one case in the SCC group. There was no significant difference in recurrence rate (p = 0.361) or OS (p = 0.896) between the arms. CONCLUSION: UCCC showed more postoperative complications than SCC, and equivalent oncology outcome, however the difference was not statistically significant. This study represents an experience of a single institution, thus further randomized studies are required to confirm our.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161256
DOI
10.1186/s12893-017-0224-z
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김남규(Kim, Nam Kyu) ; 민병소(Min, Byung Soh) ; 이강영(Lee, Kang Young) ; 조민수(Cho, Min Soo) ; 한윤대(Han, Yoon Dae) ; 허혁(Hur, Hyuk)
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