Systematic Follow-up After Curative Surgery for Colorectal Cancer in Norway: A Population-Based Audit of Effectiveness, Costs, and Compliance (original) (raw)
2005, Journal of Gastrointestinal Surgery
AI-generated Abstract
This population-based audit evaluates the effectiveness, costs, and compliance of systematic follow-up after curative surgery for colorectal cancer (CRC) in Norway. The study involved 194 patients treated with curative intent, with a focus on the diagnostic accuracy of serial measurements of carcinoembryonic antigen (CEA) and the impact of microsatellite instability (MSI) on recurrence and survival. Results indicate a moderate compliance rate, a diagnostic yield of 9% concerning disease-free survival, and highlight that TNM staging, particularly nodal status, is the best predictor of recurrence and survival outcomes. The findings call for a discussion on the cost-benefit of implementing a national follow-up program.
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