Textbook outcome contributes to long-term prognosis in elderly colorectal cancer patients.
Colorectal cancer
Curative colorectomy
Overall survival
Textbook outcome
Journal
Langenbeck's archives of surgery
ISSN: 1435-2451
Titre abrégé: Langenbecks Arch Surg
Pays: Germany
ID NLM: 9808285
Informations de publication
Date de publication:
24 Jun 2023
24 Jun 2023
Historique:
received:
03
04
2023
accepted:
16
06
2023
medline:
26
6
2023
pubmed:
24
6
2023
entrez:
24
6
2023
Statut:
epublish
Résumé
Textbook outcome (TO) has been used to define achievement of multiple "ideal" or "optimal" surgical and postoperative quality measures from the patient's perspective. However, TO has not been reported for their impact on survival in elderly, including CRC surgery. This study determined whether TO is associated with long-term outcomes after curative colorectomy in patients with colorectal cancer (CRC). Patient who underwent curative surgery over 75 years old for CRC between March 2005 and December 2016. TO included five separate parameters: surgery within 6 weeks, radical resection, Lymph node (LN) yield ≥ 12, no stoma, and no adverse outcome. When all 5 short-term quality of care parameters were realized, TO was achieved (TO). If any one of the 5 parameters was not met, the treatment was not considered TO (nTO). TO was realized in 80 patients (43.0%). Differences in surgical-related characteristics and pathological characteristics according to TO had no statistically significant differences in baseline characteristics, except for Lymph node dissection. The Kaplan-Meier curves for OS and RFS association between TO and nTO had significantly poor 5-year OS and 5-year RFS compared with the TO groups (OS, 77.8% vs. 60.8%, P < 0.01; RFS, 69.6% vs. 50.8%, P = 0.01). In the multivariate analysis, nTO was an independent predictive factor for worse OS (HR, 2.04; 95% confidence interval (CI), 1.175-3.557; P = 0.01) and RFS (HR, 1.72; 95% CI, 1.043-2.842; P = 0.03). TO can be a useful predictor for postoperative morbidity and prognosis after curative colorectomy for CRC.
Identifiants
pubmed: 37354316
doi: 10.1007/s00423-023-02992-4
pii: 10.1007/s00423-023-02992-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
245Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Balducci L (2014) Studying cancer treatment in the elderly patient population. Cancer Control 21(3):215–220
doi: 10.1177/107327481402100306
Siegel R, Naishadham D, Jemal A (2013) Cancer statistics, 2013. CA Cancer J Clin 63(1):11–30
doi: 10.3322/caac.21166
Glatz T, Höppner J (2017) Is there a rationale for structural quality assurance in esophageal surgery? Visc Med 33(2):135–139
doi: 10.1159/000458454
Busweiler LA, Schouwenburg MG, van Berge Henegouwen MI et al (2017) Textbook outcome as a composite measure in oesophagogastric cancer surgery. Br J Surg 104(6):742–750
doi: 10.1002/bjs.10486
Courrech Staal EF, Wouters MW, Boot H, Tollenaar RA, van Sandick JW (2010) Quality-of-care indicators for oesophageal cancer surgery: a review. Eur J Surg Oncol 36(11):1035–1043
doi: 10.1016/j.ejso.2010.08.131
Bert M, Devilliers H, Orry D, Rat P, Facy O, Ortega-Deballon P (2021) Preoperative inflammation is an independent factor of worse prognosis after colorectal cancer surgery. J Visc Surg 158(4):305–311
doi: 10.1016/j.jviscsurg.2020.08.001
Fujita S, Teramoto T, Watanabe M, Kodaira S, Kitajima M (1993) Anastomotic leakage after colorectal cancer surgery: a risk factor for recurrence and poor prognosis. Jpn J Clin Oncol 23(5):299–302
Pei Q, Zhu H, Tan F et al (2016) Intravascular emboli is an independent risk factor for the prognosis of stage III colorectal cancer patients after radical surgery. Oncotarget. 7(35):57268–57276
doi: 10.18632/oncotarget.11266
Hanaoka M, Hino H, Shiomi A et al (2022) The Eastern Cooperative Oncology Group Performance Status as a prognostic factor of stage I-III colorectal cancer surgery for elderly patients: a multi-institutional retrospective analysis. Surg Today 52(7):1081–1089
doi: 10.1007/s00595-021-02412-4
Hayama T, Hashiguchi Y, Ozawa T et al (2022) The preoperative geriatric nutritional risk index (GNRI) is an independent prognostic factor in elderly patients underwent curative resection for colorectal cancer. Sci Rep 12(1):3682
doi: 10.1038/s41598-022-07540-6
Coory M, Scott I (2007) Analysing low-risk patient populations allows better discrimination between high-performing and low-performing hospitals: a case study using inhospital mortality from acute myocardial infarction. Qual Saf Health Care 16(5):324–328
doi: 10.1136/qshc.2006.018457
Ten Berge MG, Beck N, Steup WH et al (2021) Textbook outcome as a composite outcome measure in non-small-cell lung cancer surgery. Eur J Cardiothorac Surg 59(1):92–99
doi: 10.1093/ejcts/ezaa265
Bilimoria KY, Stewart AK, Edge SB, Ko CY (2008) Lymph node examination rate, survival rate, and quality of care in colon cancer. JAMA 299(8):896–897 author reply 897-898
doi: 10.1001/jama.299.8.896-a
Chow CJ, Al-Refaie WB, Abraham A et al (2015) Does patient rurality predict quality colon cancer care?: a population-based study. Dis Colon Rectum 58(4):415–422
doi: 10.1097/DCR.0000000000000173
Elferink MA, Wouters MW, Krijnen P et al (2010) Disparities in quality of care for colon cancer between hospitals in the Netherlands. Eur J Surg Oncol 36(Suppl 1):S64–S73
doi: 10.1016/j.ejso.2010.05.026
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213
doi: 10.1097/01.sla.0000133083.54934.ae
Hashiguchi Y, Muro K, Saito Y et al (2020) Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2019 for the treatment of colorectal cancer. Int J Clin Oncol 25(1):1–42
doi: 10.1007/s10147-019-01485-z
Kolfschoten NE, Kievit J, Gooiker GA et al (2013) Focusing on desired outcomes of care after colon cancer resections; hospital variations in 'textbook outcome'. Eur J Surg Oncol 39(2):156–163
doi: 10.1016/j.ejso.2012.10.007
Bruce J, Krukowski ZH, Al-Khairy G, Russell EM, Park KG (2001) Systematic review of the definition and measurement of anastomotic leak after gastrointestinal surgery. Br J Surg 88(9):1157–1168
doi: 10.1046/j.0007-1323.2001.01829.x
Desiderio J, Trastulli S, D'Andrea V, Parisi A (2020) Enhanced recovery after surgery for gastric cancer (ERAS-GC): optimizing patient outcome. Transl Gastroenterol Hepatol 5:11
doi: 10.21037/tgh.2019.10.04
Mirnezami A, Mirnezami R, Chandrakumaran K, Sasapu K, Sagar P, Finan P (2011) Increased local recurrence and reduced survival from colorectal cancer following anastomotic leak: systematic review and meta-analysis. Ann Surg 253(5):890–899
doi: 10.1097/SLA.0b013e3182128929
Manatakis DK, Tzardi M, Souglakos J et al (2023) Achieving a textbook outcome in colon cancer surgery is associated with improved long-term survival. Curr Oncol 30(3):2879–2888
doi: 10.3390/curroncol30030220
Yang CC, Tian YF, Liu WS et al (2020) The association between the composite quality measure "textbook outcome" and long term survival in operated colon cancer. Medicine (Baltimore) 99(40):e22447
doi: 10.1097/MD.0000000000022447
Fong Y (2019) Textbook Outcome Nomograms as Multivariate Clinical Tools for Building Cancer Treatment Pathways and Prognosticating Outcomes. JAMA Surg 154(6):e190572
doi: 10.1001/jamasurg.2019.0572
Quan Q, Zhu M, Liu S et al (2019) Positive impact of the negative lymph node count on the survival rate of stage III colon cancer with pN1 and right-side disease. J Cancer 10(4):1052–1059
doi: 10.7150/jca.23763
Ogino S, Nosho K, Irahara N et al (2010) Negative lymph node count is associated with survival of colorectal cancer patients, independent of tumoral molecular alterations and lymphocytic reaction. Am J Gastroenterol 105(2):420–433
doi: 10.1038/ajg.2009.578
Law WL, Choi HK, Lee YM, Ho JW (2007) The impact of postoperative complications on long-term outcomes following curative resection for colorectal cancer. Ann Surg Oncol 14(9):2559–2566
doi: 10.1245/s10434-007-9434-4
Aoyama T, Oba K, Honda M et al (2017) Impact of postoperative complications on the colorectal cancer survival and recurrence: analyses of pooled individual patients' data from three large phase III randomized trials. Cancer Med 6(7):1573–1580
doi: 10.1002/cam4.1126
Duron JJ, Duron E, Dugue T et al (2011) Risk factors for mortality in major digestive surgery in the elderly: a multicenter prospective study. Ann Surg 254(2):375–382
doi: 10.1097/SLA.0b013e318226a959
Turrentine FE, Wang H, Simpson VB, Jones RS (2006) Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg 203(6):865–877
doi: 10.1016/j.jamcollsurg.2006.08.026
Grosso G, Biondi A, Marventano S, Mistretta A, Calabrese G, Basile F (2012) Major postoperative complications and survival for colon cancer elderly patients. BMC Surg 12(Suppl 1(Suppl 1)):S20
doi: 10.1186/1471-2482-12-S1-S20
Hurria A, Naylor M, Cohen HJ (2013) Improving the quality of cancer care in an aging population: recommendations from an IOM report. JAMA. 310(17):1795–1796
doi: 10.1001/jama.2013.280416
Moulton G (1999) IOM report on quality of cancer care highlights need for research, data expansion. Institute of Medicine. J Natl Cancer Inst 91(9):761–762
doi: 10.1093/jnci/91.9.761