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    Referral patterns of patients with liver metastases due to colorectal cancer for resection.

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    Authors
    Al-Sahaf, O
    Al-Azawi, Dhafir
    Al-Khudairy, Ammar
    Fauzi, Mohammad Z
    El-Masry, Sherif
    Gilen, Peter
    Affiliation
    Department of General Surgery, Our Lady of Lourdes Hospital, Drogheda, Co.,, Louth, Ireland. Usama_sahaf70@hotmail.com
    Issue Date
    2012-02-01T10:21:49Z
    MeSH
    Adult
    Age Factors
    Aged
    Aged, 80 and over
    Colorectal Neoplasms/*pathology
    Female
    Hepatectomy
    Humans
    Liver Neoplasms/mortality/pathology/*secondary/*surgery
    Male
    Middle Aged
    Palliative Care/statistics & numerical data
    Prognosis
    Referral and Consultation/*statistics & numerical data
    Retrospective Studies
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    Citation
    Int J Colorectal Dis. 2009 Jan;24(1):79-82. Epub 2008 Aug 12.
    Journal
    International journal of colorectal disease
    URI
    http://hdl.handle.net/10147/207371
    DOI
    10.1007/s00384-008-0561-6
    PubMed ID
    18696085
    Abstract
    INTRODUCTION: Colorectal carcinoma accounts for 10% of cancer deaths in the Western World, with the liver being the most common site of distant metastases. Resection of liver metastases is the treatment of choice, with a 5-year survival rate of 35%. However, only 5-10% of patients are suitable for resection at presentation. AIMS: To examine the referral pattern of patients with liver metastases to a specialist hepatic unit for resection. METHODOLOGY: Retrospective review of patient's charts diagnosed with colorectal liver metastases over a 10-year period. RESULTS: One hundred nine (38 women, 71 men) patients with liver metastases were included, mean age 61 years; 79 and 30 patients had synchronous and metachronus metastases, respectively. Ten criteria for referral were identified; the referral rate was 8.25%, with a resection rate of 0.9%. Forty two percent of the patients had palliative chemotherapy; 42% had symptomatic treatment. CONCLUSION: This study highlights the advanced stage of colorectal cancer at presentation; in light of modern evidence-based, centre-oriented therapy of liver metastasis, we conclude that criteria of referral for resection should be based on the availability of treatment modalities.
    Language
    eng
    ISSN
    0179-1958 (Print)
    0179-1958 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00384-008-0561-6
    Scopus Count
    Collections
    Our Lady of Lourdes Hospital

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