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The Swedish rectal cancer registry.
L Påhlman1, M Bohe, B Cedermark
1Department of Surgery, University Hospital, Uppsala, Sweden.
The British Journal of Surgery
|July 31, 2007
Summary
The Swedish Rectal Cancer Registry (SRCR) shows good population-based outcomes for rectal cancer patients. Nationwide quality assurance registration contributes to these positive results in rectal cancer treatment.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Public Health Surveillance
Background:
- Established the Swedish Rectal Cancer Registry (SRCR) in 1995 for comprehensive patient auditing.
- This report presents the initial findings from the SRCR, covering data from 1995 to 2003.
Purpose of the Study:
- To report on the initial population-based outcomes of rectal cancer treatment in Sweden.
- To evaluate surgical procedures, mortality, morbidity, survival rates, and local recurrence rates.
Main Methods:
- Prospective registration of 13,434 patients with rectal adenocarcinoma between 1995 and 2003.
- Analysis of surgical procedures (anterior resection, abdominoperineal resection, Hartmann's procedure), 30-day mortality, morbidity, and 5-year survival and recurrence rates.
Main Results:
- 5-year cancer-specific survival was 62.3%. Relative survival rates varied by procedure: anterior resection (70.1%), abdominoperineal resection (59.8%), and Hartmann's (39.8%).
- Overall 5-year local recurrence was 9.5%, reduced to 6.1% with preoperative radiotherapy. For curative procedures, recurrence was 7.4% overall, 5.9% with radiotherapy.
- Local recurrence rates correlated with stage: Stage I (2.9%) to Stage III (13.9%).
Conclusions:
- The Swedish Rectal Cancer Registry demonstrates favorable population-based outcomes for rectal cancer.
- Prospective, nationwide quality assurance registration is a key factor contributing to these positive results.
