The effect of deprivation and the systemic inflammatory response on outcome following curative resection for colorectal cancer
2003

Impact of Deprivation and Inflammation on Colorectal Cancer Survival

Sample size: 158 publication 10 minutes Evidence: moderate

Author Information

Author(s): McMillan D C, Canna K, McArdle C S

Primary Institution: University Department of Surgery, Royal Infirmary, Glasgow

Hypothesis

The study aims to examine the relationship between deprivation, the systemic inflammatory response, and survival in patients who had undergone curative resection for colorectal cancer.

Conclusion

The presence of a systemic inflammatory response contributes to poorer cancer-specific survival in patients who have undergone surgery for colorectal cancer.

Supporting Evidence

  • Deprivation is associated with a 5% survival difference in colorectal cancer.
  • Patients with a systemic inflammatory response have poorer cancer-specific survival.
  • Age and Dukes stage are significant predictors of survival in colorectal cancer.

Takeaway

This study found that people with colorectal cancer who are poorer and have inflammation in their body may not live as long after surgery.

Methodology

The study included 158 patients who underwent curative resection for colorectal cancer, measuring C-reactive protein levels and analyzing survival data.

Potential Biases

The study population may not be representative of all colorectal cancer patients due to the focus on a single surgical unit.

Limitations

The study did not include detailed information on stage at diagnosis, type of surgery, and subsequent treatment.

Participant Demographics

Patients were predominantly aged 65 and older, with a majority classified as deprived based on the Carstairs deprivation index.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601156

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