Crozier, J.E.M., McKee, R.F., McArdle, C.S., Angerson, W.J., Anderson, J.H., Horgan, P. and McMillan, D.C. (2007) Preoperative but not postoperative systemic inflammatory response correlates with survival in colorectal cancer. British Journal of Surgery, 94(8), pp. 1028-1032. (doi: 10.1002/bjs.5706)
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Abstract
<p><b>Background:</b></p> <p>The aim of the present study was to evaluate the relationship between the preoperative and postoperative systemic inflammatory response and survival in patients undergoing potentially curative resection for colorectal cancer.</p> <p><b>Methods:</b></p> <p>One hundred and eighty patients with colorectal cancer were studied. Circulating concentrations of C-reactive protein (CRP) were measured before surgery and in the immediate postoperative period.</p> <p><b>Results:</b></p> <p>The peak in CRP concentration occurred on day 2 (P < 0·001). During the course of the study 59 patients died, 30 from cancer and 29 from intercurrent disease. Day 2 CRP concentrations were dichotomized. In univariable analysis, advanced tumour node metastasis stage (P = 0·002), a raised preoperative CRP level (P < 0·001) and the presence of hypoalbuminaemia (P = 0·043) were associated with poorer cancer-specific survival.</p> <p><b>Conclusion:</b></p> <p>Preoperative but not postoperative CRP concentrations are associated with poor tumour-specific survival in patients undergoing potentially curative resection for colorectal cancer.</p>
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Horgan, Professor Paul and Angerson, Dr Wilson and Anderson, Mr John and McKee, Dr Ruth and McMillan, Professor Donald |
Authors: | Crozier, J.E.M., McKee, R.F., McArdle, C.S., Angerson, W.J., Anderson, J.H., Horgan, P., and McMillan, D.C. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities |
Journal Name: | British Journal of Surgery |
ISSN: | 0007-1323 |
Published Online: | 16 April 2007 |
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