Langenbeck's Archives of Surgery

, Volume 391, Issue 4, pp 369–375

Assessment of risk-independent follow-up to detect asymptomatic recurrence after curative resection of colorectal cancer

  • Matthias Zitt
  • Gilbert Mühlmann
  • Helmut Weiss
  • Reinhold Kafka-Ritsch
  • Michael Oberwalder
  • Werner Kirchmayr
  • Raimund Margreiter
  • Dietmar Öfner
  • Alexander Klaus
Original Article

DOI: 10.1007/s00423-006-0045-5

Cite this article as:
Zitt, M., Mühlmann, G., Weiss, H. et al. Langenbecks Arch Surg (2006) 391: 369. doi:10.1007/s00423-006-0045-5

Abstract

Background and aims

Colorectal cancer is one of the leading causes of cancer death. We analyzed the value of standardized, risk-independent postoperative surveillance.

Materials and methods

Between 1995 and 2001, 564 patients with colorectal cancer underwent standardized oncologic resection. One hundred thirty-four were unable to take part in the surveillance program, while 430 patients were grouped as follows: group I (n=272, risk-independent follow-up), group II (n=113, follow-up at other departments), and group III (n=45, no follow-up).

Results

The 5-year cancer-specific survival rate for UICC III and IV was significantly higher in group I (87%) as compared to group II (35%). In group I, the 5-year disease-free survival rate was 70%. Cancer recurrence occurred at mean 17 (±12) months after colorectal resection and yielded a 5-year survival rate of 63%. Reresection was performed in 17 (35%) patients, of whom ten remained disease-free (5-year survival rate, 91%). The money spent for one patient’s 5-year follow-up was 1665.

Conclusions

A standardized, risk-independent follow-up program allows early diagnosis of asymptomatic recurrence of colorectal cancer. Reresection improves the 5-year survival rate in this setting.

Keywords

Colorectal cancerSurveillanceRecurrenceCosts

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Matthias Zitt
    • 1
  • Gilbert Mühlmann
    • 1
  • Helmut Weiss
    • 1
  • Reinhold Kafka-Ritsch
    • 1
  • Michael Oberwalder
    • 1
  • Werner Kirchmayr
    • 1
  • Raimund Margreiter
    • 1
  • Dietmar Öfner
    • 1
  • Alexander Klaus
    • 1
  1. 1.Department of General and Transplant SurgeryInnsbruck Medical UniversityInnsbruckAustria