Surgery underused for esophagus cancer: study

NEW YORK (Reuters Health) - Surgery to remove the esophagus is not being used as often as it should be for some cases of early-stage cancer of the esophagus.

That’s the conclusion of Dr. E. Carter Paulson and colleagues, from the Hospital of the University of Pennsylvania in Philadelphia, who assessed the treatment of 2,386 patients who were diagnosed with esophageal cancer from 1997 to 2002.

Overall, only 34 percent of patients had a surgical procedure for their cancer, the researchers found. Patients that did have surgery survived far longer than those that did not have surgery. Median survival was 620 days in surgery patients versus 381 days in medically-treated patients.

The survival rate at 2 years was 47 percent with surgery versus 32 percent without surgery. At 5 years, survival rates were 28 percent and 10 percent, respectively.

Roughly 37 percent of white patients with early cancer of the esophagus were treated surgically compared with just 19 percent of their non-white counterparts.

Living in a high poverty area reduced the likelihood of having surgery by 27 percent, the investigators found. Similarly, older age and having other illnesses in addition to esophagus cancer also cut the odds of having surgery.

In the medical journal Archives of Surgery, Paulson and colleagues point out that “refinements in operative technique and postoperative care have allowed resection to be performed with greater safety.”

“It is imperative,” they conclude, “that physicians diagnosing and treating patients with esophageal cancer be made aware of the positive progress in the surgical treatment of this disease.”

SOURCE: Archives of Surgery, December 2008.

Source

--------------------------------------------------------------------------------------------
Related Posts:


NEW YORK (Reuters Health) - Surgical removal of the kidney — a procedure known as nephrectomy — improves survival in patients with locally advanced renal cell carcinoma, the most common form of kidney cancer. Dr. Pierre I. Karakiewicz from University of Montreal and colleagues determined survival rates for 43,143 patients treated with nephrectomy for advanced renal

Full Post: Surgery improves kidney cancer survival: study
--------------------------------------------------------------------------------------------

NEW YORK (Reuters Health) - Older men and younger women fare worse with stomach, or “gastric” cancer than patients in other gender and age groups, research shows. Dr. Sung-Soo Park, from Korea University College of Medicine, Seoul, and co-researchers hypothesized that the difference in disease outcomes is related to sex hormones and suggest that further studies

Full Post: Gender and age impact stomach cancer prognosis
--------------------------------------------------------------------------------------------

NEW YORK (Reuters Health) - An elderly person who has fractured their femur - the large thigh bone that connects the leg to the hip - may want to have surgery sooner rather than later, according to a study linking longer times to surgery to a somewhat increased risk of post-surgery complications. Dr. Rudiger Smektala from

Full Post: Delayed surgery may affect fracture recovery
--------------------------------------------------------------------------------------------

By Will Boggs, MD NEW YORK (Reuters Health) - For smokers scheduled to undergo an operation, a smoking cessation program that starts shortly before surgery lowers the rate of postop complications, a Scandinavian study shows. The time around a surgical procedure “is a highly effective period for introducing a smoking cessation intervention, and the patients have a

Full Post: Quit-smoking program cuts postop complications
--------------------------------------------------------------------------------------------

NEW YORK (Reuters Health) - Younger age, symptoms of depression, and severe pain during the immediate post-operative period are significant predictors of severe pain during recovery from radical prostatectomy, study findings indicate. These results imply that “pain once manifested is not easily converted despite a generous analgesic treatment,” Swedish investigators explain in the current issue of

Full Post: Depression, age linked to post-prostatectomy pain

Site Navigation

Most Read

Search