title: [Individual risk-related after-care in colorectal cancer?].
abstract: Efficacy of the regular follow-up program and influence on survival rate following treatment of recurrence were evaluated. 556 follow-up records of patients after resection of colorectal cancer were analysed. The primary drop-out rate was 12.4%. Recurrences were found in 26.6% (n = 128). 53.1% of recurrences were symptomatic at diagnosis of recurrence. Curative resection of recurrence was only performed in 19.5%. 46.1% were given palliative and 34.4 no specific oncologic treatment. We define efficacy as the rate of curative asymptomatic recurrence. This was 3.5% of all patients. From the curative resection of recurrence only 6 patients were free of recurrence longer than 2 years. No second resection of recurrence was possible. Different treatment of recurrence did influence the survival rate (p = 0.09). There was no difference in prognosis for asymptomatic and symptomatic recurrences (p greater than 0.8). In order to increase the efficacy of follow-up for colorectal cancer we are introducing a new concept based on individual risk factors.
authors.affiliation: Chirurgische Abteilung, Marien-Hospitals, Düsseldorf, BRD.
authors.forename: B
authors.initials: B
authors.lastname: Böhm
authors.forename: J
authors.initials: J
authors.lastname: Osswald
authors.forename: H P
authors.initials: HP
authors.lastname: Hucke
authors.forename: W
authors.initials: W
authors.lastname: Stock
mesh_terms: D000359:Aftercare / Q000379:methods*; D000368:Aged; D015179:Colorectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D010166:Palliative Care; D011446:Prospective Studies; D012086:Reoperation; D012307:Risk Factors; D015996:Survival Rate
vernacular_title: Individuelle risikoadaptierte Nachsorge beim kolorektalen Karzinom?