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Results of a rigorous follow-up system in colorectal cancer

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Abstract

Results of a computer-aided follow-up programme for patients with colorectal cancer are analyzed. Between 1978 and 1987 1293 patients underwent this programme, the drop-out rate was 17%. 299 recurrences in 168 patients were discovered (40% local recurrence, 29% liver metastases and 31% others). Fifty-one per cent of patients with local recurrence and 47% with liver metastases were symptom free. Radical surgery could be performed in 50% of local recurrences and in 26% of liver metastases. The three year survival rate after radical surgery for recurrence was 35% for local recurrences and 33% for liver metastases, the five-year-survival rate 23% and 15%, respectively.

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References

  1. Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observations. J Am Stat Assoc 53:457–481

    Google Scholar 

  2. Schiessel R, Wunderlich M, Herbst F (1986) Local recurrence of colorectal cancer: effect of early detection and aggressive surgery. Br J Surg 73:342–344

    Google Scholar 

  3. Wunderlich M, Schiessel R, Kovats E, Rauhs R, Seidl W, Imhof H, Hajek P (1983) Der Wert der Computertomographie des kleinen Beckens zur frühzeitigen Diagnose von Lokalrezidiven nach operiertem Rektumkarzinom. Wien Klin Wochenschr 95:291–294

    Google Scholar 

  4. Fortner JG, Silva JS, Cox EB, Golbey RB, Gallowitz H, Maclean BJ (1984) Multivariate analysis of a personal series of 247 patients with liver metastases from cololorectal cancer. II. Treatment by intrahepatic chemotherapy. Ann Surg 199:317–324

    Google Scholar 

  5. Schemper M, Funovics J, Puchner M (1981) Computergestützte Patientennachsorge — Darstellung eines Modells und Bericht über 40 Monate Funktionsdauer. In: Adlassnig KP, Dorda W, Grabner G (eds) Medizinische Informatik. R. Oldenburg, Wien München, pp 69–75

    Google Scholar 

  6. Martin EW, Minton JP, Carey LC (1985) CEA-directed second-look surgery in the asymptomatic patient after primary resection of colorectal carcinoma. Ann Surg 202:310–317

    Google Scholar 

  7. Fortner JG, Silva JS, Golbey RB, Cox EB, Maclean BJ (1984) Multivariate analysis of a personal series of 247 consecutive patients with liver metastases from colorectal cancer. I. Treatment by hepatic resection. Ann Surg 199:306–316

    Google Scholar 

  8. Winkler R (1975) Das rückfällige Rektumkarzinom. Langenbecks Arch Chir 338:215–223

    Google Scholar 

  9. Hermanek P, Gall FP, Altendorf A (1982) Lokalrezidive nach Rectumcarcinom — Entstehung, Diagnose, Prognose. Langenbecks Arch Chir 356:289–298

    Google Scholar 

  10. Ekman C-A, Gustavson J, Henning A (1978) Value of a follow-up study of recurrent carcinoma of the colon and rectum. Surg Gynecol Obstet 145:895–897

    Google Scholar 

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Wenzl, E., Wunderlich, M., Herbst, F. et al. Results of a rigorous follow-up system in colorectal cancer. Int J Colorect Dis 3, 176–180 (1988). https://doi.org/10.1007/BF01648363

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