Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/114896
DC FieldValueLanguage
dc.contributor.authorOrtiz-López, Daviden_US
dc.contributor.authorMarchena Gómez, Joaquínen_US
dc.contributor.authorNogués-Ramía, Evaen_US
dc.contributor.authorSosa-Quesada, Yurenaen_US
dc.contributor.authorArencibia-Pérez, Beatrizen_US
dc.contributor.authorArtiles-Armas, Manuelen_US
dc.contributor.authorRoque Castellano, Cristinaen_US
dc.date.accessioned2022-05-31T09:43:54Z-
dc.date.available2022-05-31T09:43:54Z-
dc.date.issued2022en_US
dc.identifier.issn0960-7404en_US
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/114896-
dc.description.abstractPostoperative complications after colorectal cancer surgery have been associated with poor long-term prognosis. The aim of the present study was to investigate the prognostic impact of postoperative complications after colorectal cancer surgery assessed by the Comprehensive Complication Index (CCI®) and designing a new prognostic score based on this index. Methods: This observational longitudinal study included a series of 604 patients who underwent colorectal surgery for cancer. Demographic data, comorbidity measured by Charlson Index, tumor characteristics, surgical data and postoperative complications were recorded as predictors. Univariate and multivariate analysis were performed and long-term survival was the output variable. Based on Hazard Ratios obtained on multivariate analysis, a new score, S-CRC-PC, was created for predicting long-term survival. Results: Two-hundred and twelve (35.1%) patients developed some postoperative complication. The mean CCI was 11.6 (±19.19). Mild complications (CCI <26.2) were detected in 95 (15.7%) patients. Moderate complications (CCI 26.2–42.2) were detected in 64 (10.6%) patients. Severe complications (CCI >42.3) were detected in 53 patients (8.8%) patients. Mortality rate was 1.7%. In multivariate analysis, age (p < 0.001), Charlson score (p = 0.014), CCI (p < 0.001), and TNM stage (p < 0.001) were statistically significantly in relation to long-term survival rate. S-CRC-PC score was statistically associated with survival rate (HR: 1.34–95% CI: 1.27–1.41). Patients with S-CRC-PC values from 0 to 8 points (low risk), 8.1–16 points (medium risk), and scores above 16 points (high risk) had a cumulative survival rate at five-years of 98%, 83%, and 31% respectively. Conclusions: Postoperative complications after colorectal cancer surgery assessed by CCI are an independent prognostic factor of survival rate. The S-CRC-PC score may be helpful in predicting long-term cancer outcomes.en_US
dc.languagespaen_US
dc.relation.ispartofSurgical Oncologyen_US
dc.sourceSurgical Oncology [ISSN 0960-7404], v. 42, (Junio 2022)en_US
dc.subject320101 Oncologíaen_US
dc.subject3213 Cirugíaen_US
dc.subject.otherColorectal Canceren_US
dc.subject.otherComprehensive Complication Indexen_US
dc.subject.otherPrognostic Scoreen_US
dc.titleUtility of a new prognostic score based on the Comprehensive Complication Index (CCI®) in patients operated on for colorectal cancer (S-CRC-PC score)en_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.suronc.2022.101780en_US
dc.identifier.scopus85130197251-
dc.contributor.orcidNO DATA-
dc.contributor.orcid0000-0002-7362-1110-
dc.contributor.orcidNO DATA-
dc.contributor.orcidNO DATA-
dc.contributor.orcidNO DATA-
dc.contributor.orcidNO DATA-
dc.contributor.orcidNO DATA-
dc.contributor.authorscopusid57203399541-
dc.contributor.authorscopusid55089291600-
dc.contributor.authorscopusid57217064444-
dc.contributor.authorscopusid57224572878-
dc.contributor.authorscopusid55854192600-
dc.contributor.authorscopusid56667617500-
dc.contributor.authorscopusid14032251400-
dc.identifier.eissn1879-3320-
dc.relation.volume42en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.utils.revisionen_US
dc.date.coverdateJunio 2022en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr0,647
dc.description.jcr2,3
dc.description.sjrqQ2
dc.description.jcrqQ2
dc.description.scieSCIE
dc.description.miaricds11,0
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptGIR IUIBS: Patología y Tecnología médica-
crisitem.author.deptIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-7362-1110-
crisitem.author.orcid0000-0002-7309-6141-
crisitem.author.parentorgIU de Investigaciones Biomédicas y Sanitarias-
crisitem.author.fullNameMarchena Gómez, Joaquín-
crisitem.author.fullNameRoque Castellano, Cristina-
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