Risk factors for surgical treatment in gastric and colorectal cancer patients with low socioeconomic status
Journal Title: Scientific Journal of Medical Science - Year 2014, Vol 3, Issue 1
Abstract
Surgery is the only potentially curative treatment option for gastric and colorectal cancer patients. Stage at diagnosis is the most important prognostic factor and closely related with socioeconomic status. Authors aimed to compare the risk factors influencing presentation and outcomes of surgical treatment of gastric and colorectal cancer patients with low socioeconomic status. Clinicopathologic characteristics of 112 consecutive patients in low socioeconomic area and outcomes of their surgical treatments were compared to identify the risk factors for each type of cancer. Clinicopathologic characteristics were similar in both groups. Elderly patients had comprised 30% of all patients. Advanced stage diseases were noted in 82% of gastric cancer patients and 78.6% of colorectal cancer patients. Curative resection rates were 19.6% for gastric cancers and 51.8% for colorectal cancers. Emergency surgical procedures were performed in 35% of patients with colorectal cancer. Postoperative morbidity rates were 18% and 23%, mortality rates were 5.4% and 10.7% in gastric and colorectal cancer patients, respectively.Advanced age and advanced stage at diagnosis significantly influence the results of surgical treatment of gastric and colorectal cancer patients. Morbidity and mortality rates are also significant correlated with high ASA scores, emergency procedures and curative resections in colorectal cancer patients. Optimal balance should be established between the goals of surgical treatment and acceptable risks of surgery for a good quality of life. Improvement of socioeconomic status may make considerable contribution to surgical treatment.
Authors and Affiliations
K. Bahadır*| MD FACS, General Surgeon,Turkey., E. Zafer| MD, General Surgeon, Turkey, A. Melih| MD, General Surgeon, Turkey., K. Hakan| MD FACS, General Surgeon, Turkey.
Keywords
Related Articles
- EP ID EP1260
- DOI 10.14196/sjms.v3.i1.1050
- Views 550
- Downloads 29
MCP-1 (monocyte chemoattractant protein-1) concentrations in patients on hemodialysis.An observational study
ABSTRACTINTRODUCTION – AIM : Monocyte chemoattractant protein-1 (MCP-1) is the main representative of chemokines, which are cytokines whose main function is to direct the migration of circulating leukocytes to sites of i...
GH and IGF-1 responses of elite boxers and field hockey players to increasing maximal aerobic exercise
Objection: To evaluate the response of some metabolic factors in elite sportsmen performing individual (boxing) and team (Field hockey) sports who apply different training models to the increasing maximal aerobic exercis...
Hypolipidemic and hepato-protective effects of Alchornea cordifolia leaf extract in streptozotocin-induced diabetic rats
The study investigated the hypolipidemic and hepato-protectiveeffects of n-butanol fraction of Alchorneacordifolia leaf extract in streptozotocin-induced diabetic rats. To achievethis set objective, 16 hours fasted rats...
Estimation of serological marker for the diagnosis of rheumatoid arthritis
Objectives: Rheumatoid arthritis (RA) is a chronic auto-immune disorder; there is a prominent immunological dysfunction in the joints and many other tissues by accumulation of chronic inflammatory cells including T and B...
Diffuse intraabdominal infection due to septic abortion but mimicking acute appendicitis
We present a case of diffuse intraabdominal infection which was misdiagnosed as appendicitis. The patient concealed having had sexual intercourse and being pregnant. She was diagnosed as intraabdominal infection after ac...