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Related Experiment Video

Updated: Dec 16, 2025

Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
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Increased long-term mortality after emergency colon resections.

M Fahim1,2, L M Dijksman1, P van der Nat1,3

  • 1Department of Value Based Healthcare, St Antonius Hospital, Nieuwegein, The Netherlands.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|July 7, 2020
PubMed
Summary
This summary is machine-generated.

Emergency surgery for colon cancer significantly increases long-term mortality risk compared to elective procedures. Early detection and treatment of symptoms could improve patient survival outcomes.

Keywords:
Emergency surgerycolorectal cancerlong-termmortality

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Emergency surgery is a known risk factor for short-term mortality.
  • The impact of emergency surgery on long-term survival, particularly in colon cancer patients, remains under investigation.

Purpose of the Study:

  • To evaluate the association between emergency surgery and long-term mortality in colon cancer patients.
  • To compare long-term survival rates of patients undergoing emergency versus elective colon cancer surgery.

Main Methods:

  • Retrospective analysis of data from the Dutch Colorectal Audit and Dutch Cancer Centre registry (2009-2017).
  • Inclusion of 1139 patients who underwent surgery for colon cancer.
  • Univariable and multivariable Cox regression analysis, adjusting for patient, tumor, and treatment characteristics.

Main Results:

  • 158 patients (14%) underwent emergency surgery.
  • 5-year survival was 46% for emergency surgery versus 72% for elective surgery.
  • Emergency surgery was independently associated with increased long-term mortality (HR 1.79, P=0.001) after adjustment.

Conclusions:

  • Emergency surgery for colon cancer is linked to a significantly higher risk of long-term mortality compared to elective surgery.
  • Proactive detection and management of early colon cancer symptoms may reduce the need for emergency procedures and improve survival.