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Improved Survival Outcome and Access to Cancer Screening from Hemorrhoid in Patients with Rectal Cancer
BACKGROUND: The interventions for hemorrhoid increase access to rectal cancer screening and thus might reduce cancer death. We aimed to examine the impact of hemorrhoid on survival outcomes in rectal cancer. METHODS: We identified 510 patients with stage I to III rectal cancer from a prospectively c...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7749767/ https://www.ncbi.nlm.nih.gov/pubmed/33381167 http://dx.doi.org/10.1155/2020/5045142 |
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author | Zou, Qi Ren, Donglin Wang, Xiaolin Bai, Liangliang Tang, Guannan Huang, Meijin Luo, Yanxin Yu, Huichuan |
author_facet | Zou, Qi Ren, Donglin Wang, Xiaolin Bai, Liangliang Tang, Guannan Huang, Meijin Luo, Yanxin Yu, Huichuan |
author_sort | Zou, Qi |
collection | PubMed |
description | BACKGROUND: The interventions for hemorrhoid increase access to rectal cancer screening and thus might reduce cancer death. We aimed to examine the impact of hemorrhoid on survival outcomes in rectal cancer. METHODS: We identified 510 patients with stage I to III rectal cancer from a prospectively collected database. Patients were divided into hemorrhoid and non-hemorrhoid group. The primary endpoints were disease-free survival (DFS) and overall survival (OS). RESULTS: Hemorrhoid group had significantly more stage I-II diseases in comparison to nonhemorrhoid group (71.1% vs. 55.9%, P = 0.049). The hemorrhoid group had significantly better DFS and OS compared to nonhemorrhoid group, the hazard ratios (HRs) of which were 0.39 (95% CI 0.17-0.88, P = 0.018) and 0.33 (95% CI 0.12-0.92, P = 0.034), respectively. Multivariate analysis revealed that hemorrhoid was independently associated with DFS [adjusted HR 0.43 (95% CI 0.17-0.95, P = 0.045)]. A nomogram for predicting DFS outcome was generated based on hemorrhoid history, with a concordance index of 0.71 (95% CI 0.66-0.75, P < 0.001). CONCLUSIONS: There may exist a screening effect and survival benefit from hemorrhoid in rectal cancer, which supports the significance of rectal cancer screening in lowering its mortality. |
format | Online Article Text |
id | pubmed-7749767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-77497672020-12-29 Improved Survival Outcome and Access to Cancer Screening from Hemorrhoid in Patients with Rectal Cancer Zou, Qi Ren, Donglin Wang, Xiaolin Bai, Liangliang Tang, Guannan Huang, Meijin Luo, Yanxin Yu, Huichuan Gastroenterol Res Pract Research Article BACKGROUND: The interventions for hemorrhoid increase access to rectal cancer screening and thus might reduce cancer death. We aimed to examine the impact of hemorrhoid on survival outcomes in rectal cancer. METHODS: We identified 510 patients with stage I to III rectal cancer from a prospectively collected database. Patients were divided into hemorrhoid and non-hemorrhoid group. The primary endpoints were disease-free survival (DFS) and overall survival (OS). RESULTS: Hemorrhoid group had significantly more stage I-II diseases in comparison to nonhemorrhoid group (71.1% vs. 55.9%, P = 0.049). The hemorrhoid group had significantly better DFS and OS compared to nonhemorrhoid group, the hazard ratios (HRs) of which were 0.39 (95% CI 0.17-0.88, P = 0.018) and 0.33 (95% CI 0.12-0.92, P = 0.034), respectively. Multivariate analysis revealed that hemorrhoid was independently associated with DFS [adjusted HR 0.43 (95% CI 0.17-0.95, P = 0.045)]. A nomogram for predicting DFS outcome was generated based on hemorrhoid history, with a concordance index of 0.71 (95% CI 0.66-0.75, P < 0.001). CONCLUSIONS: There may exist a screening effect and survival benefit from hemorrhoid in rectal cancer, which supports the significance of rectal cancer screening in lowering its mortality. Hindawi 2020-12-10 /pmc/articles/PMC7749767/ /pubmed/33381167 http://dx.doi.org/10.1155/2020/5045142 Text en Copyright © 2020 Qi Zou et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Zou, Qi Ren, Donglin Wang, Xiaolin Bai, Liangliang Tang, Guannan Huang, Meijin Luo, Yanxin Yu, Huichuan Improved Survival Outcome and Access to Cancer Screening from Hemorrhoid in Patients with Rectal Cancer |
title | Improved Survival Outcome and Access to Cancer Screening from Hemorrhoid in Patients with Rectal Cancer |
title_full | Improved Survival Outcome and Access to Cancer Screening from Hemorrhoid in Patients with Rectal Cancer |
title_fullStr | Improved Survival Outcome and Access to Cancer Screening from Hemorrhoid in Patients with Rectal Cancer |
title_full_unstemmed | Improved Survival Outcome and Access to Cancer Screening from Hemorrhoid in Patients with Rectal Cancer |
title_short | Improved Survival Outcome and Access to Cancer Screening from Hemorrhoid in Patients with Rectal Cancer |
title_sort | improved survival outcome and access to cancer screening from hemorrhoid in patients with rectal cancer |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7749767/ https://www.ncbi.nlm.nih.gov/pubmed/33381167 http://dx.doi.org/10.1155/2020/5045142 |
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