Completeness of pathology reports in stage II colorectal cancer
Stefan Büttner
Zarina S. Lalmahomed
Robert R. J. Coebergh van den Braak
Bettina E. Hansen
Peter Paul L. O. Coene
Jan Willem T. Dekker
David D. E. Zimmerman
Geert W. M. Tetteroo
Wouter J. Vles
Wietske W. Vrijland
Ruth E. M. Fleischeuer
Anneke A. M. van der Wurff
Mike Kliffen
Rolf Torenbeek
J. H. Carel Meijers
Michael Doukas
Jan N. M. IJzermans
10.6084/m9.figshare.4580674.v1
https://tandf.figshare.com/articles/journal_contribution/Completeness_of_pathology_reports_in_stage_II_colorectal_cancer/4580674
<p><b>Introduction:</b> The completeness of the pathological examination of resected colon cancer specimens is important for further clinical management. We reviewed the pathological reports of 356 patients regarding the five factors (pT-stage, tumor differentiation grade, lymphovascular invasion, tumor perforation and lymph node metastasis status) that are used to identify high-risk stage II colon cancers, as well as their impact on overall survival (OS).</p> <p><b>Methods:</b> All patients with stage II colon cancer who were included in the first five years of the MATCH study (1 July 2007 to 1 July 2012) were selected (<i>n</i> = 356). The hazard ratios of relevant risk factors were calculated using Cox Proportional Hazards analyses.</p> <p><b>Results:</b> In as many as 69.1% of the pathology reports, the desired information on one or more risk factors was considered incomplete. In multivariable analysis, age (HR: 1.07, 95%CI 1.04–1.10, <i>p</i> < .001), moderately- (HR: 0.35, 95%CI 0.18–0.70, <i>p</i> = .003) and well (HR 0.11, 95%CI 0.01–0.89, <i>p</i> = .038) differentiated tumors were significantly associated with OS.</p> <p><b>Conclusions:</b> Pathology reports should better describe the five high-risk factors, in order to enable proper patient selection for further treatment. Chemotherapy may be offered to stage II patients only in select instances, yet a definitive indication is still unavailable.</p>
2017-01-24 12:23:42
Colorectal cancer
pathology reporting
prognostic factors