6533b7defe1ef96bd127691c

RESEARCH PRODUCT

Differences in the management and survival of metastatic colorectal cancer in Europe. A population-based study

Anne-marie BouvierValérie JoosteMaria José Sanchez-perezMaria José BentoJessica Rocha RodriguesRafael Marcos-grageraMaria Carmen Carmona-garciaMiguel Angel Luque-fernandezPamela MinicozziVéronique BouvierKaire InnosMilena SantL. Van EyckenK. HenauT. GrozevaZ. ValerianovaK. InnosM. MägiV. BouvierG. LaunoyM. RobaszkiewiczA.m. BouvierV. JoosteV. BabaevA. KatalinicE.j. ÓLafsdóttirL. TryggvadóttirC. AmatiP. BailiS. BonfarnuzzoC. MarguttiE. MeneghiniP. MinicozziG. MorettiM. SantC. CirilliG. CarrozziE. SpataR. TuminoP. Giorgi RossiM. VicentiniF. StracciF. BianconiP. ContieroG. TagliabueW. KyclerM. OkoP. MacekJ. Smok-kalwatM. Bielska-lasotaW. KyclerM. OkoM.j. BentoJ RodriguesA. Mayer-da-silvaA. MirandaM. Primic-žakeljK. JarmE. AlmarA. MateosJ. BidaurrazagaM. De La CruzC. AlberichA. Torrella-ramosJ.m. Díaz GarcíaAi Marcos-navarroC. Carmona-garciaR. Marcos-grageraM.a. Luque-fernandezM.j. Sánchez-pérezE. ArdanazM. GuevaraC. BouchardyE. Fournier

subject

MaleOncologymedicine.medical_specialtySurvivalColorectal cancerPopulationAntineoplastic AgentsLogistic regressionMetastasisMetastasis03 medical and health sciences0302 clinical medicineInternal medicineHealth caremedicineHumansRegistriesNeoplasm MetastasisDisease management (health)educationAgedRetrospective StudiesAged 80 and overeducation.field_of_studyHepatologybusiness.industryGastroenterologyDisease ManagementCancerOdds ratioMiddle Agedmedicine.diseaseColorectal cancerEurope030220 oncology & carcinogenesisFemale030211 gastroenterology & hepatologyColorectal Neoplasmsbusiness

description

The management regarding metastatic colorectal cancer throughout Europe is not well known.To draw a European comparison of the management and prognosis of metastatic colorectal cancers.Factors associated with chemotherapy administration were identified through logistic regressions. Net survival was estimated and crude probabilities of death related to cancer and other causes using a flexible cumulative hazard model.Among the 13 227 patients with colorectal cancer diagnosed between 2010 and 2013 in cancer registries from 10 European countries, 3140 were metastatic. 62% of metastatic patients received chemotherapy. Compared to Spain, the related adjusted odds ratios ranged from 0.7 to 4.0 (P0.001) according to country. The 3-year net survival by country ranged between 16% and 37%. The survival gap between countries diminished from 21% to 10% when adjusting for chemotherapy, age and sex. Geographical differences in the crude probability of death related to cancer were large for patients70 or ≥80 years at diagnosis.Heterogeneity in the application of European guidelines partly explain these differences. General health between populations, accessibility to a reference centre, or provision of health care could also be involved. Further population-based studies are warranted to disentangle between these possible explanations.

yearjournalcountryeditionlanguage
2020-11-13Digestive and Liver Disease
https://doi.org/10.1016/j.dld.2021.01.021