Experience with Oesophageal Cancer: A Ten-Year Single Centre Study Reflecting Daily Practice
Introduction. Studied patients with oesophageal cancer do not represent normal daily presentation. Aim. A retrospective study was done in all consecutive patients in order to describe presentation, treatment, and survival. Patients. All patients in a ten-year period were included. Patients were grou...
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| Published in: | ISRN Gastroenterology Vol. 2013; pp. 205417 - 5 |
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| Format: | Journal Article |
| Language: | English |
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Hindawi Publishing Corporation
2013
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| Abstract | Introduction. Studied patients with oesophageal cancer do not represent normal daily presentation. Aim. A retrospective study was done in all consecutive patients in order to describe presentation, treatment, and survival. Patients. All patients in a ten-year period were included. Patients were grouped in three groups. Group 1: no metastases and potentially curable, dead, or alive at time of evaluation. Group 2: patients presenting with metastases and treated with palliative chemotherapy, and group 3: patients with or without metastases but untreatable because of low Karnofsky index or important comorbidity rendering treatment not feasible. Results. One hundred thirty one evaluable patients were included. There was no difference in histological type of the tumour. Patients in group 3 were significantly older. Survival was not different between groups 2 and 3. Survival in group 1 was significantly longer (P<0.0001) compared with groups 2 and 3. Patients in group 1 received treatment with chemoradiation and surgery. Patients in groups 2 and 3 were more often treated with palliative chemotherapy and endoscopic stenting. Conclusion. The overall survival of oesophageal cancer in normal daily life is poor. Supportive care seems to be the best treatment option in patients with metastases or low Karnofsky index. Palliative chemotherapy does not add to overall survival. |
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| AbstractList | Introduction. Studied patients with oesophageal cancer do not represent normal daily presentation. Aim. A retrospective study was done in all consecutive patients in order to describe presentation, treatment, and survival. Patients. All patients in a ten-year period were included. Patients were grouped in three groups. Group 1: no metastases and potentially curable, dead, or alive at time of evaluation. Group 2: patients presenting with metastases and treated with palliative chemotherapy, and group 3: patients with or without metastases but untreatable because of low Karnofsky index or important comorbidity rendering treatment not feasible. Results. One hundred thirty one evaluable patients were included. There was no difference in histological type of the tumour. Patients in group 3 were significantly older. Survival was not different between groups 2 and 3. Survival in group 1 was significantly longer ( P < 0.0001 ) compared with groups 2 and 3. Patients in group 1 received treatment with chemoradiation and surgery. Patients in groups 2 and 3 were more often treated with palliative chemotherapy and endoscopic stenting. Conclusion. The overall survival of oesophageal cancer in normal daily life is poor. Supportive care seems to be the best treatment option in patients with metastases or low Karnofsky index. Palliative chemotherapy does not add to overall survival. Introduction . Studied patients with oesophageal cancer do not represent normal daily presentation. Aim . A retrospective study was done in all consecutive patients in order to describe presentation, treatment, and survival. Patients . All patients in a ten-year period were included. Patients were grouped in three groups. Group 1: no metastases and potentially curable, dead, or alive at time of evaluation. Group 2: patients presenting with metastases and treated with palliative chemotherapy, and group 3: patients with or without metastases but untreatable because of low Karnofsky index or important comorbidity rendering treatment not feasible. Results . One hundred thirty one evaluable patients were included. There was no difference in histological type of the tumour. Patients in group 3 were significantly older. Survival was not different between groups 2 and 3. Survival in group 1 was significantly longer () compared with groups 2 and 3. Patients in group 1 received treatment with chemoradiation and surgery. Patients in groups 2 and 3 were more often treated with palliative chemotherapy and endoscopic stenting. Conclusion . The overall survival of oesophageal cancer in normal daily life is poor. Supportive care seems to be the best treatment option in patients with metastases or low Karnofsky index. Palliative chemotherapy does not add to overall survival. Introduction . Studied patients with oesophageal cancer do not represent normal daily presentation. Aim . A retrospective study was done in all consecutive patients in order to describe presentation, treatment, and survival. Patients . All patients in a ten-year period were included. Patients were grouped in three groups. Group 1: no metastases and potentially curable, dead, or alive at time of evaluation. Group 2: patients presenting with metastases and treated with palliative chemotherapy, and group 3: patients with or without metastases but untreatable because of low Karnofsky index or important comorbidity rendering treatment not feasible. Results . One hundred thirty one evaluable patients were included. There was no difference in histological type of the tumour. Patients in group 3 were significantly older. Survival was not different between groups 2 and 3. Survival in group 1 was significantly longer ( P < 0.0001) compared with groups 2 and 3. Patients in group 1 received treatment with chemoradiation and surgery. Patients in groups 2 and 3 were more often treated with palliative chemotherapy and endoscopic stenting. Conclusion . The overall survival of oesophageal cancer in normal daily life is poor. Supportive care seems to be the best treatment option in patients with metastases or low Karnofsky index. Palliative chemotherapy does not add to overall survival. |
| Author | Dekkers, P. E. P. Loffeld, R. J. L. F. |
| AuthorAffiliation | Department of Internal Medicine and Gastroenterology, Zaans Medical Centre, P.O. BOX 210, 1500 EE Zaandam, The Netherlands |
| AuthorAffiliation_xml | – name: Department of Internal Medicine and Gastroenterology, Zaans Medical Centre, P.O. BOX 210, 1500 EE Zaandam, The Netherlands |
| Author_xml | – sequence: 1 givenname: R. J. L. F. surname: Loffeld fullname: Loffeld, R. J. L. F. organization: Department of Internal Medicine and Gastroenterology Zaans Medical Centre P.O. BOX 210, 1500 EE Zaandam The Netherlands zaansmedischcentrum.nl – sequence: 2 givenname: P. E. P. surname: Dekkers fullname: Dekkers, P. E. P. organization: Department of Internal Medicine and Gastroenterology Zaans Medical Centre P.O. BOX 210, 1500 EE Zaandam The Netherlands zaansmedischcentrum.nl |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23710364$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.3322/canjclin.55.2.74 10.1007/s11605-009-1109-y 10.1056/NEJMoa022343 10.3748/wjg.v16.i30.3793 10.1371/journal.pone.0014080 10.4065/mcp.2010.0421 10.1093/jnci/djn211 10.3748/wjg.15.5983 |
| ContentType | Journal Article |
| Copyright | Copyright © 2013 R. J. L. F. Loffeld and P. E. P. Dekkers. Copyright © 2013 R. J. L. F. Loffeld and P. E. P. Dekkers. R. J. L. F. Loffeld et al. 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. Copyright © 2013 R. J. L. F. Loffeld and P. E. P. Dekkers. 2013 |
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| References | (7) 2009; 15 (1) 2005; 55 (5) 2010; 16 (2) 2010; 14 (4) 2010; 85 (8) 2010; 5 (6) 2002; 347 (9) 2011; 30, article 94 (3) 2008; 100 20014464 - World J Gastroenterol. 2009 Dec 21;15(47):5983-91 21124934 - PLoS One. 2010 Nov 22;5(11):e14080 21970688 - J Exp Clin Cancer Res. 2011 Oct 05;30:94 15761078 - CA Cancer J Clin. 2005 Mar-Apr;55(2):74-108 21123634 - Mayo Clin Proc. 2010 Dec;85(12):1080-9 18695138 - J Natl Cancer Inst. 2008 Aug 20;100(16):1184-7 20012379 - J Gastrointest Surg. 2010 Mar;14(3):476-83 20698042 - World J Gastroenterol. 2010 Aug 14;16(30):3793-803 12444180 - N Engl J Med. 2002 Nov 21;347(21):1662-9 2 3 4 5 6 7 8 |
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| Snippet | Introduction. Studied patients with oesophageal cancer do not represent normal daily presentation. Aim. A retrospective study was done in all consecutive... Introduction . Studied patients with oesophageal cancer do not represent normal daily presentation. Aim . A retrospective study was done in all consecutive... |
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| SubjectTerms | Cancer Cancer therapies Clinical Study Comorbidity Hospitals Medical treatment Mortality Patients Radiation therapy Surgery Survival analysis Tumors |
| Title | Experience with Oesophageal Cancer: A Ten-Year Single Centre Study Reflecting Daily Practice |
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